Family Spirit® Meets HHS Criteria Meets HHS criteria for an evidenced based model in tribal populations

Last updated: May 2016

Effects Shown in Research & Outcome Measure Details

Child Development and School Readiness

Outcomes Rated High

Family Spirit®
Show Findings Details
Outcome Measure Effect Follow-up Timing Sample Sample Size Intervention Group Comparison Group Group Difference Effect Size Statistical Significance Outcome Type Notes
ITSEA - Competence domain
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 319 mothers Adjusted mean = 1.07 Adjusted mean = 1.02 Mean difference = 0.05 Study reported = 0.12 Not statistically significant,
p > 0.05
Primary
ITSEA - Competence domain, % clinically at risk
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 319 mothers Adjusted &#37 = 20.27 Adjusted mean % = 17.66 OR = 0.86 HomeVEE calculated = 0.10 Not statistically significant,
p > 0.05
Primary
ITSEA - Dysregulation domain
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 319 mothers Adjusted mean = 0.54 Adjusted mean = 0.59 Mean difference = -0.06 Study reported = -0.15 Not statistically significant,
p > 0.05
Primary

footnote162

Submitted by user on Fri, 03/15/2019 - 14:29

Negative value is favorable to the intervention.

ITSEA - Dysregulation domain, % clinically at risk
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 319 mothers Adjusted &#37 = 15.80 Adjusted mean % = 18.67 OR = 1.37 HomeVEE calculated = -0.12 Not statistically significant,
p > 0.05
Primary

footnote162

Submitted by user on Fri, 03/15/2019 - 14:29

Negative value is favorable to the intervention.

ITSEA - Externalizing domain
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 319 mothers Adjusted mean = 0.62 Adjusted mean = 0.71 Mean difference = -0.09 Study reported = -0.19 Statistically significant,
p = 0.03
Primary

footnote162

Submitted by user on Fri, 03/15/2019 - 14:29

Negative value is favorable to the intervention.

ITSEA - Externalizing domain, % clinically at risk
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 319 mothers Adjusted &#37 = 13.69 Adjusted mean % = 20.62 OR = 1.88 HomeVEE calculated = -0.30 Not statistically significant,
p > 0.05
Primary

footnote162

Submitted by user on Fri, 03/15/2019 - 14:29

Negative value is favorable to the intervention.

ITSEA - Internalizing domain
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 319 mothers Adjusted mean = 0.57 Adjusted mean = 0.62 Mean difference = -0.05 Study reported = -0.10 Not statistically significant,
p > 0.05
Primary

footnote162

Submitted by user on Fri, 03/15/2019 - 14:29

Negative value is favorable to the intervention.

ITSEA - Internalizing domain, % clinically at risk
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 319 mothers Adjusted &#37 = 20.27 Adjusted mean % = 27.16 OR = 1.61 HomeVEE calculated = -0.23 Not statistically significant,
p > 0.05
Primary

footnote162

Submitted by user on Fri, 03/15/2019 - 14:29

Negative value is favorable to the intervention.

Show Outcome Measure Summary
Outcome Measure Outcome Measure Description Collection Method Properties Outcome Type Operations links

ITSEA - Competence domain

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.63-.81

Primary

ITSEA - Competence domain, % clinically at risk

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.63-.81

Primary

ITSEA - Dysregulation domain

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.63-.81

Primary

ITSEA - Dysregulation domain, % clinically at risk

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.63-.81

Primary

ITSEA - Externalizing domain

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.63-.81

Primary

ITSEA - Externalizing domain, % clinically at risk

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.63-.81

Primary

ITSEA - Internalizing domain

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.63-.81

Primary

ITSEA - Internalizing domain, % clinically at risk

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.63-.81

Primary

Outcomes Rated Moderate

Family Spirit®
Show Findings Details
Outcome Measure Effect Follow-up Timing Sample Sample Size Intervention Group Comparison Group Group Difference Effect Size Statistical Significance Outcome Type Notes
CBCL mean, Externalizing domain (0-48) (T-score)
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Children with CBCL data 280 children Adjusted mean = 42.45 Adjusted mean = 42.59 Mean difference = -0.14 Study reported = 0.01 Not statistically significant,
p = 0.89
Primary

footnote162

Submitted by user on Fri, 03/15/2019 - 14:29

Negative value is favorable to the intervention.

