footnote56
Child’s response to a caregiver who is teaching him/her a new skill.
Healthy Families America (HFA)®
Model effectiveness research report last updated: 2020
Effects shown in research & outcome measure details
Positive parenting practices
Findings rated high
158
Healthy Families America (HFA)®
Show findings details
| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance | Notes |
|---|---|---|---|---|---|---|---|---|---|---|
| Child Response Score NCAST | FavorableUnfavorable or ambiguousNo Effect |
Age 2 | Children in custody of biological mother at year 2 follow-up interview, Alaska trial | 249 children | Adjusted mean = 18.40 | Adjusted mean = 18.50 | Mean difference = -0.90 | Not available | Not statistically significant, p ≥ 0.05 |
Show outcome measure summary
158
Healthy Families America (HFA)®
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| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
|---|---|---|---|---|---|---|---|---|---|
| Maternal acceptance of child’s behavior (HOME) | FavorableUnfavorable or ambiguousNo Effect |
Year 1 | Full sample, Hawaii trial | 558 mothers | Mean = 5.60 | Mean = 5.70 | Mean difference = -0.10 | Not available | Statistical significance not reported |
| Maternal acceptance of child’s behavior (HOME) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Full sample, Hawaii trial | 549 mothers | Mean = 5.40 | Mean = 5.40 | Mean difference = 0.00 | Not available | Statistical significance not reported |
| Maternal acceptance of child’s behavior (HOME) | FavorableUnfavorable or ambiguousNo Effect |
Year 3 | Full sample, Hawaii trial | 541 mothers | Mean = 3.20 | Mean = 3.00 | Mean difference = 0.20 | Not available | Statistical significance not reported |
| Maternal responsivity to child (HOME) | FavorableUnfavorable or ambiguousNo Effect |
Year 1 | Full sample, Hawaii trial | 558 mothers | Mean = 9.30 | Mean = 9.20 | Mean difference = 0.10 | Not available | Statistical signifivance not reported |
| Maternal responsivity to child (HOME) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Full sample, Hawaii trial | 549 mothers | Mean = 9.30 | Mean = 8.90 | Mean difference = 0.40 | Not available | Statistical significance not reported |
| Maternal responsivity to child (HOME) | FavorableUnfavorable or ambiguousNo Effect |
Year 3 | Full sample, Hawaii trial | 541 mothers | Mean = 4.80 | Mean = 4.50 | Mean difference = 0.30 | Not available | Statistical significance not reported |
| Maternal responsivity to child (HOME) | FavorableUnfavorable or ambiguousNo Effect |
Years 1-3 | Full sample, Hawaii trial | 558 mothers | Not available | Not available | Mean difference = 0.18 | Not available | Not statistically significant, p ≥ 0.05 |
Show outcome measure summary
| Outcome measure | Outcome measure description | Collection method | Properties |
|---|---|---|---|
HOME: Acceptance of child’s behavior HOME: Responsivity |
The HOME assesses parenting practices and aspects of the home environment. The HOME includes several subscales, including scales that describe the extent to which parents respond to their child’s behavior and parental acceptance of challenging child behaviors. | Parent/caregiver interview and observational assessment | Not reported by author |
158
Healthy Families America (HFA)®
Show findings details
| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
|---|---|---|---|---|---|---|---|---|---|
| Mother-child interaction, Caregiver total score (NCAST) | FavorableUnfavorable or ambiguousNo Effect |
Year 1 | Full sample, San Diego trial | 435 mothers | Mean = 37.10 | Mean = 35.90 | Mean difference = 1.20 | HomeVEE calculated = 0.16 | Not statistically significant, p ≥ 0.05 |
| Mother-child interaction, Caregiver total score (NCAST) | FavorableUnfavorable or ambiguousNo Effect |
Year 3 | Full sample, San Diego trial | 412 mothers | Mean = 40.30 | Mean = 39.80 | Mean difference = 0.50 | HomeVEE calculated = 0.09 | Not statistically significant, p ≥ 0.05 |
| Mother-child interaction, Child total score (NCAST) | FavorableUnfavorable or ambiguousNo Effect |
Year 1 | Full sample, San Diego trial | 435 mothers | Mean = 17.30 | Mean = 16.80 | Mean difference = 0.50 | HomeVEE calculated = 0.15 | Not statistically significant, p ≥ 0.05 |
| Mother-child interaction, Child total score (NCAST) | FavorableUnfavorable or ambiguousNo Effect |
Year 3 | Full sample, San Diego trial | 412 mothers | Mean = 16.60 | Mean = 16.40 | Mean difference = 0.20 | HomeVEE calculated = 0.05 | Not statistically significant, p ≥ 0.05 |
| Nonviolent discipline (CTS-PC) | FavorableUnfavorable or ambiguousNo Effect |
Year 1 | Full sample, San Diego trial | 435 mothers | % = 100.00 | % = 99.50 | = 0.50 | HomeVEE calculated = 0.00 | Not statistically significant, p ≥ 0.05 |
| Nonviolent discipline (CTS-PC) | FavorableUnfavorable or ambiguousNo Effect |
Year 3 | Full sample, San Diego trial | 412 mothers | % = 95.50 | % = 95.50 | = 0.00 | HomeVEE calculated = 0.00 | Not statistically significant, p ≥ 0.05 |
| Quality of home environment (HOME) | FavorableUnfavorable or ambiguousNo Effect |
Year 1 | Full sample, San Diego trial | 435 mothers | Mean = 35.60 | Mean = 35.20 | Mean difference = 0.40 | HomeVEE calculated = 0.06 | Not statistically significant, p ≥ 0.05 |
| Quality of home environment (HOME) | FavorableUnfavorable or ambiguousNo Effect |
Year 3 | Full sample, San Diego trial | 412 mothers | Mean = 40.10 | Mean = 40.10 | Mean difference = 0.00 | HomeVEE calculated = 0.00 | Not statistically significant, p ≥ 0.05 |
Show outcome measure summary
| Outcome measure | Outcome measure description | Collection method | Properties |
|---|---|---|---|
NCAST: Caregiver total score NCAST: Child total score |
The NCAST assesses the quality of teaching interaction between caregivers and young children. The researchers examined separate composite scores for both children and parents. | Observation | Not reported by author |
CTS-PC: Nonviolent discipline |
The CTS-PC assesses neglectful, psychologically aggressive, and abusive parenting behaviors and acts. The assessment includes several subscales, including nonviolent discipline, which the researchers used to examine the prevalence of nonviolent discipline in the sample. | Parent/caregiver report | Not reported by author |
HOME: Total score |
The HOME assesses parenting practices and aspects of the home environment. | Parent/caregiver interview and observational assessment | Not reported by author |
158
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| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance | Notes |
|---|---|---|---|---|---|---|---|---|---|---|
Depression |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 39.80 | Unadjusted mean = 39.80 | Mean difference = 0.00 | Study reported = 0.00 | Not statistically significant, p= 0.85 |
Negative effect is favorableNegative effect is favorable to the intervention. |
