scholarly journals Impacts of a Home Visiting Program Enhanced with Content on Healthy Birth Spacing

2020 ◽  
Vol 24 (S2) ◽  
pp. 105-118 ◽  
Author(s):  
Susan Zief ◽  
John Deke ◽  
Paul Burkander ◽  
Andrew Langan ◽  
Subuhi Asheer
Keyword(s):  
Birth Control ◽  
Home Visiting ◽  
Ordinary Least Squares ◽  
Favorable Effect ◽  
Control Group ◽  
Posterior Probabilities ◽  
Contraception Use ◽  
Program Content ◽  
Home Visiting Program ◽  
The Impact

Abstract Objectives This study sought to determine the impact of Healthy Families Healthy Futures (HFHF) enhanced with Steps to Success (STS). HFHF is a structured home visiting program for teen parents in Houston that focuses on improving parenting skills and preventing child abuse. HFHF enhanced with STS includes content and activities aimed to reduce repeat pregnancies within 24 months after the first child’s birth. Methods The study team recruited 248 young mothers for the study, primarily through local health clinics and schools, and then randomly assigned them to either a treatment group that was eligible to participate in HFHF enhanced with STS or to a control group. The control group was not offered any other program through the study. Outcomes were measured by a survey administered 12 months after program intake, in five domains aligned with the program’s logic model: (1) exposure to information related to program content, (2) contraception knowledge, (3) contraception use, (4) enhanced family functioning, and (5) child health and development. To estimate program impacts, we used ordinary least squares regression, controlling for demographics and baseline measures of the outcome variables, if available. We use both frequentist approaches (calculations of statistical significance) and Bayesian posterior probabilities to interpret the findings. Results HFHF enhanced with STS significantly (p < .05) impacted exposure to information on parenting and birth control, with effects of 20.8 and 15.4 percentage points, respectively. Using Bayesian posterior probabilities, there is an 85% chance that the program had a favorable effect on these outcomes. We also calculate a probability of 77% that the program had a favorable impact on long-acting reversible contraceptive (LARC) use, but a probability of 89% that the program reduced knowledge of birth control pills; these two results were not statistically significant (p = .17 and .10, respectively). Conclusions for Practice These findings are primarily favorable and consistent with the program content and goals. Smaller than anticipated sample sizes due to recruitment challenges increased the chances for random error to affect the ability to detect statistically significant differences on many of our other outcomes; Bayesian posterior probabilities can therefore aid in interpreting the impact estimates. More research of this promising model is warranted.

scholarly journals Child Development and Early Interaction: PERL Research Protocol, a Preventive Home Visiting Program, Randomized Controlled Trial in France

2021 ◽  
Vol 12 ◽  
Author(s):  
Sophie Buchheit ◽  
Bernard Kabuth ◽  
Marie-Christine Colombo ◽  
Fabienne Ligier
Keyword(s):  
Clinical Trial ◽  
Home Visiting ◽  
Social Inequalities ◽  
Home Visits ◽  
Control Group ◽  
Parenting Support ◽  
Randomized Controlled ◽  
Home Visiting Program ◽  
Early Interaction ◽  
The Impact

Background: Early childhood is a key period for reducing the social inequalities that affect health. Some parenting support and home visitation programs have proven to be effective in assisting parents during this period. France's Protection Maternelle et Infantile (maternal and child welfare) services (PMIs) are at the heart of this primary prevention and may adapt their intervention to improve parenting support. In this manuscript, we describe the protocol of the PERL study, an intervention based on a home visiting program.Method and design: The PERL study is a single-center, randomized, controlled interventional trial. The aim was to assess the impact of a preventive home visiting program on the development of young children and parent-baby interaction. Visits were made by PMI nurses to 64 randomly recruited families from the general population. All families who had a baby born after 37 weeks of pregnancy between September 2018 and December 2019, and who resided in the trial area were eligible. Participants were randomly allocated to the intervention group or the control group. The PMI nurses made 12 home visits in the first year, 6 in the second year, and 4 in the third and fourth years of the child's life. Primary and secondary outcomes were measured when the child was 4 and 24 months old. These measurements recorded (i) the child's developmental milestones, in particular, language and socio emotional skills, (ii) early interaction, maternal sensitivity, and attachment patterns, (iii) maternal psychopathology including depression.Discussion: This study aims to assess the impact of home visits, made by specifically-trained and supervised nurses, on the child's development and parent-child interactions. Such interventions are complementary to other preventive programs addressing the impact of social inequalities on perinatal health. Placing nurses' professional skills at the center of this project may prove an effective and cost-saving intervention compared to existing programs. The study proposes a prevention model that is in keeping with the principle of reducing social inequalities in health by providing support from the earliest age through public service.Clinical Trial Registration: The clinical trial number is NCT03506971, registered on April 24, 2018.

scholarly journals Developmental health in the context of an early childhood program in Brazil: the “Primeira Infância Melhor” experience

