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Child First

Meets DHHS criteria for an evidenced based model

Last Updated: July 2011

In Brief for Child Development and School Readiness Outcomes

Impact Studies Rated High


Lowell, D. I., Carter, A. S., Godoy, L., Paulicin, B., & Briggs-Gowan, M. J. (2011). A randomized controlled trial of Child First: A comprehensive home-based intervention translating research into early childhood practice. Child Development, 82(1), 193-208.
Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Any ITSEA domain (proportion with clinically concerning problems) No Effect Bridgeport, CT 6 months 117 families 26.3% (Adjusted) 44.4% (Adjusted) Diff = -18.1 p > 0.05 HomVEE = -0.49 Primary
Any ITSEA domain (proportion with clinically concerning problems)1 Favorable Bridgeport, CT 12 months 117 families 26.4% (Adjusted) 36.4% (Adjusted) Diff = -10.0 p < 0.05 HomVEE = -0.28 Primary
Child language (proportion with clinically concerning problems) Favorable Bridgeport, CT 12 months 117 families 10.5% (Adjusted) 33.3% (Adjusted) OR = 4.4 p < 0.05 HomVEE = -0.88 Primary
Child language (proportion with clinically concerning problems) Favorable Bridgeport, CT 6 months 117 families 16.9% (Adjusted) 30.3% (Adjusted) OR = 3.0 p < 0.05 HomVEE = -0.46 Primary
ITSEA dysregulation No Effect Bridgeport, CT 6 months 117 families Mean = 18.4
(SD =9.2)
Mean = 21.4
(SD = 8.1)
MD = -3.0 p > 0.05 HomVEE = 0.22 Primary
ITSEA dysregulation No Effect Bridgeport, CT 12 months 117 families Mean = 16.4
(SD = 7.8)
Mean = 20.7
(SD = 8.9)
MD = -4.3 p > 0.05 HomVEE = 0.36 Primary
ITSEA dysregulation (proportion with clinically concerning problems) No Effect Bridgeport, CT 12 months 117 families 11.3% (Adjusted) 12.7% (Adjusted) Diff = -1.4 p > 0.05 HomVEE = -0.08 Primary
ITSEA dysregulation (proportion with clinically concerning problems) No Effect Bridgeport, CT 6 months 117 families 7.0% (Adjusted) 15.9% (Adjusted) Diff = -8.9 p > 0.05 HomVEE = -0.56 Primary
ITSEA externalizing No Effect Bridgeport, CT 6 months 117 families Mean = 15.4
(SD = 7.6)
Mean = 18.4
(SD = 9.4)
MD = -3.0 p > 0.05 HomVEE = 0.30 Primary
ITSEA externalizing Favorable Bridgeport, CT 12 months 117 families Mean = 13.8
(SD = 7.6)
Mean = 18.4
(SD = 9.6)
MD = -4.6 p < 0.05 HomVEE = 0.49 Primary
ITSEA externalizing (proportion with clinically concerning problems) No Effect Bridgeport, CT 6 months 117 families 22.8% (Adjusted) 36.5% (Adjusted) Diff = -13.7 p > 0.05 HomVEE = -0.40 Primary
ITSEA externalizing (proportion with clinically concerning problems) Favorable Bridgeport, CT 12 months 117 families 17.0% (Adjusted) 29.1% (Adjusted) Diff = 12.1 p < 0.05 HomVEE = -0.42 Primary
ITSEA internalizing No Effect Bridgeport, CT 6 months 117 families Mean = 15.4
(SD = 7.9)
Mean = 15.8
(SD = 6.3)
MD = -0.4 p > 0.05 HomVEE = 0.13 Primary
ITSEA internalizing No Effect Bridgeport, CT 12 months 117 families Mean = 13.1
(SD = 5.9)
Mean = 14.6
(SD = 7.0)
MD = -1.5 p > 0.05 HomVEE = 0.19 Primary
ITSEA internalizing (proportion with clinically concerning problems) No Effect Bridgeport, CT 12 months 117 families 1.9% (Adjusted) 1.8% (Adjusted) Diff = 0.1 p > 0.05 HomVEE = 0.03 Primary
ITSEA internalizing (proportion with clinically concerning problems) No Effect Bridgeport, CT 6 months 117 families 3.5% (Adjusted) 1.6% (Adjusted) Diff = 1.9 p > 0.05 HomVEE = 0.49 Primary

