WWHV080111

Green, B., Sanders, M. B., & Tarte, J. M. (2018). Effects of home visiting program implementation on preventive health care access and utilization: Results from a randomized trial of Healthy Families Oregon. Advance online publication. Prevention Science. https://doi.org/10.1007/s11121-018-0964-8

Citation Year
2018
Rating
Used in Implementation Reports
Off
Study Participants

Families were eligible to participate if they were first-time parents and considered to be at high risk for child maltreatment based on the NBQ. The questionnaire defined high risk as having two or more risk factors on the NBQ; for example, being a teenage parent, having symptoms of depression, or having less than a high school education. The program screened a total of 8,520 parents using the NBQ and found 4,646 eligible. The final sample consisted of 2,727 parents (others declined participation, could not be located, or received a study wavier allowing them to bypass random assignment). The program randomly assigned a total of 1,438 parents to the HFO program and 1,289 to the comparison group. At enrollment, 61.6 percent of parents (99.5 percent of whom were mothers) identified as White, 26.9 percent as Hispanic, 2.3 percent as Asian/Pacific Islander, and 6.5 percent as multiracial. About one-third (32.3 percent) had less than a high school education.

Setting

The study took place in seven Healthy Families Oregon program sites, 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 that uses the Healthy Families America program model. Families enroll prenatally or up to 90 days after birth and receive home visiting services through the childrens third birthday. Families receive weekly individualized home visits for at least six months that typically focus on child development and positive parentchild interactions. Families also receive case management services that identify their needs and link them to relevant services. Intervention take-up was low; of those assigned to the home-visiting group, only 44 percent received at least one home visit.

Comparison Conditions

Families assigned to the comparison group were not eligible to receive home-visiting services through the HFO program.

Staff Characteristics and Training

Not specified.

Author Affiliation

None of the study authors are developers of the program model.

Funding Sources

The study was funded by the U.S. Department of Health and Human Services, Children's Bureau (grant no. 90CA1782).

Study Reg

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

Attrition
Low
Reassignment
None
Confounding Factors
None
Baseline Equivalence
Established on race/ethnicity and SES; outcomes not feasible to assess at baseline
Disposition
Study passes screens
Screening Decision
Passes screens