According to the study reviewed, Oklahoma’s CBFRS program consisted of prenatal home visits until the child’s first birthday. Home visits focused on teaching mothers about maternal and child health, child development, home safety, and parenting skills. The content and intensity of the program varied depending upon the stage of the intervention and the age of the child. During pregnancy, the program was designed for weekly home visits in the first month of the program, followed by biweekly visits until the child’s birth for a total of eight prenatal visits. After the child’s birth, home visits were intended to occur weekly during the first three months of the child’s life and biweekly for the remaining nine months, for a total of 30 postnatal visits. Each visit was intended to last about one hour.
The study did not describe any assessments used during program implementation.
Oklahoma’s CBFRS program followed a standardized curriculum that covered (1) maternal and child health, (2) child growth and development, and (3) parenting skills. Curriculum topics included characteristics of newborns and growing infants; bonding and attachment; play activities that emphasize touching and talking with the infant; healthy and safe living environments; and guidance and discipline. The content of the curriculum varied depending on the stage of the intervention and the interest of families. Home visitors could tailor the curriculum by selecting subtopics within the three overarching categories that addressed families’ specific concerns or interests. During the prenatal phase, home visitors spent most of their time presenting topics focused on maternal health, parenting roles, and education and employment goals. During postnatal visits they mostly focused on child development, parenting roles, and child health. In both pre- and post-natal visits, home visitors spent the smallest proportion of their time discussing other topics, including crisis management, environmental health, and friends and family.
The study did not report whether CBFRS materials were available in a language other than English.