Family Spirit® Meets HHS Criteria Meets HHS criteria for an evidenced based model in tribal populations

Model effectiveness research report last updated: 2022

Effects shown in research

Maternal health

Findings rated high

Family Spirit®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
ASEBA - Externalizing
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted mean = 38.20 Adjusted mean = 40.70 Mean difference = -2.50 Study reported = -0.20 Statistically significant,
p = 0.04
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Negative value is favorable to the intervention.
ASEBA - Externalizing
FavorableUnfavorable or ambiguousNo Effect
6 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted mean = 40.09 Adjusted mean = 41.46 Mean difference = -1.37 Study reported = -0.13 Not statistically significant, p ≥ 0.05
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Negative value is favorable to the intervention.
ASEBA - Internalizing
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted mean = 41.48 Adjusted mean = 43.99 Mean difference = -2.51 Study reported = -0.19 Not statistically significant, p ≥ 0.05
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Negative value is favorable to the intervention.
ASEBA - Internalizing
FavorableUnfavorable or ambiguousNo Effect
6 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted mean = 43.80 Adjusted mean = 45.12 Mean difference = -1.32 Study reported = -0.12 Not statistically significant, p ≥ 0.05
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Negative value is favorable to the intervention.
ASEBA - Total Problems
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted mean = 38.01 Adjusted mean = 40.37 Mean difference = -2.36 Study reported = -0.18 Not statistically significant, p ≥ 0.05
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Negative value is favorable to the intervention.
ASEBA - Total Problems
FavorableUnfavorable or ambiguousNo Effect
6 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted mean = 40.27 Adjusted mean = 41.65 Mean difference = -1.38 Study reported = -0.13 Not statistically significant, p ≥ 0.05
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Negative value is favorable to the intervention.
CES-D
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted mean = 11.54 Adjusted mean = 13.41 Mean difference = -1.89 Study reported = -0.20 Not statistically significant, p ≥ 0.05
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Negative value is favorable to the intervention.
CES-D
FavorableUnfavorable or ambiguousNo Effect
2 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted mean = 13.06 Adjusted mean = 13.40 Mean difference = -0.34 Study reported = -0.07 Not statistically significant, p ≥ 0.05
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Negative value is favorable to the intervention.
CES-D
FavorableUnfavorable or ambiguousNo Effect
6 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted mean = 12.46 Adjusted mean = 13.41 Mean difference = -0.95 Study reported = -0.16 Not statistically significant, p ≥ 0.05
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Negative value is favorable to the intervention.
POSIT Mental Health
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted mean = 2.77 Adjusted mean = 2.91 Mean difference = -0.14 Study reported = -0.04 Not statistically significant, p ≥ 0.05
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Negative value is favorable to the intervention.
POSIT Mental Health
FavorableUnfavorable or ambiguousNo Effect
2 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted mean = 3.23 Adjusted mean = 3.56 Mean difference = -0.33 Study reported = -0.13 Not statistically significant, p ≥ 0.05
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Negative value is favorable to the intervention.
POSIT Mental Health
FavorableUnfavorable or ambiguousNo Effect
6 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted mean = 3.05 Adjusted mean = 3.30 Mean difference = -0.25 Study reported = -0.09 Not statistically significant, p ≥ 0.05
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Negative value is favorable to the intervention.
POSIT Substance Abuse
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted mean = 0.13 Adjusted mean = 0.45 Mean difference = -0.32 Study reported = -0.13 Not statistically significant, p ≥ 0.05
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Negative value is favorable to the intervention.
POSIT Substance Abuse
FavorableUnfavorable or ambiguousNo Effect
2 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted mean = 0.56 Adjusted mean = 0.61 Mean difference = -0.05 Study reported = -0.03 Not statistically significant, p ≥ 0.05
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Negative value is favorable to the intervention.
POSIT Substance Abuse
FavorableUnfavorable or ambiguousNo Effect
6 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted mean = 0.39 Adjusted mean = 0.55 Mean difference = -0.16 Study reported = -0.08 Not statistically significant, p ≥ 0.05
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Negative value is favorable to the intervention.
Alcohol - past 30 days, use of
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted % = 25.77 Adjusted mean % = 21.55 OR = 1.14 HomVEE calculated = 0.14 Not statistically significant, p ≥ 0.05
Submitted by user on
Negative value is favorable to the intervention.
Alcohol - past 30 days, use of
FavorableUnfavorable or ambiguousNo Effect