Home environment |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 42.80 | Unadjusted mean = 39.90 | Mean difference = 2.90 | Study reported = 0.47 | Statistically significant, p= 0.00 |
|
Linguistic dimension - Affective processes |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 17.40 | Unadjusted mean = 15.00 | Mean difference = 2.40 | Study reported = 0.24 | Not statistically significant, p= 0.15 |
|
Linguistic dimension - Anger |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 0.39 | Unadjusted mean = 0.41 | Mean difference = -0.02 | Study reported = 0.06 | Not statistically significant, p= 0.70 |
|
Linguistic dimension - Cause |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 2.10 | Unadjusted mean = 1.30 | Mean difference = 0.80 | Study reported = 0.39 | Statistically significant, p= 0.01 |
|
Linguistic dimension - Certainty |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 1.40 | Unadjusted mean = 0.82 | Mean difference = 0.58 | Study reported = 0.27 | Not statistically significant, p= 0.08 |
|
Linguistic dimension - Cognitive mechanism |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 16.40 | Unadjusted mean = 13.40 | Mean difference = 3.00 | Study reported = 0.44 | Statistically significant, p= 0.01 |
|
Linguistic dimension - Feeling expression |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 1.60 | Unadjusted mean = 0.77 | Mean difference = 0.83 | Study reported = 0.50 | Statistically significant, p= 0.00 |
|
Linguistic dimension - First person |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 3.70 | Unadjusted mean = 3.30 | Mean difference = 0.40 | Study reported = 0.10 | Not statistically significant, p= 0.60 |
|
Linguistic dimension - Future |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 0.18 | Unadjusted mean = 0.20 | Mean difference = -0.02 | Study reported = -0.02 | Not statistically significant, p= 0.81 |
|
Linguistic dimension - Insight |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 3.20 | Unadjusted mean = 2.20 | Mean difference = 1.00 | Study reported = 0.33 | Statistically significant, p= 0.05 |
Authors reported this finding as statistically significant. |
Linguistic dimension - Negative valanced |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 1.90 | Unadjusted mean = 2.80 | Mean difference = -0.90 | Study reported = 0.29 | Not statistically significant, p= 0.08 |
Negative effect is favorableNegative effect is favorable to the intervention. |
Linguistic dimension - Past |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 0.94 | Unadjusted mean = 1.65 | Mean difference = -0.71 | Study reported = 0.27 | Not statistically significant, p= 0.10 |
|
Linguistic dimension - Perceptual process |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 4.20 | Unadjusted mean = 2.90 | Mean difference = 1.30 | Study reported = 0.33 | Statistically significant, p= 0.04 |
|
Linguistic dimension - Positive valanced |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 15.30 | Unadjusted mean = 12.00 | Mean difference = 3.30 | Study reported = 0.37 | Statistically significant, p= 0.02 |
|
Linguistic dimension - Present |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 17.00 | Unadjusted mean = 14.60 | Mean difference = 2.40 | Study reported = 0.34 | Statistically significant, p= 0.01 |
|
Linguistic dimension - Sad |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 0.78 | Unadjusted mean = 1.50 | Mean difference = -0.72 | Study reported = 0.42 | Statistically significant, p= 0.01 |
Negative effect is favorableNegative effect is favorable to the intervention. |
Linguistic dimension -Anxiety |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 0.20 | Unadjusted mean = 0.53 | Mean difference = -0.33 | Study reported = 0.15 | Not statistically significant, p= 0.35 |
|
Mother's reading to child |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 4.10 | Unadjusted mean = 3.60 | Mean difference = 0.50 | Study reported = 0.38 | Statistically significant, p= 0.01 |
|
Parent efficacy |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 26.20 | Unadjusted mean = 25.80 | Mean difference = 0.40 | Study reported = 0.11 | Not statistically significant, p= 0.47 |
|
Parent/child behavior |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mother/child dyads | Unadjusted mean = 46.00 | Unadjusted mean = 44.90 | Mean difference = 1.10 | Study reported = 0.24 | Not statistically significant, p= 0.13 |
|
Reduced chaotic household |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 1.20 | Unadjusted mean = 1.40 | Mean difference = -0.20 | Study reported = 0.29 | Statistically significant, p= 0.04 |
Negative effect is favorableNegative effect is favorable to the intervention. |
Regular routines |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 1.80 | Unadjusted mean = 1.60 | Mean difference = 0.20 | Study reported = 0.36 | Statistically significant, p= 0.02 |
|
Role satisfaction |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 25.70 | Unadjusted mean = 26.90 | Mean difference = -1.20 | Study reported = -0.33 | Not statistically significant, p= 0.06 |
Show outcome measure summary
| Outcome measure | Outcome measure description | Collection method | Properties |
|---|---|---|---|
Depression |
Depression subscale from Healthy Families Parenting Inventory (HFPI) |
Parent/caregiver report |
alpha=.84 |
Father contact with child |
Frequency of father's contact |
Parent/caregiver report |
Not reported by author |
Home environment |
Home Environment subscale from Families Parenting Inventory (HFPI) |
Parent/caregiver report |
alpha=.85 |
Linguistic dimension - Affective processes |
Linguistic examination analyzed via the Linguistic Inquiry and Word Count software |
Parent/caregiver report |
Not reported by author |
Linguistic dimension - Anger |
Linguistic examination analyzed via the Linguistic Inquiry and Word Count software |
Parent/caregiver report |
Not reported by author |
Linguistic dimension - Cause |
Linguistic examination analyzed via the Linguistic Inquiry and Word Count software |
Parent/caregiver report |
Not reported by author |
Linguistic dimension - Certainty |
Linguistic examination analyzed via the Linguistic Inquiry and Word Count software |
Parent/caregiver report |
Not reported by author |
Linguistic dimension - Cognitive mechanism |
Linguistic examination analyzed via the Linguistic Inquiry and Word Count software |
Parent/caregiver report |
Not reported by author |
Linguistic dimension - Feeling expression |
Linguistic examination analyzed via the Linguistic Inquiry and Word Count software |
Parent/caregiver report |
Not reported by author |
Linguistic dimension - First person |
Linguistic examination analyzed via the Linguistic Inquiry and Word Count software |
Parent/caregiver report |
Not reported by author |
Linguistic dimension - Future |