1 HomVEE-calculated p-value is greater than 0.05, indicating that this result is not significant.

Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Any ITSEA domain (proportion with clinically concerning problems) Child social-emotional /behavioral problems were assessed with the Infant-Toddler Social and Emotional Assessment (ITSEA). The ITSEA is composed of Internalizing, Externalizing, and Dysregulation (sleep, eating, sensory sensitivities, and negative emotionality) domains. Items are rated on a 3-point scale from not true (1), rarely to very true (2), and often (3). Parent/caregiver report Not reported by the author Primary
Child language (proportion with clinically concerning problems) Child language status was assessed using the Infant-Toddler Developmental Assessment (IDA) administered by a trained assessor. The authors reported the percentage of students that fell below the assessments ‘‘Of concern’’ cut-points which are derived from a standardization sample. Child assessment Not reported by the author Primary
ITSEA dysregulation Child social-emotional /behavioral problems were assessed with the Infant-Toddler Social and Emotional Assessment (ITSEA). The ITSEA is composed of Internalizing, Externalizing, and Dysregulation (sleep, eating, sensory sensitivities, and negative emotionality) domains. Items are rated on a 3-point scale from not true (1), rarely to very true (2), and often (3). Parent/caregiver report Not reported by the author Primary
ITSEA dysregulation (proportion with clinically concerning problems) Child social-emotional /behavioral problems were assessed with the Infant-Toddler Social and Emotional Assessment (ITSEA). The ITSEA is composed of Internalizing, Externalizing, and Dysregulation (sleep, eating, sensory sensitivities, and negative emotionality) domains. Items are rated on a 3-point scale from not true (1), rarely to very true (2), and often (3). Parent/caregiver report Not reported by the author Primary
ITSEA externalizing Child social-emotional /behavioral problems were assessed with the Infant-Toddler Social and Emotional Assessment (ITSEA). The ITSEA is composed of Internalizing, Externalizing, and Dysregulation (sleep, eating, sensory sensitivities, and negative emotionality) domains. Items are rated on a 3-point scale from not true (1), rarely to very true (2), and often (3). Parent/caregiver report Not reported by the author Primary
ITSEA externalizing (proportion with clinically concerning problems) Child social-emotional /behavioral problems were assessed with the Infant-Toddler Social and Emotional Assessment (ITSEA). The ITSEA is composed of Internalizing, Externalizing, and Dysregulation (sleep, eating, sensory sensitivities, and negative emotionality) domains. Items are rated on a 3-point scale from not true (1), rarely to very true (2), and often (3). Parent/caregiver report Not reported by the author Primary
ITSEA internalizing Child social-emotional /behavioral problems were assessed with the Infant-Toddler Social and Emotional Assessment (ITSEA). The ITSEA is composed of Internalizing, Externalizing, and Dysregulation (sleep, eating, sensory sensitivities, and negative emotionality) domains. Items are rated on a 3-point scale from not true (1), rarely to very true (2), and often (3). Parent/caregiver report Not reported by the author Primary
ITSEA internalizing (proportion with clinically concerning problems) Child social-emotional /behavioral problems were assessed with the Infant-Toddler Social and Emotional Assessment (ITSEA). The ITSEA is composed of Internalizing, Externalizing, and Dysregulation (sleep, eating, sensory sensitivities, and negative emotionality) domains. Items are rated on a 3-point scale from not true (1), rarely to very true (2), and often (3). Parent/caregiver report Not reported by the author Primary
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