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SafeCare®

Yes (SafeCare Augmented only)

Last Updated: August 2013

In Brief for Maternal Health Outcomes

Impact Studies Rated High


Carta, J. J., Lefever, J. B., Bigelow, K., Borkowski, J., & Warren, S. F. (n.d.). Randomized trial of a cellular-phone enhanced home visitation parenting intervention. Unpublished manuscript.
Results for Project 12-Ways/Safecare.
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
Beck Depression Inventory-II (BDI-II) No Effect Planned Activities Training (PAT) vs. Control Posttest 251 mothers Adjusted mean = 7.88 Adjusted mean = 8.70 MD = -1.27 Not statistically significant, p > 0.05 HomVEE = 0.11 Secondary
Beck Depression Inventory-II (BDI-II) No Effect Planned Activities Training (PAT) vs. Control 6 months 249 mothers Adjusted mean = 8.37 Adjusted mean = 8.25 MD = -0.50 Not statistically significant, p > 0.05 HomVEE = 0.01 Secondary
Mild to severe depression No Effect Planned Activities Training (PAT) vs. Control Posttest 251 mothers Percentage = 0.05 Not available Not available Not statistically significant, p > 0.05 Not available Secondary
Mild to severe depression No Effect Planned Activities Training (PAT) vs. Control 6 months 249 mothers Not available Not available Not available Not statistically significant, p > 0.05 Not available Secondary
Parenting Stress Index-Short Form (PSI-SF) No Effect Planned Activities Training (PAT) vs. Control Posttest 258 mothers Adjusted mean = 72.30 Adjusted mean = 73.33 MD = -2.78 Not statistically significant, p > 0.05 HomVEE = -0.05 Secondary
Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Beck Depression Inventory-II (BDI-II) Mean score on BDI-II; BDI-II was used to assess depressive mood and somatic complaints. Parent/caregiver report internal consistency coefficients ranged from 0.92 to 0.93 Secondary
Mild to severe depression Percentage of mothers exhibiting mild to severe depression on the BDI-II Parent/caregiver report internal consistency coefficients ranged from 0.92 to 0.93 Secondary
Parenting Stress Index-Short Form (PSI-SF) PSI -SF14 was used to assess maternal parenting stress. Parent/caregiver report Internal consistencies were very good to excellent Secondary
Results for Cellular Phone Enhanced Planned Activities Training.
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
Beck Depression Inventory-II (BDI-II) No Effect Cellular Phone Enhanced Planned Activities Training (CPAT) vs. Control Posttest 224 mothers Adjusted mean = 7.52 Adjusted mean = 8.70 MD = -1.59 Not statistically significant, p > 0.05 HomVEE = -0.17 Secondary
Beck Depression Inventory-II (BDI-II) Favorable Cellular Phone Enhanced Planned Activities Training (CPAT) vs. Control 6 months 221 mothers Adjusted mean = 6.12 Adjusted mean = 8.25 MD = -2.521 Statistically significant, p ≤ 0.05 Study-reported = 0.31 Secondary
Beck Depression Inventory-II (BDI-II) No Effect Cellular Phone Enhanced Planned Activities Training (CPAT) vs. Planned Activities Training (PAT) Posttest 245 mothers Adjusted mean = 7.52 Adjusted mean = 7.88 MD = -0.33 Not statistically significant, p > 0.05 HomVEE = -0.05 Secondary
Beck Depression Inventory-II (BDI-II) No Effect Cellular Phone Enhanced Planned Activities Training (CPAT) vs. Planned Activities Training (PAT) 6 months 243 mothers Adjusted mean = 6.12 Adjusted mean = 8.37 MD = -2.03 Not statistically significant, p > 0.05 HomVEE = -0.28 Secondary
Mild to severe depression Favorable Cellular Phone Enhanced Planned Activities Training (CPAT) vs. Control Posttest 224 mothers Not available Not available Not available1 Statistically significant, p = 0.05 Not available Secondary
Mild to severe depression Favorable Cellular Phone Enhanced Planned Activities Training (CPAT) vs. Control 6 months 221 mothers Not available Not available Not available1 Statistically significant, p = 0.04 Not available Secondary
Mild to severe depression No Effect Cellular Phone Enhanced Planned Activities Training (CPAT) vs. Planned Activities Training (PAT) Posttest 245 mothers Not available Percentage = 0.05 Not available1 Not statistically significant, p > 0.05 HomVEE = -0.14 Secondary
Mild to severe depression Favorable Cellular Phone Enhanced Planned Activities Training (CPAT) vs. Planned Activities Training (PAT) 6 months 243 mothers Not available Not available Not available1 Statistically significant, p = 0.05 Not available Secondary
Parenting Stress Index-Short Form (PSI-SF) Favorable Cellular Phone Enhanced Planned Activities Training (CPAT) vs. Control Posttest 229 mothers Adjusted mean = 68.91 Adjusted mean = 73.33 MD = -5.611 Statistically significant, p ≤ 0.05 Study-reported = 0.27 Secondary
Parenting Stress Index-Short Form (PSI-SF) No Effect Cellular Phone Enhanced Planned Activities Training (CPAT) vs. Planned Activities Training (PAT) Posttest 255 mothers Adjusted mean = 68.91 Adjusted mean = 72.30 MD = -2.83 Not statistically significant, p > 0.05 HomVEE = -0.17 Secondary

