Oklahoma’s Community-Based Family Resource and Support (CBFRS) Program Meets HHS Criteria

Model effectiveness research report last updated: 2012

Model overview

Theoretical approach

Oklahoma’s Community-Based Family Resource and Support (CBFRS) program was developed to improve the health and development outcomes of mothers and their infants. Based on research suggesting that home visiting provided by professionals as opposed to paraprofessionals might provide more positive impacts, the developers decided to use professionals in the field of child development to provide the home visits.
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Model services

Oklahoma’s CBFRS program provided home visitation to participants. The content and the intensity of the program varied depending upon the stage of the intervention and the age of the child.

Oklahoma’s CBFRS program followed a standardized curriculum that covered (1) maternal and child health, (2) child growth and development, and (3) parenting. The parenting-related materials covered topics such as attachment, guidance, and play. The health portion of the curriculum focused on topics including maternal and child nutrition, substance use, labor and delivery, family planning, and immunizations. The content of the curriculum varied depending on the stage of the intervention. For example, during the prenatal period, the home visitors covered more maternal health-related topics, whereas the curriculum focused more on parenting following the child’s birth. All families received instruction covering the three general curriculum topics, but the home visitors could tailor the curriculum by selecting subtopics within the overarching categories that addressed families’ specific concerns or interests.
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Intended population

Oklahoma’s CBFRS program served first-time mothers living in rural counties.
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Where to find out more

Sherie Trice, MS, CCPS
CBCAP Grant Coordinator
1000 NE 10th Street
Oklahoma City, OK 73117-1299


Phone: 405-271-7611
Fax: 405-271-1011
Email: sheriet@health.ok.gov
 
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Effects shown in research

Maternal health

Findings rated moderate

Oklahoma’s Community-Based Family Resource and Support (CBFRS) Program
Show findings details
Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Pregnant at time of 12 month interview
FavorableUnfavorable or ambiguousNo Effect
 12 months Oklahoma 263 women % = 6.00 % = 13.00 Not reported = -0.07 HomVEE calculated = -0.48 Statistically significant, p = .03
Pregnant since birth of first child
FavorableUnfavorable or ambiguousNo Effect
 12 months Oklahoma 263 women % = 12.00 % = 21.00 Not reported = -0.09 HomVEE calculated = -0.38 Statistically significant, p = .03
Using birth control
FavorableUnfavorable or ambiguousNo Effect
 12 months Oklahoma 263 women % = 67.00 % = 54.00 Not reported = 0.13 HomVEE calculated = 0.32 Statistically significant, p = .02
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Positive parenting practices

Findings rated moderate

Oklahoma’s Community-Based Family Resource and Support (CBFRS) Program
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Acceptance
FavorableUnfavorable or ambiguousNo Effect
 12 months Oklahoma 263 caregivers Adjusted mean = 6.56 Adjusted mean = 5.95 Mean difference = 0.61 Study reported = 0.44 Statistically significant, p < 0.01
Home safety
FavorableUnfavorable or ambiguousNo Effect
 12 months Oklahoma 263 caregivers Adjusted mean = 38.10 Adjusted mean = 36.90 Mean difference = 1.20 Study reported = 0.46 Statistically significant, p < 0.01
Involvement
FavorableUnfavorable or ambiguousNo Effect
 12 months Oklahoma 263 caregivers Adjusted mean = 5.13 Adjusted mean = 5.14 Mean difference = -0.01 HomVEE calculated = -0.01 Not statistically significant, p ≥ 0.05
Learning materials
FavorableUnfavorable or ambiguousNo Effect
 12 months Oklahoma 263 caregivers Adjusted mean = 8.17 Adjusted mean = 8.45 Mean difference = -0.28 HomVEE calculated = -0.22 Not statistically significant, p ≥ 0.05
Organization
FavorableUnfavorable or ambiguousNo Effect
 12 months Oklahoma 263 caregivers Adjusted mean = 5.59 Adjusted mean = 5.44 Mean difference = 0.15 Study reported = 0.18 Not statistically significant, p ≥ 0.05
Responsivity
FavorableUnfavorable or ambiguousNo Effect
 12 months Oklahoma 263 caregivers Adjusted mean = 10.50 Adjusted mean = 10.30 Mean difference = 0.20 HomVEE calculated = 0.17 Not statistically significant, p ≥ 0.05
Variety
FavorableUnfavorable or ambiguousNo Effect
 12 months Oklahoma 263 caregivers Adjusted mean = 3.70 Adjusted mean = 3.61 Mean difference = 0.09 HomVEE calculated = 0.07 Not statistically significant, p ≥ 0.05
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Child health