Linguistic examination analyzed via the Linguistic Inquiry and Word Count software |
Parent/caregiver report |
Not reported by author |
Linguistic dimension - Insight |
Linguistic examination analyzed via the Linguistic Inquiry and Word Count software |
Parent/caregiver report |
Not reported by author |
Linguistic dimension - Negative valanced |
Linguistic examination analyzed via the Linguistic Inquiry and Word Count software |
Parent/caregiver report |
Not reported by author |
Linguistic dimension - Past |
Linguistic examination analyzed via the Linguistic Inquiry and Word Count software |
Parent/caregiver report |
Not reported by author |
Linguistic dimension - Perceptual process |
Linguistic examination analyzed via the Linguistic Inquiry and Word Count software |
Parent/caregiver report |
Not reported by author |
Linguistic dimension - Positive valanced |
Linguistic examination analyzed via the Linguistic Inquiry and Word Count software |
Parent/caregiver report |
Not reported by author |
Linguistic dimension - Present |
Linguistic examination analyzed via the Linguistic Inquiry and Word Count software |
Parent/caregiver report |
Not reported by author |
Linguistic dimension - Sad |
Linguistic examination analyzed via the Linguistic Inquiry and Word Count software |
Parent/caregiver report |
Not reported by author |
Linguistic dimension -Anxiety |
Linguistic examination analyzed via the Linguistic Inquiry and Word Count software |
Parent/caregiver report |
Not reported by author |
Mother's reading to child |
Frequency of mother's reading to child |
Parent/caregiver report |
Not reported by author |
Parent efficacy |
Parenting Efficacy subscale from Families Parenting Inventory (HFPI) |
Parent/caregiver report |
alpha=.88 |
Parent/child behavior |
Parent/Child Behavior subscale from Families Parenting Inventory (HFPI) |
Parent/caregiver report |
alpha=.85 |
Reduced chaotic household |
A single-item measure of reduction of household chaos |
Parent/caregiver report |
Not reported by author |
Regular routines |
A single-item measure of parents' use of regular routines (source not reported) |
Parent/caregiver report |
Not reported by author |
Role satisfaction |
Role Satisfaction subscale from Families Parenting Inventory (HFPI) |
Parent/caregiver report |
alpha=.85 |
158
Healthy Families America (HFA)®
Show findings details
| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
|---|---|---|---|---|---|---|---|---|---|
| Learning environment (HOME) | FavorableUnfavorable or ambiguousNo Effect |
Year 1 | Full sample, Hawaii trial | 564 mothers | Mean = 35.20 | Mean = 35.20 | Mean difference = 0.00 | Not available | Not statistically significant, p ≥ 0.05 |
| Learning environment (HOME) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Full sample, Hawaii trial | 567 mothers | Mean = 34.60 | Mean = 34.10 | Mean difference = 0.50 | Not available | Not statistically significant, p ≥ 0.05 |
| Mother-child interaction, Caregiver total score (NCAST) | FavorableUnfavorable or ambiguousNo Effect |
Year 1 | Full sample, Hawaii trial | 564 mothers | Mean = 12.80 | Mean = 12.70 | Mean difference = 0.10 | Not available | Not statistically significant, p ≥ 0.05 |
| Mother-child interaction, Caregiver total score (NCAST) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Full sample, Hawaii trial | 567 mothers | Mean = 15.00 | Mean = 14.60 | Mean difference = 0.40 | Not available | Not statistically significant, p ≥ 0.05 |
| Mother-child interaction, Child total score (NCAST) | FavorableUnfavorable or ambiguousNo Effect |
Year 1 | Full sample, Hawaii trial | 564 mothers | Mean = 6.80 | Mean = 6.50 | Mean difference = 0.30 | Not available | Not statistically significant, p ≥ 0.05 |
| Mother-child interaction, Child total score (NCAST) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Full sample, Hawaii trial | 567 mothers | Mean = 7.20 | Mean = 7.20 | Mean difference = 0.00 | Not available | Not statistically significant, p ≥ 0.05 |
| Parenting efficacy (PSOC) | FavorableUnfavorable or ambiguousNo Effect |
Year 1 | Full sample, Hawaii trial | 564 mothers | Mean = 75.20 | Mean = 74.40 | Mean difference = 0.80 | Not available | Not statistically significant, p ≥ 0.05 |
| Parenting efficacy (PSOC) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Full sample, Hawaii trial | 567 mothers | Mean = 76.10 | Mean = 74.10 | Not reported | Not available | Statistically significant, p < 0.05 |
Show outcome measure summary
| Outcome measure | Outcome measure description | Collection method | Properties |
|---|---|---|---|
NCAST: Caregiver total score NCAST: Child total score |
The NCAST assesses the quality of teaching interaction between caregivers and young children. The researchers examined separate composite scores for both children and parents. | Observation | Not reported by author |
PSOC |
The PSOC measures parent attitudes and self-efficacy. | Parent/caregiver report | Not reported by author |
HOME: Learning environment |
The HOME assesses parenting practices and aspects of the home environment. | Parent/caregiver interview and observational assessment | Not reported by author |
158
Healthy Families America (HFA)®
Show findings details
| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
|---|---|---|---|---|---|---|---|---|---|
| Mother relinquished role (child lived separately from mother for one month or more) | FavorableUnfavorable or ambiguousNo Effect |
Years 1 and 2 | Full sample, Alaska trial | 322 families | % = 18.00 | % = 16.00 | OR = 1.19 | HomeVEE calculated = 0.09 | Not statistically significant, p ≥ 0.05 |
Show outcome measure summary
| Outcome measure | Outcome measure description | Collection method | Properties |
|---|---|---|---|
Mother relinquished role |
Percentage of families in which the child lived separately from the mother for one month or more. Research staff determined whether separation cases were a relinquishment of parenting responsibilities, or a necessary separation to meet professional or family responsibilities. | Parent/caregiver report and review of records | Not applicable |
158
Healthy Families America (HFA)®
Show findings details
| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
|---|---|---|---|---|---|---|---|---|---|
| Aggressive discipline | FavorableUnfavorable or ambiguousNo Effect |
12 months | Arizona sample | 168 mothers | Mean = 1.44 | Mean = 1.83 | Mean difference = -0.39 | HomeVEE calculated = -2.43 | Not statistically significant, p =0.10 |
| Belief in corporal punishment | FavorableUnfavorable or ambiguousNo Effect |
6 months | Arizona sample | 180 mothers | Mean = 2.25 | Mean = 2.15 | Mean difference = 0.10 | HomeVEE calculated = 0.15 | Not statistically significant, p =0.12 |
| Belief in corporal punishment (AAPI-2) | FavorableUnfavorable or ambiguousNo Effect |
12 months | Arizona sample | 168 mothers | Mean = 2.21 | Mean = 2.23 | Mean difference = -0.02 | HomeVEE calculated = -0.03 | Not statistically significant, p =0.63 |
