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Computer-Assisted Motivational Intervention (CAMI)

Last updated: October 2012

In Brief

Evidence of Model Effectiveness

This model does not meet the criteria established by the Department of Health and Human Services (HHS) for an “evidence-based early childhood home visiting service delivery model” for the general population or for tribal populations because the findings from high- or moderate-rated effectiveness studies of the model do not meet all required criteria.

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Model Description

The Computer-Assisted Motivational Intervention (CAMI) was designed to delay repeat childbearing among adolescent girls by motivating them to change their contraceptive behaviors. During home visits, adolescents completed a computer-based survey assessing their sexual relationships, contraceptive intentions and plans, and current pregnancy prevention practices. An algorithm assessed the participant’s risk for repeat pregnancy, sexually transmitted infections, and readiness to use contraception and/or condoms. Following the survey, CAMI counselors conducted a 20- to 30-minute motivational interview in which they discussed how the teen’s goals and actions aligned, and encouraged the adolescent to change her behavior. Home visits lasted about one hour and were conducted once per quarter over a two-year period.

This report also includes a review of an enhancement to CAMI, called CAMI+. In addition to the standard program, CAMI+ provided participants with biweekly or monthly home-based parent training and case management services. The 16-module curriculum, designed specifically for African American adolescent mothers, covered topics such as child development and discipline. The home visits were initiated prenatally at about 32 weeks gestation.

For more information, please read the Model Overview.

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Extent of Evidence

Computer-Assisted Motivational Intervention (CAMI)
Results of Research and Review
Number of studies
Eligible for review
2
Rated high
1
Rated moderate
0
Rated low
0
Additional source1
1
Computer-Assisted Motivational Intervention (CAMI) - CAMI+
Results of Research and Review
Number of studies
Eligible for review
1
Rated high
1
Rated moderate
0
Rated low
0
Additional source1
0

1Additional sources overlap with another study and are not rated.

For more information, see the study database. For more information on the criteria used to determine the study ratings, please read Producing Study Ratings.

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Summary of Findings

Outcome domain links to effects details by study.
Computer-Assisted Motivational Intervention (CAMI)
Outcomes
Primary Outcome Measures
Secondary Outcome Measures

Outcome Child Development and School Readiness

Not measured in high- or moderate-rated outcomes

Outcome Child Health

Not measured in high- or moderate-rated outcomes

Outcome Family Economic Self-Sufficiency

Not measured in high- or moderate-rated outcomes

Outcome Linkages and Referrals

Not measured in high- or moderate-rated outcomes

Outcome Maternal Health

Primary outcome measures:
Favorable: 0
No effect: 1
Unfavorable or ambiguous: 0
Secondary outcome measures:
Favorable: 0
No effect: 0
Unfavorable or ambiguous: 0

Outcome Positive Parenting Practices

Not measured in high- or moderate-rated outcomes

Outcome Reductions in Child Maltreatment

Not measured in high- or moderate-rated outcomes

Outcome Reductions in Juvenile Delinquency, Family Violence, and Crime

Not measured in high- or moderate-rated outcomes
Computer-Assisted Motivational Intervention (CAMI) - CAMI+
Outcomes
Primary Outcome Measures
Secondary Outcome Measures

Outcome Child Development and School Readiness

Not measured in high- or moderate-rated outcomes

Outcome Child Health

Not measured in high- or moderate-rated outcomes

Outcome Family Economic Self-Sufficiency

Not measured in high- or moderate-rated outcomes

Outcome Linkages and Referrals

Not measured in high- or moderate-rated outcomes

Outcome Maternal Health

Primary outcome measures:
Favorable: 1
No effect: 0
Unfavorable or ambiguous: 0
Secondary outcome measures:
Favorable: 0
No effect: 0
Unfavorable or ambiguous: 0

Outcome Positive Parenting Practices

Not measured in high- or moderate-rated outcomes

Outcome Reductions in Child Maltreatment

Not measured in high- or moderate-rated outcomes

Outcome Reductions in Juvenile Delinquency, Family Violence, and Crime

Not measured in high- or moderate-rated outcomes

Please read Describing Effects for more information on these categories. Only results from studies that meet the standards for the high or moderate ratings are included above.

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Criteria Established by the Department of Health and Human Services

Information Based on Comprehensive Review of All High- and Moderate-Impact Studies for this Model
Computer-Assisted Motivational Intervention (CAMI)
High- or moderate-quality impact study?
Yes
Across high- or moderate-quality studies, favorable impacts in at least two outcome domains within one sample OR the same domain for at least two non-overlapping samples?
No
Favorable impacts on full sample?
No
Any favorable impacts on outcome measures sustained at least 12 months after model enrollment?1
NA
One or more favorable, statistically significant impact reported in a peer-reviewed journal?1
NA
Computer-Assisted Motivational Intervention (CAMI) - CAMI+
High- or moderate-quality impact study?
Yes
Across high- or moderate-quality studies, favorable impacts in at least two outcome domains within one sample OR the same domain for at least two non-overlapping samples?
No
Favorable impacts on full sample?
Yes
Any favorable impacts on outcome measures sustained at least 12 months after model enrollment?1
Yes
One or more favorable, statistically significant impact reported in a peer-reviewed journal?1
Yes

1This information is reported for all models, but the requirements for sustained findings and inclusion in a peer-reviewed journal only apply to models for which all findings are from randomized controlled trials.

Please read the HHS Criteria for Evidence-Based Models for more information.

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