Preliminary Development of the Parent Involvement in Early Learning Scale for Low-Income Families Enrolled in a Child-Development-Focused Home Visiting Program

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)

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A randomized controlled trial testing the efficacy of a Nurse Home Visiting Program for Pregnant Adolescents

Scientific Reports ◽

10.1038/s41598-021-93938-7 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Daniel Fatori ◽

Pedro Fonseca Zuccolo ◽

Elizabeth Shephard ◽

Helena Brentani ◽

Alicia Matijasevich ◽

...

Keyword(s):

Child Development ◽

Home Environment ◽

Adolescent Mothers ◽

Home Visiting ◽

Controlled Trial ◽

Effect Sizes ◽

Randomized Controlled ◽

Nurse Home Visiting ◽

Standardized Effect Sizes ◽

Home Visiting Program

AbstractTo test the efficacy of a nurse home visiting program (HVP) on child development, maternal and environmental outcomes in the first years of life. We conducted a randomized controlled trial to test the efficacy of Primeiros Laços, a nurse HVP for adolescent mothers living in a poor urban area of São Paulo, Brazil. Eighty adolescent mothers were included and randomized to receive either Primeiros Laços (intervention group, n = 40) or healthcare as usual (control group, n = 40). Primeiros Laços is a home visiting intervention delivered by trained nurses that starts during the first 16 weeks of pregnancy and continues to the child’s age of 24 months. Participants were assessed by blind interviewers at 8–16 weeks of pregnancy (baseline), 30 weeks of pregnancy, and 3, 6, 12, and 24 months of child’s age. We assessed oscillatory power in the mid-range alpha frequency via electroencephalography when the children were aged 6 months. Child development was measured by the Bayley Scales of Infant Development Third Edition (BSID-III). Weight and length were measured by trained professionals and anthropometric indexes were calculated. The home environment and maternal interaction with the child was measured by the Home Observation and Measurement of the Environment. Generalized estimating equation models were used to examine intervention effects on the trajectories of outcomes. Standardized effect sizes (Cohen’s d) were calculated using marginal means from endpoint assessments of all outcomes. The trial was registered at clinicaltrial.gov: NCT02807818. Our analyses showed significant positive effects of the intervention on child expressive language development (coefficient = 0.89, 95% CI [0.18, 1.61], p = 0.014), maternal emotional/verbal responsivity (coefficient = 0.97, 95% CI [0.37, 1.58], p = 0.002), and opportunities for variety in daily stimulation (coefficient = 0.37, 95% CI [0.09, 0.66], p = 0.009). Standardized effect sizes of the intervention were small to moderate. Primeiros Laços is a promising intervention to promote child development and to improve the home environment of low-income adolescent mothers. However, considering the limitations of our study, future studies should be conducted to assess Primeiros Laços potential to benefit this population.Clinical Trial Registration: The study was registered at clinicaltrial.gov (Registration date: 21/06/2016 and Registration number: NCT02807818).

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Is the Families First Home Visiting Program Effective in Reducing Child Maltreatment and Improving Child Development?

Child Maltreatment ◽

10.1177/1077559517701230 ◽

2017 ◽

Vol 22 (2) ◽

pp. 121-131 ◽

Cited By ~ 16

Author(s):

Mariette J. Chartier ◽

Marni D. Brownell ◽

Michael R. Isaac ◽

Dan Chateau ◽

Nathan C. Nickel ◽

...

Keyword(s):

At Risk ◽

Child Development ◽

Child Maltreatment ◽

Social Services ◽

Home Visiting ◽

School Entry ◽

Adjusted Risk ◽

Education Data ◽

Home Visiting Program ◽

Families First

While home visiting programs are among the most widespread interventions to support at-risk families, there is a paucity of research investigating these programs under real-world conditions. The effectiveness of Families First home visiting (FFHV) was examined for decreasing rates of being in care of child welfare, decreasing hospitalizations for maltreatment-related injuries, and improving child development at school entry. Data for 4,562 children from home visiting and 5,184 comparison children were linked to deidentified administrative health, social services, and education data. FFHV was associated with lower rates of being in care by child’s first, second, and third birthday (adjusted risk ratio [aRR] = 0.75, 0.79, and 0.81, respectively) and lower rates of hospitalization for maltreatment-related injuries by third birthday (aRR = 0.59). No differences were found in child development at kindergarten. FFHV should be offered to at-risk families to decrease child maltreatment. Program enhancements are required to improve child development at school entry.