| Inappropriate expectations | FavorableUnfavorable or ambiguousNo Effect |
6 months | Arizona sample | 180 mothers | Mean = 3.05 | Mean = 2.88 | Mean difference = 0.17 | HomeVEE calculated = 0.22 | Not statistically significant, p =0.10 |
| Inappropriate expectations (AAPI-2) | FavorableUnfavorable or ambiguousNo Effect |
12 months | Arizona sample | 168 mothers | Mean = 2.77 | Mean = 2.77 | Mean difference = 0.00 | HomeVEE calculated = 0.00 | Not statistically significant, p =0.91 |
| Lack of empathy | FavorableUnfavorable or ambiguousNo Effect |
6 months | Arizona sample | 180 mothers | Mean = 1.95 | Mean = 1.94 | Mean difference = 0.01 | HomeVEE calculated = 0.02 | Not statistically significant, p = 0.54 |
| Lack of empathy (AAPI-2) | FavorableUnfavorable or ambiguousNo Effect |
12 months | Arizona sample | 168 mothers | Mean = 1.80 | Mean = 1.78 | Mean difference = 0.02 | HomeVEE calculated = 0.04 | Not statistically significant, p =0.91 |
| Mother's reading | FavorableUnfavorable or ambiguousNo Effect |
12 months | Arizona sample | 168 mothers | Mean = 2.26 | Mean = 2.22 | Mean difference = 0.04 | HomeVEE calculated = 0.27 | Not statistically significant, p =0.85 |
| Mother's reading | FavorableUnfavorable or ambiguousNo Effect |
6 months | Arizona sample | 180 mothers | Mean = 2.46 | Mean = 2.72 | Mean difference = -0.26 | HomeVEE calculated = -1.62 | Not statistically significant, p =0.28 |
| Never called name, cursed | FavorableUnfavorable or ambiguousNo Effect |
12 months | Arizona sample | 168 mothers | Mean % = 96.40 | Mean % = 94.10 | Mean difference = 2.30 | HomeVEE calculated = 0.26 | Not statistically significant, p =0.33 |
| Never hit elsewhere | FavorableUnfavorable or ambiguousNo Effect |
12 months | Arizona sample | 168 mothers | Mean % = 98.80 | Mean % = 96.50 | Mean difference = 2.30 | HomeVEE calculated = 0.68 | Not statistically significant, p =0.28 |
| Never pinched child | FavorableUnfavorable or ambiguousNo Effect |
12 months | Arizona sample | 168 mothers | Mean % = 98.80 | Mean % = 94.10 | Mean difference = 4.70 | HomeVEE calculated = 1.12 | Not statistically significant, p =0.15 |
| Never shouted, yelled at child | FavorableUnfavorable or ambiguousNo Effect |
12 months | Arizona sample | 168 mothers | Mean % = 50.60 | Mean % = 34.10 | Mean difference = 16.50 | HomeVEE calculated = 0.43 | Statistically significant, p =0.02 |
| Never slapped hand | FavorableUnfavorable or ambiguousNo Effect |
12 months | Arizona sample | 168 mothers | Mean % = 56.60 | Mean % = 38.80 | Mean difference = 17.80 | HomeVEE calculated = 0.42 | Statistically significant, p =0.03 |
| Never slapped on face | FavorableUnfavorable or ambiguousNo Effect |
12 months | Arizona sample | 168 mothers | Mean % = 100.00 | Mean % = 97.60 | Mean difference = 2.40 | Not available | Not statistically significant, p =0.99 |
| Never smacked/threatened, hit | FavorableUnfavorable or ambiguousNo Effect |
12 months | Arizona sample | 168 mothers | Mean % = 69.50 | Mean % = 63.50 | Mean difference = 6.00 | HomeVEE calculated = 0.16 | Not statistically significant, p =0.30 |
| Never spanked | FavorableUnfavorable or ambiguousNo Effect |
12 months | Arizona sample | 168 mothers | Mean % = 71.10 | Mean % = 65.80 | Mean difference = 5.30 | HomeVEE calculated = 0.14 | Not statistically significant, p =0.19 |
| Never threw object at child | FavorableUnfavorable or ambiguousNo Effect |
12 months | Arizona sample | 168 mothers | Mean % = 100.00 | Mean % = 98.80 | Mean difference = 1.20 | Not available | Not statistically significant, p =0.32 |
| Oppressing child's independence | FavorableUnfavorable or ambiguousNo Effect |
12 months | Arizona sample | 168 mothers | Mean = | Mean = 3.32 | Not reported | Not available | Not statistically significant, p =0.68 |
| Oppressing child's independence (AAPI-2) | FavorableUnfavorable or ambiguousNo Effect |
6 months | Arizona sample | 180 mothers | Mean = 3.62 | Mean = 3.58 | Mean difference = 0.04 | HomeVEE calculated = 0.10 | Not statistically significant, p =0.06 |
| Reversing roles | FavorableUnfavorable or ambiguousNo Effect |
6 months | Arizona sample | 180 mothers | Mean = 2.60 | Mean = 2.47 | Mean difference = 0.13 | HomeVEE calculated = 0.17 | Not statistically significant, p =0.32 |
| Reversing roles (AAPI-2) | FavorableUnfavorable or ambiguousNo Effect |
12 months | Arizona sample | 168 mothers | Mean = | Mean = 2.25 | Not reported | Not available | Not statistically significant, p =0.33 |
| Safety practices | FavorableUnfavorable or ambiguousNo Effect |
12 months | Arizona sample | 168 mothers | Mean = 17.96 | Mean = 17.07 | Mean difference = 0.89 | HomeVEE calculated = 1.17 | Not statistically significant, p =0.42 |
| Safety practices | FavorableUnfavorable or ambiguousNo Effect |
6 months | Arizona sample | 180 mothers | Mean = 17.95 | Mean = 16.05 | Mean difference = 1.90 | HomeVEE calculated = 3.00 | Statistically significant, p = 0.04 |
Show outcome measure summary
| Outcome measure | Outcome measure description | Collection method | Properties |
|---|---|---|---|
Aggressive discipline |
The authors developed a modified version of the Revised Parent-Child Conflict Tactics Scale that used the most serious indicators of abusive and neglectful behavior. | Parent/caregiver report | Not reported by author |
Beliefin corporal punishment (AAPI-2) |
The Adult-Adolescent Parenting Inventory-2 (AAPI-2)was used to assess the child rearing attitudes of parents. The AAPI-2 includes five subscales: inappropriate expectations, parental lack of empathy, parental belief in corporal punishment, reversing parent-child family roles, and oppressing children’s power and independence. | Parent/caregiver report | Not reported by author |
Inappropriate expectations (AAPI-2) |
The Adult-Adolescent Parenting Inventory-2 (AAPI-2)was used to assess the child rearing attitudes of parents. The AAPI-2 includes five subscales: inappropriate expectations, parental lack of empathy, parental belief in corporal punishment, reversing parent-child family roles, and oppressing children’s power and independence. | Parent/caregiver report | Not reported by author |
Lack of empathy (AAPI-2) |
The Adult-Adolescent Parenting Inventory-2 (AAPI-2)was used to assess the child rearing attitudes of parents. The AAPI-2 includes five subscales: inappropriate expectations, parental lack of empathy, parental belief in corporal punishment, reversing parent-child family roles, and oppressing children’s power and independence. | Parent/caregiver report | Not reported by author |
Mother's reading |
An estimate of the time spent reading to the child on a weekly basis | Parent/caregiver report | Not applicable |
Never called name, cursed |
The authors developed a modified version of the Revised Parent-Child Conflict Tactics Scale that used the most serious indicators of abusive and neglectful behavior. | Parent/caregiver report | Not reported by author |
