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Study Detail

LeCroy, C. W., & Krysik, J. (2011). Randomized trial of the Healthy Families Arizona home visiting program. Children and Youth Services Review, 33(10), 1761–1766.

Program(s) Reviewed: Healthy Families America (HFA)®

Study Screening Details

Screening DecisionScreening Conclusion
Study Passes ScreensEligible for Review

Study Design Details

RatingDesignSampleAttritionBaseline EquivalenceReassignmentConfounding Factors
HighRandomized controlled trialArizona sampleLowEstablished on race/ethnicity.NoneNone
ModerateRandomized controlled trialArizona SampleLowEstablished on race/ethnicityNoneNone
Notes:

High rating applies to all outcomes except those with baseline differences that were not controlled. The moderate rating applies to the following outcomes: use of resources, emotional loneliness, and pathways to goals.

Study Characteristics

Study Participants

Following assessment, families meeting Healthy Families Arizona criteria were randomly assigned to the experimental group or the Child Development control group. A total of 195 families enrolled in the study and completed baseline interviews (98 in the experimental group and 97 in the control group). Eighty-five families in the experimental group and 86 families in the control group completed one-year interviews. Twenty-five percent of the mothers in the study were white and 74 percent were Hispanic.

Setting

The study took place in a single Healthy Families Arizona site in a large metropolitan area in the state.

Home Visiting Services

The Healthy Families Arizona program provides home visiting services to prenatal and new parents. The home visitor first establishes a trusting relationship with the family, then assists parents with their life circumstances, personal issues, parenting needs, and successful adaptation to new infants. Home visitors model good parenting behavior, review the child’s developmental progress, promote safety in the home, establish a medical home for the child, and provide emotional support to parents. They also address substance abuse, domestic violence, and mental health issues.

Comparison Condition

Families assigned to the Child Development control group received assessment information about their child’s developmental progress in the context of a consistent and long-term positive relationship. Control group families were also offered opportunities to access services if desired.

Staff Characteristics and Training

The home visitors in this study were all female and had either a baccalaureate degree or an equivalent number of years of experience. Many had worked with the program for several years and all received the national core HFA training.

Funding Source

Arizona Department of Economic Security

Author Affiliation

None of the authors is a developer of this program model.


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