WWHV061793

Green, B. L., Sanders, M. B., & Tarte, J. (2017). Using administrative data to evaluate the effectiveness of the Healthy Families Oregon home visiting program: 2–year impacts on child maltreatment & service utilization. Children and Youth Services Review, 75, 77–86.
Citation Year
2017
Rating
Used in Implementation Reports
On
Study Participants
Healthy Families Oregon staff who visited hospitals and clinics serving pregnant women screened families for eligibility. Eligible families were English-speaking, first-time parents with a child under 90 days old and identified as high-risk on a standardized screening tool (the New Baby Questionnaire [NBQ]). Parents who scored positive for substance abuse or depression, or a combination of two other parent and child risks (such as lack of comprehensive prenatal care or single-parent status) were determined to be high risk. The NBQ was used to screen 8,520 first-time parents, and 2,727 of these parents were found eligible and randomized to either the home visiting program or a control group (1,438 and 1,289, respectively). Enrollment took place between February 2010 and February 2012. Families were randomized in seven home visiting program sites in Oregon. At randomization, between 57 and 60 percent of families were white, non-Hispanic; 24 to 27 percent were Hispanic/Latino; and 15 to 16 percent were another race. Parents were, on average, 22 years old, and between 31 and 33 percent lacked a high school diploma or equivalent. Both parents were unemployed in between 35 and 37 percent of families. Outcomes were assessed using state administrative data matched to mother and child at two years following study enrollment for an analytic sample of 1,427 families in the intervention group and 1,280 families in the comparison group.
Setting
This study took place in seven Healthy Families Oregon sites that were oversubscribed, three of which served primarily rural communities and four of which served mixed urban and rural communities.
Home Visiting Services
Healthy Families Oregon is an accredited state home visiting program based on the HFA model. Families enroll prenatally or up to 90 days after birth and receive home visiting services through the child’s third birthday. Families receive weekly individualized home visits for at least six months that typically focus on child development and positive parent-child interactions. Families also receive case management services that identify their needs and link them to relevant services. Intervention uptake was low; of those assigned to the home-visiting group, only 44 percent received at least one home visit.In addition, all families in the study received brochures on parenting and child development, information about community resources, books, videos, and other small gifts.
Comparison Conditions
Families assigned to the comparison condition were not eligible to receive home visiting services through the Healthy Families Oregon program. However, they did receive brochures on parenting and child development, information about community resources, books, videos, and other small gifts.
Staff Characteristics and Training
Not specified.
Author Affiliation
None of the study authors are developers of the program model.
Funding Sources
The research was funded by the U.S. Department of Health and Human Services, Children’s Bureau (grant number 90CA1782).
Study Reg
Clinicaltrials.gov Identifier: None found. Study registration was assessed by HomVEE beginning with the 2014 review.
Attrition
Low
Reassignment
None
Citation short
Green, B. L., Sanders, M. B., & Tarte, J. (2017)
Confounding Factors
None
Baseline Equivalence
Established on race and ethnicity; established on SES; outcomes not feasible to assess at baseline
Screening Decision
Passes screens
Design Detail
Randomized controlled trial