CBCL mean, Internalizing domain (0-72) (T-score)
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Children with CBCL data 280 children Adjusted mean = 44.23 Adjusted mean = 44.91 Mean difference = -0.68 Study reported = 0.06 Not statistically significant,
p = 0.57
Primary

footnote162

Submitted by user on Fri, 03/15/2019 - 14:29

Negative value is favorable to the intervention.

CBCL mean, Total Problems (0-200) (T-score)
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Children with CBCL data 280 children Adjusted mean = 44.00 Adjusted mean = 44.79 Mean difference = -0.79 Study reported = 0.07 Not statistically significant,
p = 0.52
Primary

footnote162

Submitted by user on Fri, 03/15/2019 - 14:29

Negative value is favorable to the intervention.

Show Outcome Measure Summary
Outcome Measure Outcome Measure Description Collection Method Properties Outcome Type Operations links

CBCL mean, Externalizing domain (0-48) (T-score)

Child Behavior Check List is a 99-item normed parent report of child behavior Maternal report

α = 0.91 for subscale

Primary

CBCL mean, Internalizing domain (0-72) (T-score)

Child Behavior Check List is a 99-item normed parent report of child behavior Maternal report

α = 0.89 for subscale

Primary

CBCL mean, Total Problems (0-200) (T-score)

Child Behavior Check List is a 99-item normed parent report of child behavior Maternal report

α = 0.94 for subscale

Primary
Family Spirit®
Show Findings Details
Outcome Measure Effect Follow-up Timing Sample Sample Size Intervention Group Comparison Group Group Difference Effect Size Statistical Significance Outcome Type Notes
ITSEA Competence domain (proportion clinically at risk (>10%))
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Children with ITSEA data 288 children Unadjusted mean = 0.24 Unadjusted mean = 0.23 Mean difference = 0.01 HomeVEE calculated = 0.03 Not statistically significant, p = 0.78 Primary
ITSEA Dysregulation domain (proportion clinically at risk (>10%))
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Children with ITSEA data 288 children Unadjusted mean = 0.10 Unadjusted mean = 0.15 Mean difference = -0.04 HomeVEE calculated = -0.23 Not statistically significant, p = 0.08 Primary

footnote162

Submitted by user on Fri, 03/15/2019 - 14:29

Negative value is favorable to the intervention.

ITSEA Externalizing domain (proportion clinically at risk (>10%))
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Children with ITSEA data 288 children Unadjusted mean = 0.17 Unadjusted mean = 0.24 Mean difference = -0.07 HomeVEE calculated = -0.24 Statistically significant, p = 0.03 Primary

footnote162

Submitted by user on Fri, 03/15/2019 - 14:29

Negative value is favorable to the intervention.

ITSEA Internalizing domain (proportion clinically at risk (>10%))
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Children with ITSEA data 288 children Unadjusted mean = 0.10 Unadjusted mean = 0.15 Mean difference = -0.05 HomeVEE calculated = -0.27 Statistically significant, p = 0.04 Primary

footnote162

Submitted by user on Fri, 03/15/2019 - 14:29

Negative value is favorable to the intervention.

ITSEA mean, Competence domain (range 0-2)
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Children with ITSEA data 288 children Adjusted mean = 1.28 Adjusted mean = 1.24 Mean difference = 0.04 Study reported = 0.14 Not statistically significant, p = 0.09 Primary
ITSEA mean, Dysregulation domain (range 0-2)
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Children with ITSEA data 288 children Adjusted mean = 0.48 Adjusted mean = 0.55 Mean difference = -0.07 Study reported = 0.27 Statistically significant, p < .001 Primary

footnote162

Submitted by user on Fri, 03/15/2019 - 14:29

Negative value is favorable to the intervention.

