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Astuto, J., & Allen, L. (2018). Learning more about home visitation: RCT evaluation of a home visitation program for Latino Spanish speaking children of immigrants. Technical Report: Study 2. Unpublished manuscript submitted to HomVEE in January 2019.

Model(s) Reviewed: ParentChild+® Core Model
Manuscript Screening Details
Screening Decision Screening Conclusion
Passes Screens Eligible for review
Study Design Details
Rating Design Attrition Baseline Equivalence Reassignment Confounding Factors
High Randomized controlled trial Low Established on race/ethnicity and SES; not established on baseline measures of the outcomes in the analyzed sample None None
Notes:

Outcomes with low attrition for which authors’ models controlled for baseline measures are eligible for a high rating. In addition to the outcomes that are eligible for a high rating, eight outcomes are eligible for a moderate rating because they had low attrition but analyses did not control for baseline measures of the outcomes. An additional 17 outcomes are eligible for a low rating because attrition was high or could not be assessed. All outcomes eligible for a low rating are in the Child Development and School Readiness and Positive Parenting Practices domains.

This report is one of a set of four reports that examine two distinct studies (Astuto & Allen (2018, Study 1); Astuto & Allen (2016, Study 1); Astuto & Allen (2018, Study 2); and Astuto & Allen (2016, Study 2)). This report describes the same study and sample reported in Astuto & Allen (2016, Study 2). Some outcomes reported in this study are reported in HomVEE’s review of Astuto & Allen (2016, Study 2). Additionally, for some outcomes, HomVEE obtained information about attrition from Astuto & Allen (2016, Study 2).

Study Characteristics
Study Participants Families were eligible to participate if their children were ages 18 to 30 months, the family was Spanish speaking, and the family was within 100 percent of the federal poverty level and eligible for government assistance programs (including WIC, Medicaid, and SNAP). Most families were referred to the study through a waitlist for a program at a community-based organization that serves primarily low-income, immigrant, Spanish-speaking families and delivers the ParentChild+ model. All of the parents identified as Latino and were born outside of the United States. On average, children were 2.4 years old at the start of the study and 3.8 years old at the end of the study.
Setting Large city in the northeastern United States
Intervention Services At each home visit, home visitors brought a new book or toy for the family and used it to model reading and verbal interactions and teach parents about age-appropriate expectations and interactions. Families received home visits twice a week for 46 weeks over a two-year period, and home visits were delivered in the parents’ primary language.
Comparison Conditions Participants in the comparison condition participated in data collection interviews.
Staff Characteristics and Training Home visitors were matched to families based on culture and language.
Funding Sources PEW Charitable Funds, Heising-Simons Foundation, Edith Glick Shoolman Foundation, and Edward & Ellen Roche Relief Foundation
Author Affiliation The study authors are not developers of this model.
Study Registration:

Clinicaltrials.gov Identifier: None found. Study registration was assessed by HomVEE beginning with the 2014 review.

Findings Details

Outcome Domain: Child Development and School Readiness
Rating Outcome Measure Effect Sample Timing of Follow-Up Sample Size Intervention Group Comparison Group Group Difference Effect Size Statistical Significance Outcome Type Notes
High Day Night Task (adjusted)
FavorableUnfavorable or ambiguousNo Effect
ParentChild+ vs. comparison, northeastern U.S., Study 2 full sample 24 months 147 children Not reported Not reported Not Reported Study reported = 0.23 Not statistically significant, p = 0.16 Primary

footnote449

Submitted by nwu on Fri, 04/12/2019 - 18:30

Effect size is a Cohen's d.

High Tower Clean Up Task Duration (adjusted)
FavorableUnfavorable or ambiguousNo Effect
ParentChild+ vs. comparison, northeastern U.S., Study 2 full sample 24 months 126 children Not reported Not reported Not Reported Study reported = 0.08 Not statistically significant, p = 0.67 Primary

footnote449

Submitted by nwu on Fri, 04/12/2019 - 18:30

Effect size is a Cohen's d.

