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Study Detail

McKelvey, L., Schiffman, R. F., Brophy-Herb, H. E., Bocknek, E. L., Fitzgerald, H. E., Reischl, T. M., Hawver, S., & DeLuca, M. C. (2015). Examining long-term effects of an infant mental health home-based Early Head Start Program on family strengths and resilience. Infant Mental Health Journal, 36(4), 353-365.

Program(s) Reviewed: IMH-HB EHS

Study Screening Details

Screening DecisionScreening Conclusion
Study Passes ScreensEligible for Review

Study Design Details

RatingDesignAttritionBaseline EquivalenceReassignmentConfounding Factors
ModerateRandomized controlled trialLowNot established on race; established on SES; not established on outcome measures assessable at baseline.NoneNone

Study Characteristics

Study Participants This study used data from one of 17 sites that were part of a national randomized controlled trial (the Early Head Start Research and Evaluation Project). This site, called the Pathways Project, implemented an infant mental health home-based services (IMH-HB) version of Early Head Start. The site randomly assigned 98 families to the treatment condition and 98 to the control condition. The analysis sample included 152 families who participated in three waves of data collection when the child was 3, 5, and 7 years old. The median household income at baseline data collection was $7,714 [1998 dollars], and approximately half (45 percent) of parents had less than a high school degree. The majority of parents were Caucasian (75 percent), 17 percent were African American, and the remainder (8 percent) identified as another race/ethnicity.
Setting The study examined outcomes for participants in Jackson, Michigan. Jackson was one of 17 sites that participated in a larger study of Early Head Start.
Home Visiting Services Families enrolled in the program participated for an average of 21 months with an average of 71 completed home visits. The home visits included activities focused on the child, the family, and staff-family relationship building.
Comparison Condition Families in the comparison condition were not enrolled in Early Head Start but could access similar services in their communities, including home visiting services. Seventy percent of families in the comparison condition accessed home visiting services, including those provided by Medicaid enhanced prenatal care programs.
Staff Characteristics and Training The program was staffed with 10 registered social workers with expertise in child development, families, and family development issues.
Funding Source 90YF0010: Pathways Project: Research into Directions for Family Health and Service Use, from the Administration on Children, Youth, and Families, Department of Health and Human Services, Rachel F. Schiffman, Ph.D., R.N., Principal Investigator, Michigan State University.
Author Affiliation The authors are members of the Early Head Start Research Consortium, and the research is part of an independent research conducted by Michigan State University.

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


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