Never hit elsewhere |
The authors developed a modified version of the Revised Parent-Child Conflict Tactics Scale that used the most serious indicators of abusive and neglectful behavior. | Parent/caregiver report | Not reported by author |
Never pinched child |
The authors developed a modified version of the Revised Parent-Child Conflict Tactics Scale that used the most serious indicators of abusive and neglectful behavior. | Parent/caregiver report | Not reported by author |
Never shouted, yelled at child |
The authors developed a modified version of the Revised Parent-Child Conflict Tactics Scale that used the most serious indicators of abusive and neglectful behavior. | Parent/caregiver report | Not reported by author |
Never slapped hand |
The authors developed a modified version of the Revised Parent-Child Conflict Tactics Scale that used the most serious indicators of abusive and neglectful behavior. | Parent/caregiver report | Not reported by author |
Never slapped on face |
The authors developed a modified version of the Revised Parent-Child Conflict Tactics Scale that used the most serious indicators of abusive and neglectful behavior. | Parent/caregiver report | Not reported by author |
Never smacked/threatened, hit |
The authors developed a modified version of the Revised Parent-Child Conflict Tactics Scale that used the most serious indicators of abusive and neglectful behavior. | Parent/caregiver report | Not reported by author |
Never spanked |
The authors developed a modified version of the Revised Parent-Child Conflict Tactics Scale that used the most serious indicators of abusive and neglectful behavior. | Parent/caregiver report | Not reported by author |
Never threw object at child |
The authors developed a modified version of the Revised Parent-Child Conflict Tactics Scale that used the most serious indicators of abusive and neglectful behavior. | Parent/caregiver report | Not reported by author |
Oppressing child's independence (AAPI-2) |
The Adult-Adolescent Parenting Inventory-2 (AAPI-2)was used to assess the child rearing attitudes of parents. The AAPI-2 includes five subscales: inappropriate expectations, parental lack of empathy, parental belief in corporal punishment, reversing parent-child family roles, and oppressing children’s power and independence. | Parent/caregiver report | Not reported by author |
Reversing roles (AAPI-2) |
The Adult-Adolescent Parenting Inventory-2 (AAPI-2)was used to assess the child rearing attitudes of parents. The AAPI-2 includes five subscales: inappropriate expectations, parental lack of empathy, parental belief in corporal punishment, reversing parent-child family roles, and oppressing children’s power and independence. | Parent/caregiver report | Not reported by author |
Safety practices |
A safety practices index included a list of items that were validated as true or false such as parent has a car seat, poisons are not within child’s reach, and similar indicators. | Observation | Not reported by author |
Findings rated moderate
Healthy Families America (HFA)®
Show findings details
| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
|---|---|---|---|---|---|---|---|---|---|
| Caregiver contingency score (NCAST) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Biological mothers with custody of index child at interview, Alaska trial | 249 mothers | Adjusted mean = 15.40 | Adjusted mean = 15.00 | Mean difference = 0.40 | Not available | Not statistically significant, p ≥ 0.05 |
| Cognitive growth fostering (NCAST) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Biological mothers with custody of index child at interview, Alaska trial | 249 mothers | Adjusted mean = 11.80 | Adjusted mean = 11.90 | Mean difference = -0.10 | Not available | Not statistically significant, p ≥ 0.05 |
| Infant caregiving (AAPI) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Biological mothers with custody of index child at interview, Alaska trial | 249 mothers | Adjusted mean = 112.10 | Adjusted mean = 109.50 | Mean difference = 2.60 | Not available | Not statistically significant, p ≥ 0.05 |
| Maternal self-efficacy (Teti scale) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Biological mothers with custody of index child at interview, Alaska trial | 249 mothers | Adjusted mean = 35.10 | Adjusted mean = 34.60 | Mean difference = 0.50 | Not available | Statistically significant, p < 0.05 |
| Parenting attitudes (AAPI) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Biological mothers with custody of index child at interview, Alaska trial | 249 mothers | Adjusted mean = 130.00 | Adjusted mean = 125.60 | Mean difference = 4.50 | Not available | Not statistically significant, p ≥ 0.05 |
| Parenting knowledge (KIDI) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Biological mothers with custody of index child at interview, Alaska trial | 249 mothers | Adjusted mean = 73.50 | Adjusted mean = 70.70 | Mean difference = 2.80 | Not available | Not statistically significant, p ≥ 0.05 |
| Quality of home environment (HOME) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Biological mothers with custody of index child at interview, Alaska trial | 249 mothers | Adjusted mean = 36.70 | Adjusted mean = 35.90 | Mean difference = 0.80 | Not available | Not statistically significant, p ≥ 0.05 |
| Recognition of child developmental delay | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Biological mothers with custody of index child at interview, Alaska trial | 249 mothers | % = 20.00 | % = 24.00 | Not reported | HomeVEE calculated = -0.14 | Not statistically significant, p ≥ 0.05 |
| Response to distress (NCAST) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Biological mothers with custody of index child at interview, Alaska trial | 249 mothers | Adjusted mean = 9.20 | Adjusted mean = 8.90 | Mean difference = 0.30 | Not available | Not statistically significant, p ≥ 0.05 |
| Sensitivity to cues (NCAST) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Biological mothers with custody of index child at interview, Alaska trial | 249 mothers | Adjusted mean = 9.40 | Adjusted mean = 9.20 | Mean difference = 0.20 | Not available | Not statistically significant, p ≥ 0.05 |
| Social-emotional growth fostering (NCAST) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Biological mothers with custody of index child at interview, Alaska trial | 249 mothers | Adjusted mean = 9.00 | Adjusted mean = 8.80 | Mean difference = 0.20 | Not available | Not statistically significant, p ≥ 0.05 |
Show outcome measure summary
| Outcome measure | Outcome measure description | Collection method | Properties |
|---|---|---|---|
KIDI |
The KIDI measures the parent’s knowledge of childrearing practices and developmental processes. | Parent/caregiver report | Not reported by author |
