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Study Detail

Chazan-Cohen, R., Raikes, H. H., & Vogel, C. (2013). V. Program subgroups: Patterns of impacts for home-based, center-based, and mixed-approach programs. Monographs of the Society for Research in Child Development, 78(1), 93-109.

Program(s) Reviewed: Early Head Start-Home Visiting (EHS-HV)

Study Screening Details

Screening DecisionScreening Conclusion
Study Passes ScreensEligible for Review

Study Design Details

RatingDesignAttritionBaseline EquivalenceReassignmentConfounding Factors
HighRandomized controlled trialLowEstablished on race/ethnicity and SES; established on some relevant outcomes.NoneNone
Notes:

Although the authors do not control for baseline measures of outcomes, the following outcomes rate high: child outcomes, which were not assessable at baseline, and parent employment and income outcomes, which were equivalent at baseline. Two outcomes rate moderate because the authors do not establish baseline equivalence: "parent depression" and "someone in household had alcohol/drug problem in past year." This review reports only those outcomes not previously reported in Love et al. (2001, 2002). Note that this manuscript reports both ITT and TOT estimates, but only ITT estimates are reported here.

Study Characteristics

Study Participants This study relies on data from a randomized controlled trial of 17 Early Head Start (EHS) programs that began in 1995. Seven of the programs served clients through a home-based option (though other clients in other EHS options also received home visits) and are the focus of this report (EHS-HV). The study randomly assigned 1,385 families, who applied to those seven programs, either to receive home-based EHS or a comparison condition. This study included outcomes reported for the 5-year-old follow-up (other years of follow-up are reported in separate studies). For this follow-up, 927 parents (479 in EHS-HV and 448 in the comparison group) provided data for parent interviews.
Setting The study was conducted in 17 EHS programs throughout the United States, including seven programs with home-based options, which are the focus of this report. Four programs were located in urban areas and three programs were located in rural areas. The seven programs represented a mix of implementation timing; one early implementer had all EHS-HV elements in place by 1997, and three later implementers had all elements in place by 1999; three programs did not have all elements in place by 1999. The early-implementing program had fully implemented both child and family development services early and continued to have those services in place in 1999.
Home Visiting Services EHS-HV services are intended to be delivered to families via weekly home visits. Seventy percent of families in these programs received weekly visits during at least one of the first two follow-up periods, and 26 percent received such services throughout both periods. Over the first two years, families in the home-based option received an average of 71 visits. Typical home visits were at least one hour long. Topics for home visits included child growth and development, child play activities, housing issues, and parent-child communication.
Comparison Condition Control group families could not receive EHS-HV services, but could receive other services available in their community.
Staff Characteristics and Training Not specified.
Funding Source Administration for Children and Families (ACF), the Child Outcomes Research and Evaluation team (CORE) within ACF’s Office of Planning, Research and Evaluation (OPRE), and the Head Start Bureau in the Administration on Children, Youth and Families (ACYF).
Author Affiliation None of the study authors are developers of this program model.

Study Registration

Clinicaltrials.gov Identifier: None found. Study registration was assessed by HomVEE beginning with the 2014 review.

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