ITSEA mean, Externalizing domain (range 0-2)
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Children with ITSEA data 288 children Adjusted mean = 0.64 Adjusted mean = 0.71 Mean difference = -0.07 Study reported = 0.23 Statistically significant, p < .01 Primary

footnote162

Submitted by user on Fri, 03/15/2019 - 14:29

Negative value is favorable to the intervention.

ITSEA mean, Internalizing domain (range 0-2)
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Children with ITSEA data 288 children Adjusted mean = 0.54 Adjusted mean = 0.60 Mean difference = -0.05 Study reported = 0.23 Statistically significant, p < .01 Primary

footnote162

Submitted by user on Fri, 03/15/2019 - 14:29

Negative value is favorable to the intervention.

Show Outcome Measure Summary
Outcome Measure Outcome Measure Description Collection Method Properties Outcome Type Operations links

ITSEA Competence domain (proportion clinically at risk (>10%))

Proportion clinically at risk on subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

a = 0.89 for subscale

Primary

ITSEA Dysregulation domain (proportion clinically at risk (>10%))

Proportion clinically at risk on subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

a = 0.89 for subscale

Primary

ITSEA Externalizing domain (proportion clinically at risk (>10%))

Proportion clinically at risk on subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

a = 0.84 for subscale

Primary

ITSEA Internalizing domain (proportion clinically at risk (>10%))

Proportion clinically at risk on subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

a = 0.80 for subscale

Primary

ITSEA mean, Competence domain (range 0-2)

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

a = 0.89 for subscale

Primary

ITSEA mean, Dysregulation domain (range 0-2)

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

a = 0.89 for subscale

Primary

ITSEA mean, Externalizing domain (range 0-2)

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

a = 0.84 for subscale

Primary

ITSEA mean, Internalizing domain (range 0-2)

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

a = 0.80 for subscale

Primary
Family Spirit®
Show Findings Details
Outcome Measure Effect Follow-up Timing Sample Sample Size Intervention Group Comparison Group Group Difference Effect Size Statistical Significance Outcome Type Notes
ITSEA Competence domain
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.94 Adjusted mean = 0.95 coeff = -0.01 HomeVEE calculated = -0.03 Not statistically significant,
p = >=.10
Primary
ITSEA Competence: Attention
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 1.11 Adjusted mean = 1.07 coeff = 0.05 HomeVEE calculated = 0.08 Not statistically significant,
p = >=.10
Primary
ITSEA Competence: Compliance
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.91 Adjusted mean = 0.84 coeff = 0.10 HomeVEE calculated = 0.18 Not statistically significant,
p = >=.10
Primary
ITSEA Competence: Empathy
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.66 Adjusted mean = 0.59 coeff = 0.09 HomeVEE calculated = 0.15 Not statistically significant,
p = >=.10
Primary
ITSEA Competence: Imitation/play
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 1.08 Adjusted mean = 1.10 coeff = -0.03 HomeVEE calculated = -0.05 Not statistically significant,
p = >=.10
Primary
ITSEA Competence: Mastery motivation
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 1.30 Adjusted mean = 1.34 coeff = -0.05 HomeVEE calculated = -0.08 Not statistically significant,
p = >=.10
Primary
ITSEA Competence: Prosocial peer relations
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.51 Adjusted mean = 0.79 coeff = -0.24 HomeVEE calculated = -0.68 Not statistically significant,
p = >=.10
Primary
ITSEA Dysregulation domain
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.43 Adjusted mean = 0.49 coeff = -0.05 HomeVEE calculated = -0.22 Not statistically significant,
p = >=.10
Primary
ITSEA Dysregulation: Eating
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.43 Adjusted mean = 0.44 coeff = -0.02 HomeVEE calculated = -0.04 Not statistically significant,
p = >=.10
Primary
ITSEA Dysregulation: Negative emotionality
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.47 Adjusted mean = 0.48 coeff = 0.02 HomeVEE calculated = -0.03 Not statistically significant,
p = >=.10
Primary
ITSEA Dysregulation: Sensory sensitivity
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.37 Adjusted mean = 0.52 coeff = -0.14 HomeVEE calculated = -0.41 Not statistically significant,
p = >=.10
Primary
ITSEA Dysregulation: Sleep
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.44 Adjusted mean = 0.53 coeff = -0.06 HomeVEE calculated = -0.25 Not statistically significant,
p = >=.10
Primary
ITSEA Externalizing domain
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.39 Adjusted mean = 0.57 coeff = -0.17 HomeVEE calculated = -0.63 Statistically significant, p<.05 Primary