1 Negative value is favorable to the intervention.

Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Beck Depression Inventory-II (BDI-II) Mean score on BDI-II; BDI-II was used to assess depressive mood and somatic complaints. Parent/caregiver report internal consistency coefficients ranged from 0.92 to 0.93 Secondary
Mild to severe depression Percentage of mothers exhibiting mild to severe depression on the BDI-II Parent/caregiver report internal consistency coefficients ranged from 0.92 to 0.93 Secondary
Parenting Stress Index-Short Form (PSI-SF) PSI -SF14 was used to assess maternal parenting stress. Parent/caregiver report Internal consistencies were very good to excellent Secondary

Silovsky, J. F., Bard, D., Chaffin, M., Hecht, D., Burris, L., Owora, A., Beasley, L., Doughty, D., & Lutzker, J. (2011). Prevention of child maltreatment in high-risk rural families: A randomized clinical trial with child welfare outcomes. Children and Youth Services Review, 33, 1435-1444.
Results for SafeCare Augmented.
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
BDI-2 No Effect Rural Southwest 10 months 105 families Mean = 14.9 (SD = 13.5) Mean = 15.4 (SD = 12.6) MD = -0.05 Not statistically significant, p > 0.05 HomVEE = -0.05 Primary
BDI-2 No Effect Rural Southwest 17 months 105 families Mean = 15.5 (SD = 13.7) Mean = 11.2 (SD = 13.3) MD = 4.3 Not statistically significant, p > 0.05 HomVEE = 0.31 Primary
DIS alcohol module No Effect Rural Southwest 10 months 105 families Not reported Not reported Not reported Not statistically significant, p > 0.05 Not available Secondary
DIS alcohol module No Effect Rural Southwest 17 months 105 families Not reported Not reported Not reported Not statistically significant, p > 0.05 Not available Secondary
DIS drug module No Effect Rural Southwest 17 months 105 families Not reported Not reported Not reported Not statistically significant, p > 0.05 Not available Secondary
DIS drug module No Effect Rural Southwest 10 months 105 families Not reported Not reported Not reported Not statistically significant, p > 0.05 Not available Secondary
Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
BDI-2 The Beck Depression Inventory 2(BDI-2) is a 21-item multiple-choice instrument designed to measure symptoms of depression. Parent/caregiver report Not reported by author Primary
DIS drug and alcohol module The Diagnostic Inventory Schedule (DIS) is an interview based on the Dignostic and Statistical Analysis of Mental Disorders. The authors used a modified self-report instrument, which has been used in past studies. The alcohol and drug modules were included in the study. Parent/caregiver report Not reported by author Secondary
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