Assessing the Impact of a Phone-based Home-visiting Program in Jordan on Caregivers’ Well-Being and Child Development

2020 ◽  
Author(s):  
Andres Molano
Keyword(s):  
Child Development ◽  
Home Visiting ◽  
Well Being ◽  
Home Visiting Program ◽  
The Impact

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

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).

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

2017 ◽  
Vol 22 (2) ◽  
pp. 121-131 ◽  
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.

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.

Evaluation of the Cradle to Kinder programme for Aboriginal mothers and their children: perspectives from the women and their workers

2020 ◽  
Vol 45 (4) ◽  
pp. 305-311
Author(s):  
Renée O’Donnell ◽  
Muriel Bamblett ◽  
Gabrielle Johnson ◽  
Sue-Anne Hunter ◽  
Kerry Stringer ◽  
...  
Keyword(s):  
Child Protection ◽  
Interpretative Phenomenological Analysis ◽  
Home Visiting ◽  
Well Being ◽  
Parenting Skills ◽  
Structured Interviews ◽  
Aboriginal Community ◽  
Connection System ◽  
Generous Contribution ◽  
The Impact

AbstractThis research was undertaken on the lands of the Wurundjeri people of the Kulin nation. We pay our respects to Elders of the past, present and emerging, and also acknowledge the generous contribution to this research made by women and their families and Victorian Aboriginal Child Care Agency (VACCA) staff. Aboriginal Cradle to Kinder (AC2K) is a home-visiting and advocacy programme focussed on promoting Aboriginal maternal and child health during both pre- and postnatal stages of parenthood which was delivered by VACCA, an Aboriginal Community Controlled Organisation. While there have been some feasibility assessments conducted on AC2K, no study to date has evaluated the impact of this programme from the perspective of neither the women nor the staff who deliver the programme. The aim of this study, therefore, was to evaluate how both the women and the staff evaluated the AC2K programme, namely the strengths, limitations and recommendations of the programme. Through consultation with VACCA, this study used a qualitative approach using interpretative phenomenological analysis to explore the processes underpinning the programme coupled with participants’ experiences of the programme. A co-design process was used in the development of interview questions, and a total of seven women and six workers participated in semi-structured interviews. The results revealed three superordinate themes across both participant groups: cultural connection (i.e. how well the programme facilitates cultural connection), system complexities (i.e. caseloads, staff turnover and child protection [CP] difficulties) and programme features (i.e. parenting enhancement and unique programme benefits). The processes, and the programme more broadly, were evaluated positively by both the women and staff who supported its delivery. Specifically, a greater connection to culture, increased parenting skills and unique programme benefits were reported. However, there were recommendations on how the programme could be further strengthened, including negotiable caseloads with the Department and improved partnership with CP. These changes can help to further improve the experiences of both the women and their workers when engaging in Aboriginal specific maternal health and well-being supports.

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

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.

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 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.

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