NCAST:
|
The NCAST assesses the quality of teaching interaction between caregivers and young children. The researchers used the composite caregiver score and caregiver subscales related to sensitivity to cues from the child, response to the child’s distress, and fostering of social-emotional and cognitive development. The caregiver subscales and total scores were analyzed as continuous. The researchers also used a binary measure where those with total scores less than or equal to 35 were defined as having poor interaction. |
Observation |
Not reported by author |
AAPI: Infant Caregiving Inventory |
The AAPI assesses parenting and childrearing attitudes. In addition to the total score, the Infant Caregiving Inventory was used to examine caregiver beliefs and understanding of the influences of infant, caregiving practices on child and parental well-being. | Parent/caregiver report | Not reported by author |
AAPI: Parenting attitudes |
The AAPI assesses parenting and childrearing attitudes. | Parent/caregiver report | Not reported by author |
HOME: Total score |
The HOME assesses parenting practices and aspects of the home environment. | Parent/caregiver interview and observational assessment | Not reported by author |
Recognition of child developmental delay |
A measure comparing the child’s development with that of most other children. For children assessed as developmentally delayed, recognition of delay occurred if the parent responded that their child, was developing slower than other children. | Parent/caregiver report | Not reported by author |
Teti Maternal Self-efficacy Scale |
The Teti Maternal Self-efficacy Scale assesses self-evaluated parenting competence and effectiveness. | Parent/caregiver report | Not reported by author |
Healthy Families America (HFA)®
Show findings details
| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
|---|---|---|---|---|---|---|---|---|---|
| Change in father’s engagement score | FavorableUnfavorable or ambiguousNo Effect |
Years 1-3 | All families | 600 families | Not available | Not available | OR = 0.20 | HomeVEE calculated = -0.97 | Not statistically significant, p ≥ 0.05 |
| Change in father’s responsibility score | FavorableUnfavorable or ambiguousNo Effect |
Years 1-3 | All families | 600 families | Not available | Not available | OR = 0.00 | Not available | Not statistically significant, p ≥ 0.05 |
| Father has daily contact with child | FavorableUnfavorable or ambiguousNo Effect |
Years 1-3 | All families | 600 families | Not available | Not available | OR = 1.12 | HomeVEE calculated = 0.07 | Not statistically significant, p ≥ 0.05 |
Show outcome measure summary
| Outcome measure | Outcome measure description | Collection method | Properties |
|---|---|---|---|
Change in father’s engagement score |
A measure based on mother report of how often the father performed five tasks: (1) changing diapers/toilet training, (2) feeding the child, (3) comforting the child, (4) playing with the child, and (5) teaching the child new things. Scores for each item ranged from 0 to 4, with 4 representing the greatest engagement. | Parent/caregiver report | Cronbach’s a = 0.86 |
Change in father’s responsibility score |
A measure of the share of responsibility that the father took for the child’s welfare. Mothers reported how the parents shared responsibility in assuring that (1) the child had an appropriate diet, (2) the child was learning and developing appropriately, (3) the child always had a trustworthy caregiver, and (4) the house was safe to prevent injury to the child. Scores for each item ranged from 0 to 4, with 4 representing the greatest level of father responsibility. | Parent/caregiver report | Cronbach’s a = 0.89 |
Father has daily contact with child |
Percentage of fathers who had daily contact with the child, as reported by mothers. | Parent/caregiver report | Not applicable |
Healthy Families America (HFA)®
Show findings details
| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
|---|---|---|---|---|---|---|---|---|---|
Family Involvement Questionnaire - Home-Based Involvement |
FavorableUnfavorable or ambiguousNo Effect |
8 years |
HFM vs. comparison, Massachusetts Healthy Families Evaluation 2 (MHFE -2), Tier 6 full sample |
373 mothers | Unadjusted mean = 22.16 | Unadjusted mean = 21.74 | Mean difference = 0.42 | HomeVEE calculated = 0.10 | Not statistically significant, p ≥ 0.05 |
Family Involvement Questionnaire - Home-School Conferencing |
FavorableUnfavorable or ambiguousNo Effect |
8 years |
HFM vs. comparison, Massachusetts Healthy Families Evaluation 2 (MHFE -2), Tier 6 full sample |
388 mothers | Unadjusted mean = 20.18 | Unadjusted mean = 19.34 | Mean difference = 0.84 | HomeVEE calculated = 0.14 | Not statistically significant, p ≥ 0.05 |
Family Involvement Questionnaire: School-Based Involvement |
FavorableUnfavorable or ambiguousNo Effect |
8 years |
HFM vs. comparison, Massachusetts Healthy Families Evaluation 2 (MHFE -2), Tier 6 full sample |
341 mothers | Unadjusted mean = 13.30 | Unadjusted mean = 13.28 | Mean difference = 0.02 | HomeVEE calculated = 0.00 | Not statistically significant, p ≥ 0.05 |
Show outcome measure summary
| Outcome measure | Outcome measure description | Collection method | Properties |
|---|---|---|---|
Family Involvement Questionnaire - Home-Based Involvement |
Family Involvement Questionnaire-Short Form (FIQ-SF) |
Self-report questionnaire |
Not reported |
Family Involvement Questionnaire - Home-School Conferencing |
Family Involvement Questionnaire-Short Form (FIQ-SF) |
Self-report questionnaire |
Not reported |
Family Involvement Questionnaire: School-Based Involvement |
Family Involvement Questionnaire-Short Form (FIQ-SF) |
Self-report questionnaire |
Not reported |
Healthy Families America (HFA)®
Show findings details
| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance | Notes |
|---|---|---|---|---|---|---|---|---|---|---|
| Adult Adolescent Parenting Inventory Corporal Punishment Subscale (AAPI-CP) Score - full sample | FavorableUnfavorable or ambiguousNo Effect |
Child's 1st birthday | HF Oregon 2010-2012 | 763 mothers | Adjusted mean = 1.89 | Adjusted mean = 1.97 | Mean difference = -0.08 | HomeVEE calculated = -0.10 | Not statistically significant, p ≥ 0.05 | footnote162Negative value is favorable to the intervention. |
| Number of times in last month parent read to child - full sample | FavorableUnfavorable or ambiguousNo Effect |
Child's 1st birthday | HF Oregon 2010-2012 | 764 mothers | Adjusted mean = 4.74 | Adjusted mean = 4.43 | Mean difference = 0.31 | HomeVEE calculated = 0.26 | Statistically significant, p = 0.00 | |
| Parent-Child Activities Scale (PCAS) score - full sample | FavorableUnfavorable or ambiguousNo Effect |
Child's 1st birthday | HF Oregon 2010-2012 | 764 mothers | Adjusted mean = 4.84 | Adjusted mean = 4.73 | Mean difference = 0.11 | HomeVEE calculated = 0.15 | Statistically significant, p = 0.02 | |
