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Study Detail

Green, B. L., Tarte, J. M., Harrison, P. M., Nygren, M., & Sanders, M. B. (2014). Results from a randomized trial of the Healthy Families Oregon accredited statewide program: Early program impacts on parenting. Children and Youth Services Review, 44, 288-298.

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

Study Screening Details

Screening DecisionScreening Conclusion
Study Passes ScreensEligible for Review

Study Design Details

RatingDesignAttritionBaseline EquivalenceReassignmentConfounding Factors
ModerateRandomized controlled trialLowNot established on race; not established on SES; not established on outcome measures assessable at baselineNoneNone
Notes:

One outcome, duration of breastfeeding, rates low because it has high attrition and authors do not establish baseline equivalence on race or SES. On the outcomes with low attrition, summarized in the above table, the study rates moderate because the design did not statistically control for outcome measures that were assessable at baseline.

Study Characteristics

Study Participants Mothers selected to participate in the study were screened by program staff using standard Healthy Families Oregon Program (HFO) screening procedures. Mothers were study-eligible if they were first-time mothers, were pregnant or had an infant up to 3 months old, and did not have medically fragile infants or children at risk of removal from the home, and if either the mother or the family was at risk according to HFO's screener assessment (the New Baby Questionnaire). Eligible, interested, and consenting mothers were randomly assigned in this randomized controlled trial to an HFO program or a control group (n=2,664). Researchers collected survey data at the children's first birthday on a random subsample of 1,604 participants (802 HFO, 802 control) out of the initially randomized 2,664 mothers. Mothers with survey data (803 in total) were analyzed, and their characteristics are as follows: 62 percent were white, 24 percent were Hispanic, and 14 percent were another race/ethnicity. Over one-fourth (28 percent) had less than a high school diploma or GED, and nearly one third (32 percent) reported that both parents were unemployed. One-fifth (20 percent) were depressed.
Setting This study included seven Healthy Families Oregon sites, four of which were primarily urban and three of which were rural.
Home Visiting Services The Healthy Families Oregon program enrolled first-time parents with two or more risk factors according to the program screener, the New Baby Questionnaire. Families enrolled during pregnancy or up to 90 days after the child's birth and received up to 3 years of home visiting services.
Comparison Condition Families assigned to the comparison condition received a standard resource and referral packet.
Staff Characteristics and Training Not specified.
Funding Source The grant (#90CA1782) was funded by the U.S. Department of Health and Human Services' Children's Bureau.
Author Affiliation None of the study authors are developers of the program model. The lead author is from the Center for Improvement of Child and Family Services at the Graduate School of Social Work at Portland State University. Other authors are from NPC Research.

Study Registration

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

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