Findings rated moderate

Oklahoma’s Community-Based Family Resource and Support (CBFRS) Program
Show findings details
Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Emergency room admissions
FavorableUnfavorable or ambiguousNo Effect
 12 months Oklahoma 263 children % = 46.00 % = 46.00 Not reported = 0.00 HomVEE calculated = 0.00 Not Statistically significant, p = 1.00
Hospital admissions
FavorableUnfavorable or ambiguousNo Effect
 12 months Oklahoma 263 children % = 8.00 % = 8.00 Not reported = 0.00 HomVEE calculated = 0.00 Not Statistically significant, p = 1.00
Up-to-date with child immunizations
FavorableUnfavorable or ambiguousNo Effect
 12 months Oklahoma 263 children % = 93.00 % = 93.00 Not reported = 0.00 HomVEE calculated = 0.00 Not Statistically significant, p = 1.00
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In brief

Evidence of model effectiveness

Title General population Tribal population Domains with favorable effects
Oklahoma’s Community-Based Family Resource and Support (CBFRS) Program Yes, Meets HHS Criteria Meets HHS criteria Does not meet HHS criteria for tribal population because the model has not been evaluated with a tribal population.
  • Maternal health,
  • Positive parenting practices,

Model description

Oklahoma’s Community-Based Family Resource and Support (CBFRS) program, which targeted first-time mothers, was developed to improve maternal and child health and child development. Weekly or biweekly home visits beginning before 28 weeks gestation continued to the child’s first birthday. The frequency of the home visits varied based upon the program phase. Home visits followed a standardized curriculum that covered maternal and child health, child growth and development, and parenting skills.
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Extent of evidence

Results of search and review
Number of manuscripts
At least one finding was eligible for review…
2
  …and at least one finding rated high
0
  …and at least one finding rated moderate (but none rated high)
2
  …and all findings that were eligible for review rated low or indeterminate2
0
  …but manuscript is additional source3
0

1When an individual manuscript reports findings from multiple studies, HomVEE reviews each study as a distinct manuscript. In these rare instances, HomVEE counts that manuscript multiple times in this table, once for each study identified, screened, and reviewed by HomVEE.

2Manuscripts that receive a rating of indeterminate have findings that may rate moderate or high in response to additional information from the author. The indeterminate rating was applied to manuscripts beginning with the 2023 review.

3Additional sources have findings or details that perfectly overlap with another manuscript and are not rated.

For more information, see the research database. For more information on the criteria used to rate research, please see details of HomVEE’s methods and standards.
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Summary of findings

To see details on each finding HomVEE reviewed in well-designed research, click on the name of an outcome domain in the tables below. Findings rated low quality by HomVEE are not summarized here.

Outcomes
Findings

Outcome Child Development and School Readiness

Not measured

Outcome Child Health

Findings:
Favorable: 0
No effect: 3
Unfavorable or ambiguous: 0

Outcome Family Economic Self-Sufficiency

Not measured

Outcome Linkages and Referrals

Not measured

Outcome Maternal Health

Findings:
Favorable: 3
No effect: 0
Unfavorable or ambiguous: 0

Outcome Positive Parenting Practices

Findings:
Favorable: 2
No effect: 5
Unfavorable or ambiguous: 0

Outcome Reductions in Child Maltreatment

Not measured

Outcome Reductions in Juvenile Delinquency, Family Violence, and Crime

Not measured

The section above focuses on findings from the full sample in a study. Subgroups that have been replicated in distinct samples also have findings reported above. HomVEE does not report the findings of non-replicated subgroups. Beginning with research reviewed in 2021, however, HomVEE lists those subgroups on the details page of each manuscript that had at least one finding that rated moderate or high.

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Criteria established by the U.S. Department of Health and Human Services

Information based on comprehensive review of all high- and moderate-rated manuscripts
CriterionCriterion descriptionCriterion met?
1High- or moderate-quality impact study?Yes
2Across 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?Yes
3Favorable impacts on full sample?Yes
4Any favorable impacts on outcome measures sustained at least 12 months after model enrollment?
Reported for all research but only required for RCTs.		Yes
5One or more favorable, statistically significant impact reported in a peer-reviewed journal?
Reported for all research but only required for RCTs.		Yes

Notes: If the model does not meet criterion 3 but meets criteria 1 and 2 based on findings from subgroups, the impacts must be replicated in the same domain in two or more studies using non-overlapping analytic study samples. HomVEE assesses and reports criteria 4 and 5 for all models that have well-designed research, but meeting those two criteria is only required of 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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