Moderate Ages and Stages Questionnaire: Social-Emotional (ASQ: SE) (unadjusted)
FavorableUnfavorable or ambiguousNo Effect
ParentChild+ vs. comparison, northeastern U.S., Study 2 full sample 24 months 112 children Unadjusted mean = -0.11 Unadjusted mean = 0.00 MD = -0.11 Study reported = -0.11 Not statistically significant, p = 0.56 Primary
Moderate Day Night Task (unadjusted)
FavorableUnfavorable or ambiguousNo Effect
ParentChild+ vs. comparison, northeastern U.S., Study 2 full sample 24 months 149 children Unadjusted mean = 12.16 Unadjusted mean = 10.58 MD = 1.58 HomeVEE calculated = 0.18 Not statistically significant, p = 0.29 Primary
Moderate Preschool Language Scale Fourth Edition (PLS-4) - Auditory (unadjusted)
FavorableUnfavorable or ambiguousNo Effect
ParentChild+ vs. comparison, northeastern U.S., Study 2 full sample 24 months 144 children Unadjusted mean = 95.27 Unadjusted mean = 91.80 MD = 3.47 HomeVEE calculated = 0.29 Not statistically significant, p = 0.09 Primary
Moderate Preschool Language Scale Fourth Edition (PLS-4) - Expressive (unadjusted)
FavorableUnfavorable or ambiguousNo Effect
ParentChild+ vs. comparison, northeastern U.S., Study 2 full sample 24 months 144 children Unadjusted mean = 98.39 Unadjusted mean = 95.13 MD = 3.26 Study reported = 0.21 Not statistically significant, p = 0.21 Primary
Moderate Preschool Language Scale Fourth Edition (PLS-4) - Total (unadjusted)
FavorableUnfavorable or ambiguousNo Effect
ParentChild+ vs. comparison, northeastern U.S., Study 2 full sample 24 months 141 children Unadjusted mean = 96.89 Unadjusted mean = 92.46 MD = 4.43 HomeVEE calculated = 0.32 Not statistically significant, p = 0.06 Primary
Moderate Tower Clean Up Task Duration (unadjusted)
FavorableUnfavorable or ambiguousNo Effect
ParentChild+ vs. comparison, northeastern U.S., Study 2 full sample 24 months 127 children Unadjusted mean = 57.66 Unadjusted mean = 51.89 MD = 5.77 HomeVEE calculated = 0.20 Not statistically significant, p = 0.27 Primary
Moderate Tower Clean Up Task Time to Start (unadjusted)
FavorableUnfavorable or ambiguousNo Effect
ParentChild+ vs. comparison, northeastern U.S., Study 2 full sample 24 months 142 children Unadjusted mean = 14.92 Unadjusted mean = 14.62 MD = 0.30 Study reported = 0.01 Not statistically significant, p = 0.95 Primary
Outcome Domain: Positive Parenting Practices
Rating Outcome Measure Effect Sample Timing of Follow-Up Sample Size Intervention Group Comparison Group Group Difference Effect Size Statistical Significance Outcome Type Notes
Moderate Parent as a Teacher Total (PAAT) (unadjusted)
FavorableUnfavorable or ambiguousNo Effect
ParentChild+ vs. comparison, northeastern U.S., Study 2 full sample 24 months 150 parents Unadjusted mean = 137.71 Unadjusted mean = 136.97 MD = 0.74 HomeVEE calculated = 0.09 Not statistically significant, p = 0.58 Secondary

Outcome Measure Summary

Outcome Domain: Child Development and School Readiness
Rating Outcome Measure Description of Measure Data Collection Method Properties of Measure Outcome Type Link to delete Content
High

Day Night Task (adjusted)

A measure of self-regulation and effortful control, child is shown a card with a day or night sky and asked to select opposite response of card shown. Children can earn 0-3 points per trial, and total score ranges from 0-30 for 10 trials.

Observed task

Not reported

Primary
High

Preschool Language Scale Fourth Edition (PLS-4) - Auditory (adjusted)

The PLS-4 is individually administered to assess language competence in children from birth to 6 years. The auditory comprehension subscale includes 48 items.

Standardized test

Internal reliability (r) = 0.86

Primary
High

Preschool Language Scale Fourth Edition (PLS-4) - Total (adjusted)

The PLS-4 is individually administered to assess language competence in children from birth to 6 years.

Standardized test

Internal reliability (r) = 0.93

Primary
High

Tower Clean Up Task Duration (adjusted)

A measure of child compliance, child is asked to put 18 blocks into a bag and timed, with a goal of completion within two minutes.

Observed task

Not reported

Primary
Moderate

Ages and Stages Questionnaire: Social-Emotional (ASQ: SE) (unadjusted)

A 30-item assessment for children aged 30 to 65 months. Measured domains include self-regulation, compliance, communication, adaptive functioning, autonomy, affect, and interaction with people.

Parent report

Cronbach's alpha = 0.78 (36-month) and 0.80 (48 month)

Primary
Moderate

Day Night Task (unadjusted)

A measure of self-regulation and effortful control, child is shown a card with a day or night sky and asked to select opposite response of card shown. Children can earn 0-3 points per trial, and total score ranges from 0-30 for 10 trials.

Observed task

Not reported

Primary
Moderate

Preschool Language Scale Fourth Edition (PLS-4) - Auditory (unadjusted)

The PLS-4 is individually administered to assess language competence in children from birth to 6 years. The auditory comprehension subscale includes 48 items.

Standardized test

Internal reliability (r) = 0.86

Primary
Moderate

Preschool Language Scale Fourth Edition (PLS-4) - Expressive (unadjusted)

The PLS-4 is individually administered to assess language competence in children from birth to 6 years. The expressive communication subscale includes 48 items.

Standardized test

Internal reliability (r) = 0.91

Primary
Moderate

Preschool Language Scale Fourth Edition (PLS-4) - Total (unadjusted)

The PLS-4 is individually administered to assess language competence in children from birth to 6 years.

Standardized test

Internal reliability (r) = 0.93

Primary
Moderate

Tower Clean Up Task Duration (unadjusted)

A measure of child compliance, child is asked to put 18 blocks into a bag and timed, with a goal of completion within two minutes.

Observed task

Not reported

Primary
Moderate

Tower Clean Up Task Time to Start (unadjusted)

A measure of child compliance, child is asked to put 18 blocks into a bag and timed.

Observed task

Not reported

Primary
Outcome Domain: Positive Parenting Practices
Rating Outcome Measure Description of Measure Data Collection Method Properties of Measure Outcome Type Link to delete Content
Moderate

Parent as a Teacher Total (PAAT) (unadjusted)

A 50-item questionnaire assessing parents' expectation of their child and attitudes about appropriate behavior.

Parent questionnaire

Cronbach's alpha = 0.60 and 0.70

Secondary