REST Routine

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

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

REST (Reassurance, Empathy, Support, and Time-Out) Routine aimed to reduce infant irritability and unexplained crying and to relieve parental stress. It targeted families with healthy, full-term infants who had excessive and unexplained irritability and colic. Pediatric nurse specialists individualized and delivered home visits weekly, one-hour home visits for four weeks. Nurses helped parents prevent their infants from being over-stimulated, synchronize the infants’ sleep-wake cycles with the environment, create structure and routine, and practice holds and positions. The nurses also provided emotional support and reassurance to the parents and helped them find other resources and a support network. During the last home visit, nurses assessed the need and options for ongoing support and intervention. 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
Rated high
Rated moderate
Rated low
Additional source1

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?
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?
Favorable impacts on full sample?
Any favorable impacts on outcome measures sustained at least 12 months after model enrollment?1
One or more favorable, statistically significant impact reported in a peer-reviewed journal?1

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

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