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Study Detail

Stabile, I., & Graham, M. (2000). Florida Panhandle Healthy Start: A randomized trial of prenatal home visitation. Tallahassee, FL: FSU Center for Prevention and Early Intervention Policy.

Program(s) Reviewed: Healthy Start-Home Visiting High-Intensity Enhancement

Study Screening Details

Screening DecisionScreening Conclusion
Study Passes ScreensEligible for Review

Study Design Details

RatingDesignAttritionBaseline EquivalenceReassignmentConfounding Factors
ModerateRandomized controlled trialLowThere were statistically significant differences on race/ethnicity and an illness requiring medical care during the pregnancy that are not jointly controlled for in the analysis.NoneNone

Study Characteristics

Study Participants The study included 528 women who were pregnant with a gestational period of 25 weeks or less. Women were eligible for recruitment if they met one of five criteria: (1) being single, (2) having less than a high school education, (3) being eligible for Medicaid, (4) scoring four or more on Florida’s Healthy Start Prenatal Risk Screening, or (5) considered at risk by their prenatal health care provider.
Setting The study was conducted in six predominantly rural northern Florida counties: Leon, Gadsden, Madison, Jefferson, Taylor, and Calhoun.
Home Visiting Services Home visitors were scheduled to provide weekly home visits of at least an hour using the Partners for a Healthy Baby Prenatal Home Visiting curriculum. Each visitor served no more than 15 women at a time. Visits focused on educating the client on prenatal care and health, substance abuse, sexually transmitted diseases, and childbirth preparation; assisting her in enrolling in childbirth class, paying class fees, and obtaining child care and transportation; referring her to other services as needed (e.g., smoking cessation programs, mental health counseling, and violence protection services); and providing emotional support to her. In areas where private or public transportation was unavailable (a quarter of cases), home visitors transported clients to their prenatal and social services appointments and used the travel time to provide additional support. No information was provided as to the duration of services past the time of delivery. Forty-four of the 359 women randomized to the treatment group did not receive these services: 9 moved from the service area, 6 could not be located, 12 miscarried, and 17 declined services.
Comparison Condition Women in the control group were referred to organizations in their community to determine eligibility for other community services, including nurse case management (which included home visitation) provided by the statewide Florida Healthy Start Program. Project staff also placed monthly calls to these women to monitor their use of these services.
Staff Characteristics and Training Of the 14 home visitors serving women in the treatment group, 9 were paraprofessionals with a high school degree or less. The remaining 5 were nurses, 3 with an RN degree and 2 with a BSN.
Funding Source Division of Perinatal Systems and Women’s Health of the Bureau of Maternal Child Health, Department of Health and Human Services
Author Affiliation None of the study authors are developers of this program model.

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