| Protective Factors Survey (PFS) - Family Functioning Subscale - full sample | FavorableUnfavorable or ambiguousNo Effect |
Child's 1st birthday | HF Oregon 2010-2012 | 764 mothers | Adjusted mean = 4.16 | Adjusted mean = 4.15 | Mean difference = 0.01 | HomeVEE calculated = 0.01 | Not statistically significant, p ≥ 0.05 |
Show outcome measure summary
| Outcome measure | Outcome measure description | Collection method | Properties |
|---|---|---|---|
Adult Adolescent Parenting Inventory Corporal Punishment Subscale (AAPI-CP) Score - full sample |
The Adult Adolescent Parenting Inventory-Corporal Punishment Subscale assesses parenting and childrearing attitudes on discipline. | Parent/caregiver report | Crohnbach's alpha = .77 |
Number of times in last month parent read to child - full sample |
This survey item asks for the number of times in the last month that the parent read to child. | Parent/caregiver report | Not reported by author |
Parent-Child Activities Scale (PCAS) score - full sample |
The Parent-Child Activities Scale assesses the frequency with which the parent engaged in several activities with the child that can stimulate cognitive and language development, including reading or telling stories, dancing, singing, and playing outside together. | Parent/caregiver report | Crohnbach's alpha = .678 |
Protective Factors Survey (PFS) - Family Functioning Subscale - full sample |
The Protective Factors Survey (PFS) - Family Functioning Subscale assesses whether a family has adaptive skills and strategies to persevere in times of crisis. |
Parent/caregiver report |
Crohnbach's alpha = .845 |
Healthy Families America (HFA)®
Show findings details
| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance | Notes |
|---|---|---|---|---|---|---|---|---|---|---|
Father contact with child |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 children | Unadjusted mean = 0.85 | Unadjusted mean = 0.84 | Mean difference = 0.01 | Study reported = 0.02 | Not statistically significant, p= 0.86 |
|
Home environment |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 43.50 | Unadjusted mean = 41.80 | Mean difference = 1.70 | Study reported = 0.32 | Statistically significant, p= 0.04 |
|
Linguistic dimension - Affective processes |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 18.90 | Unadjusted mean = 18.10 | Mean difference = 0.80 | Study reported = 0.08 | Not statistically significant, p= 0.67 |
|
Linguistic dimension - Anger |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 0.57 | Unadjusted mean = 0.52 | Mean difference = 0.05 | Study reported = -0.04 | Not statistically significant, p= 0.84 |
|
Linguistic dimension - Cause |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 2.90 | Unadjusted mean = 1.20 | Mean difference = 1.70 | Study reported = 0.50 | Statistically significant, p= 0.01 |
|
Linguistic dimension - Certainty |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 1.20 | Unadjusted mean = 1.90 | Mean difference = -0.70 | Study reported = -0.26 | Statistically significant, p= 0.03 |
|
Linguistic dimension - Cognitive mechanism |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 16.50 | Unadjusted mean = 13.40 | Mean difference = 3.10 | Study reported = 0.42 | Statistically significant, p= 0.02 |
|
Linguistic dimension - Feeling expression |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 2.00 | Unadjusted mean = 0.81 | Mean difference = 1.19 | Study reported = 0.39 | Statistically significant, p= 0.02 |
|
Linguistic dimension - First person |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 3.10 | Unadjusted mean = 1.80 | Mean difference = 1.30 | Study reported = 0.34 | Statistically significant, p= 0.00 |
|
Linguistic dimension - Future |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 0.22 | Unadjusted mean = 0.13 | Mean difference = 0.09 | Study reported = 0.12 | Not statistically significant, p= 0.55 |
|
Linguistic dimension - Insight |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 3.70 | Unadjusted mean = 2.60 | Mean difference = 1.10 | Study reported = 0.28 | Not statistically significant, p= 0.12 |
|
Linguistic dimension - Negative valanced |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 0.59 | Unadjusted mean = 1.50 | Mean difference = -0.91 | Study reported = 0.54 | Statistically significant, p= 0.03 |
Negative effect is favorableNegative effect is favorable to the intervention. |
Linguistic dimension - Past |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 0.65 | Unadjusted mean = 0.61 | Mean difference = 0.04 | Study reported = -0.02 | Not statistically significant, p= 0.87 |
|
Linguistic dimension - Perceptual process |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 3.50 | Unadjusted mean = 3.10 | Mean difference = 0.40 | Study reported = 0.10 | Not statistically significant, p= 0.50 |
|
Linguistic dimension - Positive valanced |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 17.10 | Unadjusted mean = 16.20 | Mean difference = 0.90 | Study reported = 0.08 | Not statistically significant, p= 0.63 |
|
Linguistic dimension - Present |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 17.80 | Unadjusted mean = 16.70 | Mean difference = 1.10 | Study reported = 0.15 | Not statistically significant, p= 0.37 |
|
Linguistic dimension - Sad |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 0.56 | Unadjusted mean = 0.67 | Mean difference = -0.11 | Study reported = 0.08 | Not statistically significant, p= 0.64 |
Negative effect is favorableNegative effect is favorable to the intervention. |
Linguistic dimension -Anxiety |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 0.17 | Unadjusted mean = 0.30 | Mean difference = -0.13 | Study reported = 0.15 | Not statistically significant, p= 0.44 |
|
Mobilizing resources |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 24.60 | Unadjusted mean = 22.20 | Mean difference = 2.40 | Study reported = 0.43 | Statistically significant, p= 0.01 |
|
Mother's reading to child |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 children | Unadjusted mean = 3.90 | Unadjusted mean = 4.00 | Mean difference = -0.10 | Study reported = -0.09 | Not statistically significant, p= 0.53 |
|
Parent/child behavior |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mother/child dyads | Unadjusted mean = 46.00 | Unadjusted mean = 45.10 | Mean difference = 0.90 | Study reported = 0.21 | Not statistically significant, p= 0.21 |
|
Personal care |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 19.20 | Unadjusted mean = 18.70 | Mean difference = 0.50 | Study reported = 0.14 | Not statistically significant, p= 0.38 |
|
Problem solving |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 24.60 | Unadjusted mean = 23.80 | Mean difference = 0.80 | Study reported = 0.20 | Not statistically significant, p= 0.20 |
