TABLE 2. Timeline for adapting, piloting and evaluating the Nurse–Family Partnership in Canada .

Years	Evaluation component	Location	Activities
2008–11	Phase 1: Adaptation	ON	NFP guidelines adapted to include Canadian standards of evidence and updated content.
2008–12	Phase 2, Step 1: Feasibility study	ON	Pilot study to test procedures for recruitment and retention and instruments for collecting clinical and interview data from participants.
2008–12	Phase 2, Step 2: Acceptability study	ON	A qualitative case study to explore the acceptability of the NFP to clients, their families, PHNs and community stakeholders.
2011–ongoing	Phase 3, Step 1: Preparation for RCT adaptation (version 2.0)	ON and BC	Using feedback from Hamilton PHNs and BC nurse leaders, update and revise the NFP Canadian guidelines; further enhance with integration of intimate partner violence and DANCE nurse education modules, guideline facilitators and nurse instructions.
2011–14	Phase 3, Step 2: Preparation for RCT PHN/Supervisor education	BC	Hiring of PHNs and supervisors; complete nurse education; delivery of the NFP to “guiding clients.”
2013–18	Phase 3: Large-scale RCT	BC	Identify eligible pregnant women to enroll in BCHCP RCT to compare the NFP to existing services in reducing childhood injuries (primary outcome).
2013–18	Phase 3: Process Evaluation	BC	Consent a purposeful sample of senior public health managers and all NFP PHNs and supervisors to document process for implementing and delivering NFP.
2014–18	Phase 3: Healthy Foundations Study	BC	Identify 300 mother-infant dyads to enroll to measure and determine effect of NFP on biological mechanisms linking intervention and behavioural outcomes in children.

Abbreviations: BC, British Columbia; BCHCP, British Columbia Healthy Connections Project; DANCE, Dyadic Assessment of Naturalistic Caregiver-child Experiences; ON, Ontario; NFP, Nurse–Family Partnership; PHN, public health nurses; RCT, randomized control trial.