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Study Detail

Ordway, M. R., Sadler, L. S., Dixon, J., Close, N., Mayes, L., & Slade, A. (2013). Lasting effects of an interdisciplinary home visiting program on child behavior: Preliminary follow-up results of a randomized trial. Journal of Pediatric Nursing, in press.

Program(s) Reviewed: Minding the Baby®

Additional Sources:

Ordway, M. R. (2011). The effects of parenting on child behavior: The findings of a parenting program focused on parental reflective functioning. (Doctoral dissertation.) Retrieved from ProQuest Dissertations and Theses. (AAI3496979)

Study Screening Details

Screening DecisionScreening Conclusion
Study Passes ScreensEligible for Review

Study Design Details

RatingDesignAttritionBaseline EquivalenceReassignmentConfounding Factors
ModerateRandomized Controlled TrialHighEstablished on race/ethnicity and SESNoneNone
Notes:

Baseline equivalence established for the Caregiver-Teacher Report Forms, Second Respondent outcome analytic sample only.

This study reports on a subgroup defined by the children’s ages (the study children were ages 3 to 5 one to three years post-intervention). To meet the DHHS criteria for evidence-based program models, subgroup results must be replicated in a non-overlapping analytic study sample. This subgroup has not been replicated in a non-overlapping analytic study sample, so results are not reported.

Study Characteristics

Study Participants The study uses a subsample of the larger Minding the Baby® randomized controlled trial sample. In the larger study, 139 mothers were initially randomized to conditions. In the present study, the authors drew their subsample from 132 mothers who, according to the authors, were participating in the study. The authors were interested in child behavior one to three years after the intervention, so they restricted their sample to mother–child dyads in which the study child was ages 3 to 5 years at the time of data collection (March 2010 to March 2011). At total of 71 mother-child dyads met this criteria (36 treatment, 35 control). The authors imposed three additional eligibility requirements: (1) the mother had primary custody or regular visitation with the child, (2) the dyad lived in the state and/or was able to meet in the state for data collection, and (3) the mother participated in the Minding the Baby® program or the comparison condition beyond the initial consent period. Nine mother-child dyads were dropped from the sample due to these criteria. Twelve additional mother-child dyads were unreachable for data collection, leaving an analysis sample size of 50 mother-child dyads (24 treatment, 26 control). Overall, the study sample of mothers was 70 percent Latina (of any race), 60 percent white, 32 percent black or African American, 2 percent Native Hawaiian/Pacific Islander, and 8 percent of another race/ethnicity.
Setting New Haven, Connecticut
Home Visiting Services Home visitor teams conducted home visits to enhance parental reflective functioning and the development of secure attachment of the infant. Home visitors conducted a prenatal assessment of the mothers’ reflective functioning capacity. The home visitors also addressed maternal physical and mental health as well as infant mental health clinical care. Home visiting began in pregnancy and occurred weekly until the child’s first birthday, and then biweekly until the child’s second birthday.
Comparison Condition Mothers in the control group received routine health care (prenatal visits, well-woman care, and well-baby care) as dictated by clinical guidelines. Families also received monthly information sheets about child rearing and health, and birthday and holiday cards.
Staff Characteristics and Training Home visiting teams consisted of a pediatric nurse practitioner and a clinical social worker.
Funding Source National Institutes of Health, Evelyn Anderson Scholarship, Dr. Lorraine G. Spranzo Memorial Scholarship, Sigma Theta Tau-Delta Mu Grant, Nurse Practitioner Health Care Foundation/Community Innovations Award, and Jonas Nurse Leaders Scholar Program
Author Affiliation Dr. Lois Sadler, second author on this publication, is a developer of this program model.

Study Registration

Clinicaltrials.gov Identifier: NCT01458145

Study registration was assessed by HomVEE beginning with the 2014 review.

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