footnote182

Submitted by user on Fri, 03/15/2019 - 14:29

Negative differences favor the program group

ITSEA Externalizing: Activity/impulsivity
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.69 Adjusted mean = 0.98 coeff = -0.27 HomeVEE calculated = -0.65 Statistically significant, p<.05 Primary

footnote182

Submitted by user on Fri, 03/15/2019 - 14:29

Negative differences favor the program group

ITSEA Externalizing: Aggression/defiance
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.27 Adjusted mean = 0.35 coeff = -0.06 HomeVEE calculated = -0.29 Not statistically significant,
p = >=.10
Primary
ITSEA Externalizing: Peer aggression
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.13 Adjusted mean = 0.30 coeff = -0.23 HomeVEE calculated = -0.68 Statistically significant, p<.05 Primary

footnote182

Submitted by user on Fri, 03/15/2019 - 14:29

Negative differences favor the program group

ITSEA Internalizing domain
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.48 Adjusted mean = 0.55 coeff = -0.06 HomeVEE calculated = -0.35 Not statistically significant,
p = >=.10
Primary
ITSEA Internalizing: Depression/withdraw
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.12 Adjusted mean = 0.15 coeff = 0.01 HomeVEE calculated = -0.13 Not statistically significant,
p = >=.10
Primary
ITSEA Internalizing: General anxiety
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.20 Adjusted mean = 0.21 coeff = 0.01 HomeVEE calculated = -0.04 Not statistically significant,
p = >=.10
Primary
ITSEA Internalizing: Inhibition to novelty
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.73 Adjusted mean = 0.82 coeff = -0.09 HomeVEE calculated = -0.24 Not statistically significant,
p = >=.10
Primary
ITSEA Internalizing: Separation distress
FavorableUnfavorable or ambiguousNo Effect
12 months old Mothers enrolled 2002-2004 65 children Adjusted mean = 0.84 Adjusted mean = 1.02 coeff = -0.17 HomeVEE calculated = -0.52 Statistically significant, p<.05 Primary

footnote182

Submitted by user on Fri, 03/15/2019 - 14:29

Negative differences favor the program group

Show Outcome Measure Summary
Outcome Measure Outcome Measure Description Collection Method Properties Outcome Type Operations links

ITSEA Competence domain

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.71-.83

Primary

ITSEA Competence: Attention

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.71-.83

Primary

ITSEA Competence: Compliance

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.71-.83

Primary

ITSEA Dysregulation domain

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.71-.83

Primary

ITSEA Dysregulation: Eating

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.71-.83

Primary

ITSEA Dysregulation: Negative emotionality

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.71-.83

Primary

ITSEA Dysregulation: Sensory sensitivity

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.71-.83

Primary

ITSEA Dysregulation: Sleep

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.71-.83

Primary

ITSEA Externalizing domain

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.71-.83

Primary

ITSEA Externalizing: Activity/impulsivity

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.71-.83

Primary

ITSEA Externalizing: Aggression/defiance

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.71-.83

Primary

ITSEA Externalizing: Peer aggression

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.71-.83

Primary

ITSEA Internalizing domain

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.71-.83

Primary

ITSEA Internalizing: Depression/withdraw

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.71-.83

Primary

ITSEA Internalizing: General anxiety

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.71-.83

Primary

ITSEA Internalizing: Inhibition to novelty

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.71-.83

Primary

ITSEA Internalizing: Separation distress

Subscale from 126 item normed assessment of child behaviors, the Infant Toddler Social Emotional Assessment Maternal report

α range = 0.71-.83

Primary
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