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Family perspective on home visiting program

Journal of Human Sciences ◽

10.14687/ijhs.v12i2.3216 ◽

2015 ◽

Vol 12 (2) ◽

pp. 477

Author(s):

Sebahattin Ziyanak ◽

Hakan Yagci

Keyword(s):

Low Income ◽

Home Visiting ◽

Small Sample Size ◽

The United States ◽

Small Sample ◽

Major City ◽

Factor Solution ◽

Family Perspective ◽

The Family ◽

Home Visiting Program

<p>This study focused on a lately constructed survey instrument that was intended to test the family perspective on a home visiting program and school. The four areas investigated were parent-teacher communications, student-teacher interactions, the parent’s perception of the school and the parents’ understanding of the home visiting program. The participants were selected from parents/guardians of 7th, 8th, 9th and 10th grade students at a Charter school in a southwestern major city in Texas, the United States of America. Twenty-two questions were asked to evaluate parent’s viewpoint with the four designated areas of interaction and communication of among school-parent-teacher. The findings showed that 73.5% of the students’ families living were in low income. The outcomes for reliability were promising (a = .909). Yet, the factor analysis outcomes of a rotated four-factor solution were insufficient to assess validity. This might be related to a small sample size (n = 45).</p>

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Development of a Paraprofessional Home Visiting Program for Low-Income Mothers and Infants

American Journal of Preventive Medicine ◽

10.1016/s0749-3797(18)30914-0 ◽

1991 ◽

Vol 7 (4) ◽

pp. 204-207 ◽

Cited By ~ 11

Author(s):

Marilyn L. Poland ◽

Paul T. Giblin ◽

John B. Waller ◽

Irene S. Bayer

Keyword(s):

Low Income ◽

Home Visiting ◽

Home Visiting Program ◽

Low Income Mothers

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Considering Health Literacy, Health Decision Making, and Health Communication in the Social Networks of Vulnerable New Mothers in Hawai‘i: A Pilot Feasibility Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17072356 ◽

2020 ◽

Vol 17 (7) ◽

pp. 2356 ◽

Cited By ~ 1

Author(s):

Tetine Sentell ◽

Joy Agner ◽

Ruth Pitt ◽

James Davis ◽

Mary Guo ◽

...

Keyword(s):

Decision Making ◽

Social Networks ◽

Health Literacy ◽

Low Income ◽

Home Visiting ◽

Snowball Sampling ◽

Health Decision Making ◽

Low Health Literacy ◽

Health Decision ◽

Home Visiting Program

Health literacy is understudied in the context of social networks. Our pilot study goal was to consider this research gap among vulnerable, low-income mothers of minority ethnic background in the state of Hawai‘i, USA. Recruitment followed a modified snowball sampling approach. First, we identified and interviewed seven mothers (“egos”) in a state-sponsored home visiting program. We then sought to interview individuals whom each mother said was part of her health decision-making network (“first-level alters”) and all individuals whom the first-level alters said were part of their health decision-making networks (“second-level alters”). Health literacy was self-reported using a validated item. A total of 18 people were interviewed, including all mothers (n = 7), 35% of the first-level alters (n = 7/20), and 36% of the second-level alters (n = 4/11). On average, the mothers made health decisions with 2.9 people (range: 1-6); partners/spouses and mothers/mothers-in-law were most common. One mother had low health literacy; her two first-level alters also had low health literacy. Across the full sample, the average number of people in individuals’ health decision networks was 2.5 (range: 0–7); 39% of those interviewed had low health literacy. This can inform the design of future studies and successful interventions to improve health literacy.