|
Reduced chaotic household |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 1.80 | Unadjusted mean = 1.80 | Mean difference = 0.00 | Study reported = 0.00 | Not statistically significant, p= 0.95 |
Negative effect is favorableNegative effect is favorable to the intervention. |
Regular routines |
FavorableUnfavorable or ambiguousNo Effect |
12 months |
HFA vs. comparison group, Arizona, full sample |
165 mothers | Unadjusted mean = 2.40 | Unadjusted mean = 2.20 | Mean difference = 0.20 | Study reported = 0.25 | Not statistically significant, p= 0.18 |
|
Safety practices |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted proportion = 0.70 | Unadjusted proportion = 0.53 | Mean difference = 0.17 | Study reported = 0.17 | Statistically significant, p= 0.01 |
|
Social support |
FavorableUnfavorable or ambiguousNo Effect |
6 months |
HFA vs. comparison group, Arizona, full sample |
199 mothers | Unadjusted mean = 21.60 | Unadjusted mean = 20.60 | Mean difference = 1.00 | Study reported = 0.17 | Not statistically significant, p= 0.26 |
Show outcome measure summary
| Outcome measure | Outcome measure description | Collection method | Properties |
|---|---|---|---|
Mobilizing resources |
Mobilizing Resources subscale from Healthy Families Parenting Inventory (HFPI) |
Parent/caregiver report |
alpha=.78 |
Personal care |
Personal Care subscale from Healthy Families Parenting Inventory (HFPI) |
Parent/caregiver report |
alpha=.80 |
Problem solving |
Problem Solving subscale from Healthy Families Parenting Inventory (HFPI) |
Parent/caregiver report |
alpha=.87 |
Safety practices |
Three safety practices were combined to assess this outcome (specific measures/practices are not described) |
Parent/caregiver report |
Not reported by author |
Social support |
Social Support subscale from Healthy Families Parenting Inventory (HFPI) |
Parent/caregiver report |
alpha=.87 |
Healthy Families America (HFA)®
Show findings details
| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
|---|---|---|---|---|---|---|---|---|---|
| Attitudes: Empathy (AAPI-2) | FavorableUnfavorable or ambiguousNo Effect |
Year 1 | Full sample, NY trial | 1060 mothers | Adjusted mean = 37.12 | Adjusted mean = 36.64 | Mean difference = 0.48 | Not available | Not statistically significant, p ≥ 0.05 |
| Attitudes: Inappropriate expectations (AAPI-2) | FavorableUnfavorable or ambiguousNo Effect |
Year 1 | Full sample, NY trial | 1060 mothers | Adjusted mean = 19.11 | Adjusted mean = 18.83 | Mean difference = 0.28 | Not available | Not statistically significant, p ≥ 0.05 |
| Attitudes: Physical punishment (AAPI-2) | FavorableUnfavorable or ambiguousNo Effect |
Year 1 | Full sample, NY trial | 1060 mothers | Adjusted mean = 38.43 | Adjusted mean = 38.01 | Mean difference = 0.42 | Not available | Not statistically significant, p ≥ 0.05 |
| Attitudes: Power/independence (AAPI-2) | FavorableUnfavorable or ambiguousNo Effect |
Year 1 | Full sample, NY trial | 1060 mothers | Adjusted mean = 19.39 | Adjusted mean = 19.40 | Mean difference = -0.01 | Not available | Not statistically significant, p ≥ 0.05 |
| Attitudes: Role reversal (AAPI-2) | FavorableUnfavorable or ambiguousNo Effect |
Year 1 | Full sample, NY trial | 1060 mothers | Adjusted mean = 23.59 | Adjusted mean = 23.24 | Mean difference = 0.35 | Not available | Not statistically significant, p ≥ 0.05 |
| Child safety checklist | FavorableUnfavorable or ambiguousNo Effect |
Year 1 | Full sample, NY trial | 1060 mothers | % = 86.10 | % = 85.90 | Not reported | Not available | Not statistically significant, p ≥ 0.05 |
Show outcome measure summary
| Outcome measure | Outcome measure description | Collection method | Properties |
|---|---|---|---|
AAPI-2: Physical punishment, Inappropriate expectations, Empathy, Role reversal, Power and independence |
The AAPI-2 assesses parenting and childrearing attitudes. The researchers examined five subscales: inappropriate expectations, empathy, corporal punishment, role reversal, power, and independence | Parent/caregiver report | Not reported by author |
Child Safety Checklist (CSC) |
The CSC assesses parental safety practices. Parents were asked how regularly they engaged in 23 child safety behaviors in the past year. Response choices included some of the time, none of the time, or all of the time. The authors analyzed the percentage of practices that parents reported doing all of the time. | Parent/caregiver report | Not reported by author |
Healthy Families America (HFA)®
Show findings details
| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
|---|---|---|---|---|---|---|---|---|---|
| Attitudes toward corporal punishment (AAPI) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Biological mothers with custody of index child at follow-up, Alaska trial | 246 mothers | Adjusted mean = 20.50 | Adjusted mean = 10.10 | Mean difference = 0.38 | Not available | Not statistically significant, p ≥ 0.05 |
| Poor caregiver interaction, (NCAST score = 35) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Biological mothers with custody of index child at follow-up, Alaska trial | 246 mothers | % = 17.00 | % = 21.00 | OR = 0.79 | HomeVEE calculated = -0.16 | Not statistically significant, p ≥ 0.05 |
| Poor quality home environment (HOME score = 33) | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Biological mothers with custody of index child at follow-up, Alaska trial | 246 mothers | % = 20.00 | % = 31.00 | OR = 0.51 | HomeVEE calculated = -0.36 | Statistically significant, p < 0.05 |
| Total AAPI score | FavorableUnfavorable or ambiguousNo Effect |
Year 2 | Biological mothers with custody of index child at follow-up, Alaska trial | 246 mothers | Adjusted mean = 130.00 | Adjusted mean = 125.60 | Mean difference = 4.47 | Not available | Not Statistically significant, p >: 0.05 |
Show outcome measure summary
| Outcome measure | Outcome measure description | Collection method | Properties |
|---|---|---|---|
NCAST: Poor caregiver interaction |
The NCAST assesses the quality of teaching interaction between caregivers and young children. The researchers define poor caregiver interaction as a composite NCAST caregiver score below or equal to 35. | Observation | Not reported by author |
AAPI: Attitudes toward corporal punishment AAPI: Total score |
The AAPI assesses parenting and childrearing attitudes. The researchers examined both the AAPI total score and a subscale of the Discipline Questionnaire that measured attitudes about the effectiveness of physical punishment. | Parent/caregiver report | Not reported by author |
HOME: Poor-quality HOME environment (HOME score = 33) |
The HOME assesses parenting practices and aspects of the home environment. The researchers defined poor-quality home environment as a HOME total score below or equal to 33. | Parent/caregiver interview and observational assessment | Not reported by author |