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

Implementation support is not currently available for the model as reviewed.

Last updated: October 2012

Model Overview

Theoretical Model

Oklahoma’s CBFRS model was developed to improve the health and development outcomes of mothers and their infants. The model targeted first-time mothers and was designed to provide an intensive level of service through weekly and biweekly visits. Based on research suggesting that home visiting provided by professionals as opposed to paraprofessionals might provide more positive impacts, the model developers decided to use professionals in the field of child development to provide the home visits.

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Model Components

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

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Target Population

Oklahoma’s CBFRS program targeted 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
Website: http://www.ok.gov/health/Child_and_Family_Health/Family_Support_and_Prevention_Service/Community-Based_Child_Abuse_Prevention/index.html exit disclaimer

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Effects Shown in Research & Outcome Measure Details

Summary of Findings

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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Maternal Health

Outcomes Rated Moderate

Oklahoma’s Community-Based Family Resource and Support (CBFRS) Program
Show Study Effects Details
Outcome measure Effect Follow-up Timing Sample Sample Size Program Group Comparison Group Group Difference Effect size Statistical significance Outcome Type
Pregnant at time of 12 month interview
FavorableUnfavorableNo Effect
12 months Oklahoma 263 women % = 6.00 % = 13.00 Not reported = -0.07 HomeVEE calculated = -0.48 Statistically significant, p = .03 Secondary
Pregnant since birth of first child
FavorableUnfavorableNo Effect
12 months Oklahoma 263 women % = 12.00 % = 21.00 Not reported = -0.09 HomeVEE calculated = -0.38 Statistically significant, p = .03 Secondary
Using birth control
FavorableUnfavorableNo Effect
12 months Oklahoma 263 women % = 67.00 % = 54.00 Not reported = 0.13 HomeVEE calculated = 0.32 Statistically significant, p = .02 Secondary
Show Study Outcome Measure Summary
Outcome Measure Outcome Measure Description Collection method Properties Outcome Type Operations links

Pregnant at time of 12 month interview

Percentage of mothers who were pregnant 12 months after the birth of their first child. Parent/caregiver report

Not applicable

Secondary

Pregnant since birth of first child

Percentage of mothers who reported subsequent pregnancies 12 months after the birth of their first child. Parent/caregiver report

Not applicable

Secondary

Using birth control

Percentage of mothers who reported using birth control 12 months after the birth of their child. Parent/caregiver report

Not applicable

Secondary
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Positive Parenting Practices

Outcomes Rated Moderate

Oklahoma’s Community-Based Family Resource and Support (CBFRS) Program
Show Study Effects Details
Outcome measure Effect Follow-up Timing Sample Sample Size Program Group Comparison Group Group Difference Effect size Statistical significance Outcome Type
Acceptance
FavorableUnfavorableNo 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 Primary
Home safety
FavorableUnfavorableNo 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 Primary
Involvement
FavorableUnfavorableNo Effect
12 months Oklahoma 263 caregivers Adjusted mean = 5.13 Adjusted mean = 5.14 Mean difference = -0.01 HomeVEE calculated = -0.01 Not statistically significant, p ≥ 0.05 Primary
Learning materials
FavorableUnfavorableNo Effect
12 months Oklahoma 263 caregivers Adjusted mean = 8.17 Adjusted mean = 8.45 Mean difference = -0.28 HomeVEE calculated = -0.22 Not statistically significant, p ≥ 0.05 Primary
Organization
FavorableUnfavorableNo 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 Primary
Responsivity
FavorableUnfavorableNo Effect
12 months Oklahoma 263 caregivers Adjusted mean = 10.50 Adjusted mean = 10.30 Mean difference = 0.20 HomeVEE calculated = 0.17 Not statistically significant, p ≥ 0.05 Primary
Variety
FavorableUnfavorableNo Effect
12 months Oklahoma 263 caregivers Adjusted mean = 3.70 Adjusted mean = 3.61 Mean difference = 0.09 HomeVEE calculated = 0.07 Not statistically significant, p ≥ 0.05 Primary
Show Study Outcome Measure Summary
Outcome Measure Outcome Measure Description Collection method Properties Outcome Type Operations links

Home Observation for Measurement of the Environment scores

The Home Observation for Measurement of the Environment inventory (0-3) assesses parent-child interactions. The authors examined all six subscales: acceptance, involvement, learning materials, organization, responsitivity, and variety. Observational assessment

Interrater reliability was 94%

Primary

Home safety

The Massachusetts Safety Checklist assesses the safety of the home in kitchen, bathroom, and child areas as well as safety practices. Home assessment

Not reported by author

Primary
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Child Health

Outcomes Rated Moderate

Oklahoma’s Community-Based Family Resource and Support (CBFRS) Program
Show Study Effects Details
Outcome measure Effect Follow-up Timing Sample Sample Size Program Group Comparison Group Group Difference Effect size Statistical significance Outcome Type
Emergency room admissions
FavorableUnfavorableNo Effect
12 months Oklahoma 263 children % = 46.00 % = 46.00 Not reported = 0.00 HomeVEE calculated = 0.00 Not Statistically significant, p = 1.00 Secondary
Hospital admissions
FavorableUnfavorableNo Effect
12 months Oklahoma 263 children % = 8.00 % = 8.00 Not reported = 0.00 HomeVEE calculated = 0.00 Not Statistically significant, p = 1.00 Secondary
Up-to-date with child immunizations
FavorableUnfavorableNo Effect
12 months Oklahoma 263 children % = 93.00 % = 93.00 Not reported = 0.00 HomeVEE calculated = 0.00 Not Statistically significant, p = 1.00 Secondary
Show Study Outcome Measure Summary
Outcome Measure Outcome Measure Description Collection method Properties Outcome Type Operations links

Emergency room admissions

Percentage of children admitted to an emergency room during the first year of life. Parent/caregiver report

Not applicable

Secondary

Hospital admissions

Percentage of children admitted to the hospital during the first year of life. Parent/caregiver report

Not applicable

Secondary

Up-to-date with child immunizations

Percentage of children who were current with their immunizations at 6 and 12 months of age. Parent/caregiver report

Not applicable

Secondary
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In Brief

Evidence of Model Effectiveness

This model meets 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, but does not meet the criteria for tribal populations.

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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. For more information, please read the Model Overview.

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Extent of Evidence

Results of Research and Review
Number of studies
Eligible for review
2
Rated high
0
Rated moderate
2
Rated low
0
Additional source1
0

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

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
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?
Yes
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

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

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