2019 ◽  
Vol 35 (3) ◽  
Author(s):  
Tonantzin Ribeiro Gonçalves ◽  
Eric Duku ◽  
Magdalena Janus
Keyword(s):  
Early Childhood ◽  
Home Visiting ◽  
Family Income ◽  
Comparison Group ◽  
Study Groups ◽  
Middle Income ◽  
Developmental Health ◽  
Home Visiting Program ◽  
Multistage Sampling ◽  
The Impact

Design and evaluation of early child development (ECD) programs are poorly documented in low- or middle-income countries. The study aimed to identify family and child characteristics associated with developmental health outcomes among children aged from 4 to 6 years who participated in the “Primeira Infância Melhor” - PIM (Better Early Childhood), a home visiting program in Rio Grande do Sul State, Brazil. We also evaluated the impact of PIM on developmental vulnerability at school entry using a comparison group. Multistage sampling was first used to select cities, then families, in different regions of the state, resulting in a sample of eight cities and 571 children (364 PIM; 207 comparison). We used a sociodemographic questionnaire, completed by parents, and the Early Development Instrument (EDI), completed by teachers. Among PIM children, lower family income, time of exit from the program, city, and younger age were associated with higher risk of developmental vulnerability and/or with lower mean scores in EDI domains. Multivariate analysis controlling for covariates found no differences between the study groups in EDI outcomes even though the gaps in equity of the outcomes were smaller in the PIM group. These results are discussed in the context of challenges faced by home visiting programs in addressing complex social conditions of high-risk families and difficulties in finding an adequate comparison group in communities where an ECD program is universally accessible. We also note the importance of setting structured and longitudinal monitoring systems together with the implementation of ECD policies.

GST Pass-through Across Indian Sates: Evidence from Difference-in-Differences

2018 ◽  
Vol 66 (1-2) ◽  
pp. 42-49
Author(s):  
Debashree Das
Keyword(s):  
Ordinary Least Squares ◽  
Rate Of Change ◽  
Control Group ◽  
Short Term ◽  
Difference In Differences ◽  
Data Set ◽  
Consumer Prices ◽  
Pass Through ◽  
The Impact ◽  
Special Category

This article analyses whether there exists any short-term inflationary pressure on Indian economy post Goods and Services Tax (GST) implementation. It was found that the introduction of GST showed no significant effect on the rate of change of consumer price index (CPI). Though, the effect of the GST implementation on consumer prices in India showed no significant change in the short term, the impact needs to monitored and observed for the long term, because the current state of economic conditions may have led to a delayed pass-through of the GST increase into consumer prices. To estimate the pass-through effect on prices due to GST implementation from 1 July 2017, various graphical and statistical methods are used to ascertain whether there has been any significant pass-through of GST on CPI– ordinary least squares (OLS) regression, and difference-in differences (DID) estimation technique has been used. The impact of post- and pre-implementation of GST has been analysed through DID by segregating the data set on the basis of treatment and control groups. The non-special category states have been taken as the treatment group and remaining special category states as control group. The results indicate that there is no significant evidence of upward bias in the CPI post GST implementation; these conventional estimates hold true for all states that were segmented based on revenue distribution and contribution to gross domestic product (GDP). JEL: D78, H20, H22

scholarly journals The Impact of a Home Visiting Program on Children's Utilization of Dental Services

PEDIATRICS ◽  
2013 ◽  
Vol 132 (Supplement) ◽  
pp. S147-S152 ◽  
Author(s):  
T. H. Brickhouse ◽  
R. R. Haldiman ◽  
B. Evani
Keyword(s):  
Home Visiting ◽  
Dental Services ◽  
Home Visiting Program ◽  
Utilization Of Dental Services ◽  
The Impact

scholarly journals The impact of a preventive intervention on persistent, cross-situational early onset externalizing problems

2019 ◽  
Author(s):  
Michael F Lorber ◽  
David Olds ◽  
Nancy Donelan-McCall
Keyword(s):  
Low Income ◽  
Externalizing Behavior ◽  
Early Onset ◽  
Externalizing Problems ◽  
Home Visiting ◽  
Preventive Intervention ◽  
Parent Report ◽  
Control Group ◽  
Developmental Problems ◽  
The Impact

The Nurse-Family Partnership (NFP) home visiting intervention for low income first time mothers was evaluated for its preventive impact on persistent, cross-situational early onset externalizing problems (EXT). Seven hundred and thirty-five women in the Denver, Colorado area were randomly assigned into one of two active conditions (nurse or paraprofessional home visiting from pregnancy through child age 2) or a control group in which children were screened and referred for behavioral and developmental problems. Externalizing behavior was assessed by parent report when the children were 2, 4, 6, and 9 years old; teachers provided reports at ages 6 and 9. Latent profile analyses suggested the presence of persistent, cross-situational early onset EXT in approximately 6% to 7% of girls and boys. The intervention deflected girls away from these EXT and toward a pattern marked by a persistent moderate elevation of externalizing behavior that was evident at home and not at school. This finding should be interpreted cautiously given the small number of girls with the elevated EXT. Surprisingly, the intervention also moved girls away from stable low level externalizing behavior toward the moderately elevated pattern. Both of the significant effects on girls’ externalizing behavior were modest. No statistically significant effects were found for boys’ externalizing behaviors, which exhibited a somewhat different patterning across time and reporter. Effect sizes were generally similar for the nurse and paraprofessional-visited groups. The results are discussed in the context of prior efforts to prevent early EXT and emerging evidence on the normative development of externalizing behavior.