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A Home Visiting Asthma Education Program: Challenges to Program Implementation

Health Education & Behavior ◽

10.1177/1090198104266895 ◽

2005 ◽

Vol 32 (1) ◽

pp. 42-56 ◽

Cited By ~ 15

Author(s):

Josephine V. Brown ◽

Alice S. Demi ◽

Marianne P. Celano ◽

Roger Bakeman ◽

Lisa Kobrynski ◽

...

Keyword(s):

Low Income ◽

Program Implementation ◽

Education Program ◽

Home Visiting ◽

Asthma Education ◽

Nurse Home ◽

Home Visitors ◽

Home Based ◽

Children With Asthma ◽

Low Income Families

This study describes the implementation of a nurse home visiting asthma education program for low-income African American families of young children with asthma. Of 55 families, 71% completed the program consisting of eight lessons. The achievement of learning objectives was predicted by caregiver factors, such as education, presence of father or surrogate father in the household, and safety of the neighborhood, but not by child factors, such as age or severity of asthma as implied by the prescribed asthmamedication regimen. Incompatibility between the scheduling needs of the families and the nurse home visitors was a major obstacle in delivering the program on time, despite the flexibility of the nurse home visitors. The authors suggest that future home-based asthma education programs contain a more limited number of home visits but add telephone follow-ups and address the broader needs of low-income families that most likely function as barriers to program success.

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A Nurse Home Visiting Program for Pregnant Adolescents: A Randomized Controlled Trial

10.21203/rs.3.rs-111192/v1 ◽

2020 ◽

Author(s):

Daniel Fatori ◽

Pedro Zuccolo ◽

Elizabeth Shephard ◽

Helena Brentani ◽

Alexandre Ferraro ◽

...

Keyword(s):

Child Development ◽

Home Environment ◽

Adolescent Mothers ◽

Home Visiting ◽

Controlled Trial ◽

Effect Sizes ◽

Randomized Controlled ◽

Nurse Home Visiting ◽

Standardized Effect Sizes ◽

Home Visiting Program

Abstract Objective To test the efficacy of a nurse home visiting program (HVP) on child development, maternal and environmental outcomes in the first years of life.Methods We conducted a randomized controlled trial to test the efficacy of Primeiros Laços, a nurse HVP for adolescent mothers living in a poor urban area of São Paulo, Brazil. Eighty adolescent mothers were included and randomized to receive either Primeiros Laços (intervention group, n = 40) or healthcare as usual (control group, n = 40) groups. Primeiros Laços is a home visiting intervention delivered by trained nurses that starts during the first 16 weeks of pregnancy and continues to the child’s age of 24 months. Participants were assessed by blind interviewers at 8–16 weeks of pregnancy (baseline), 30 weeks of pregnancy, 3, 6, and 12 months of child’s age. Child development was measured by the Bayley Scales of Infant Development Third Edition (BSID-III). Weight and length were measured by trained professionals and anthropometric indexes were calculated. The home environment and maternal interaction with the child was measured by the Home Observation and Measurement of the Environment (HOME). Generalized estimating equation (GEE) models were used to examine intervention effects on the trajectories of outcomes. Standardized effect sizes (Cohen’s d) were calculated using marginal means from endpoint assessments of all outcomes. The trial was registered at clinicaltrial.gov: NCT02807818.Results Our analyses showed significant positive effects of the intervention on child expressive language development (coefficient = 0.89, 95% CI [0.18, 1.61], p = 0.014), maternal emotional/verbal responsivity (coefficient = 0.97, 95% CI [0.37, 1.58], p = 0.002), and opportunities for variety in daily stimulation (coefficient = 0.37, 95% CI [0.09, 0.66], p = 0.009). Standardized effect sizes of the intervention were small to moderate.Conclusions Primeiros Laços is a promising intervention to promote child development and to improve the home environment of low-income adolescent mothers.

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