scholarly journals What is the Added Value of Preschool for Poor Children? Long-Term and Intergenerational Impacts and Interactions with an Infant Health Intervention

2020 ◽  
Vol 12 (3) ◽  
pp. 255-286
Author(s):  
Maya Rossin-Slater ◽  
Miriam Wüst
Keyword(s):  
Low Income ◽  
Program Implementation ◽  
Home Visiting ◽  
Infant Health ◽  
Health Intervention ◽  
Added Value ◽  
Nurse Home Visiting ◽  
Low Income Families ◽  
Home Visiting Program ◽  
The Impact

We study the impact of preschool targeted at children from low-income families over the life cycle and across generations, and examine its interaction with an infant health intervention. Using Danish administrative data with variation in the timing of program implementation over the period 1933–1960, we find lasting benefits of access to preschool on adult educational attainment, earnings, and survival beyond age 65. We also show that children of women exposed to pre-school obtain more education by age 25. However, exposure to a nurse home visiting program in infancy reduces the added value of preschool, implying that the programs serve as partial substitutes. (JEL I12, I18, I21, I26, J13, J24, J31)

Minding the Baby®: Enhancing parental reflective functioning and infant attachment in an attachment-based, interdisciplinary home visiting program

2019 ◽  
Vol 32 (1) ◽  
pp. 123-137 ◽  
Author(s):  
Arietta Slade ◽  
Margaret L. Holland ◽  
Monica Roosa Ordway ◽  
Elizabeth A. Carlson ◽  
Sangchoon Jeon ◽  
...  
Keyword(s):  
Urban Communities ◽  
Home Visiting ◽  
Controlled Trial ◽  
Reflective Functioning ◽  
Control Group ◽  
Second Phase ◽  
Infant Attachment ◽  
Vulnerable Families ◽  
Reflective Parenting ◽  
Home Visiting Program

AbstractIn this article, we describe the results of the second phase of a randomized controlled trial of Minding the Baby (MTB), an interdisciplinary reflective parenting intervention for infants and their families. Young first-time mothers living in underserved, poor, urban communities received intensive home visiting services from a nurse and social worker team for 27 months, from pregnancy to the child's second birthday. Results indicate that MTB mothers' levels of reflective functioning was more likely to increase over the course of the intervention than were those of control group mothers. Likewise, infants in the MTB group were significantly more likely to be securely attached, and significantly less likely to be disorganized, than infants in the control group. We discuss our findings in terms of their contribution to understanding the impacts and import of intensive intervention with vulnerable families during the earliest stages of parenthood in preventing the intergenerational transmission of disrupted relationships and insecure attachment.

scholarly journals A Home Visiting Parenting Program and Child Obesity: A Randomized Trial

2018 ◽  
pp. 117-126
Author(s):  
Monica Roosa Ordway ◽  
Lois S. Sadler ◽  
Margaret L. Holland ◽  
Arietta Slade ◽  
Nancy Close ◽  
...  
Keyword(s):  
Young Children ◽  
Low Socioeconomic Status ◽  
Home Visiting ◽  
Maternal Mental Health ◽  
Controlled Trial ◽  
Intervention Group ◽  
Overweight And Obesity ◽  
Control Group ◽  
Home Visiting Program ◽  
Overweight Or Obesity

BACKGROUND Young children living in historically marginalized families are at risk for becoming adolescents with obesity and subsequently adults with increased obesity-related morbidities. These risks are particularly acute for Hispanic children. We hypothesized that the prevention-focused, socioecological approach of the “Minding the Baby” (MTB) home visiting program might decrease the rate of childhood overweight and obesity early in life. METHODS This study is a prospective longitudinal cohort study in which we include data collected during 2 phases of the MTB randomized controlled trial. First-time, young mothers who lived in medically underserved communities were invited to participate in the MTB program. Data were collected on demographics, maternal mental health, and anthropometrics of 158 children from birth to 2 years. RESULTS More children in the intervention group had a healthy BMI at 2 years. The rate of obesity was significantly higher (P &lt; .01) in the control group (19.7%) compared with the intervention group (3.3%) at this age. Among Hispanic families, children in the MTB intervention were less likely to have overweight or obesity (odds ratio = 0.32; 95% confidence interval: 0.13–0.78). CONCLUSIONS Using the MTB program, we significantly lowered the rate of obesity among 2-year-old children living in low-socioeconomic-status communities. In addition, children of Hispanic mothers were less likely to have overweight or obesity at 2 years. Given the high and disproportionate national prevalence of Hispanic young children with overweight and obesity and the increased costs of obesity-related morbidities, these findings have important clinical, research, and policy implications.

Sign in / Sign up

Export Citation Format

Share Document