2 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted % = 17.92 Adjusted mean % = 17.81 OR = 0.80 HomVEE calculated = 0.00 Not statistically significant, p ≥ 0.05
Submitted by user on
Negative value is favorable to the intervention.
Alcohol - past 30 days, use of
FavorableUnfavorable or ambiguousNo Effect
6 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted % = 16.88 Adjusted mean % = 20.02 OR = 0.71 HomVEE calculated = -0.13 Not statistically significant, p ≥ 0.05
Submitted by user on
Negative value is favorable to the intervention.
Any alcohol or illegal drug - past 30 days, use of
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted % = 38.93 Adjusted mean % = 34.64 OR = 1.07 HomVEE calculated = 0.11 Not statistically significant, p ≥ 0.05
Submitted by user on
Negative value is favorable to the intervention.
Any alcohol or illegal drug - past 30 days, use of
FavorableUnfavorable or ambiguousNo Effect
2 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted % = 32.91 Adjusted mean % = 29.11 OR = 1.04 HomVEE calculated = 0.11 Not statistically significant, p ≥ 0.05
Submitted by user on
Negative value is favorable to the intervention.
Any alcohol or illegal drug - past 30 days, use of
FavorableUnfavorable or ambiguousNo Effect
6 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted % = 27.74 Adjusted mean % = 30.78 OR = 0.76 HomVEE calculated = -0.09 Not statistically significant, p ≥ 0.05
Submitted by user on
Negative value is favorable to the intervention.
Any illegal drug - past 30 days, use of
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted % = 21.34 Adjusted mean % = 21.90 OR = 0.83 HomVEE calculated = -0.02 Not statistically significant, p ≥ 0.05
Submitted by user on
Negative value is favorable to the intervention.
Any illegal drug - past 30 days, use of
FavorableUnfavorable or ambiguousNo Effect
2 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted % = 22.89 Adjusted mean % = 21.92 OR = 0.93 HomVEE calculated = 0.03 Not statistically significant, p ≥ 0.05
Submitted by user on
Negative value is favorable to the intervention.
Marijuana - past 30 days, use of
FavorableUnfavorable or ambiguousNo Effect
12 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted % = 18.91 Adjusted mean % = 19.65 OR = 0.83 HomVEE calculated = -0.03 Not statistically significant, p ≥ 0.05
Submitted by user on
Negative value is favorable to the intervention.
Marijuana - past 30 days, use of
FavorableUnfavorable or ambiguousNo Effect
2 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted % = 20.63 Adjusted mean % = 21.02 OR = 0.87 HomVEE calculated = -0.01 Not statistically significant, p ≥ 0.05
Submitted by user on
Negative value is favorable to the intervention.
Marijuana - past 30 days, use of
FavorableUnfavorable or ambiguousNo Effect
6 months Family Spirit RCT, 2006-2008 sample 322 mothers Adjusted % = 12.39 Adjusted mean % = 18.83 OR = 0.57 HomVEE calculated = -0.30 Not statistically significant, p ≥ 0.05
Submitted by user on
Negative value is favorable to the intervention.
Family Spirit®
Show findings details
Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
ASEBA Externalizing (T-score)
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Full 322 mothers Adjusted mean = 41.35 Adjusted mean = 42.58 Mean difference = -1.23 Study reported = 0.14 Statistically significant, p = 0.05
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Negative value is favorable to the intervention.
ASEBA Internalizing (T-score)
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Full 322 mothers Adjusted mean = 42.89 Adjusted mean = 43.72 Mean difference = -0.83 Study reported = 0.09 Not statistically significant, p = 0.22
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Negative value is favorable to the intervention.
ASEBA Total Problems (T-score)
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Full 322 mothers Adjusted mean = 40.51 Adjusted mean = 41.36 Mean difference = -0.86 Study reported = 0.10 Not statistically significant, p = 0.18
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Negative value is favorable to the intervention.
CES-D score (0-60)
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Full 322 mothers Adjusted mean = 12.48 Adjusted mean = 13.65 Mean difference = -1.17 Study reported = 0.16 Statistically significant, p = 0.01
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Negative value is favorable to the intervention.
Alcohol use in past 30 days (proportion)
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Full 322 mothers Unadjusted mean = 0.17 Unadjusted mean = 0.16 Mean difference = 0.01 HomVEE calculated = 0.04 Not statistically significant, p = 0.67
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Lower values favor the intervention
Any illegal drug use in past 30 days (proportion)
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Full 322 mothers Unadjusted mean = 0.12 Unadjusted mean = 0.17 Mean difference = -0.05 HomVEE calculated = -0.24 Statistically significant, p = 0.01
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Lower values favor the intervention
Marijuana use in past 30 days (proportion)
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Full 322 mothers Unadjusted mean = 0.11 Unadjusted mean = 0.16 Mean difference = -0.05 HomVEE calculated = -0.26 Statistically significant, p = 0.01
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Lower values favor the intervention
Parenting stress index (range 0-180)
FavorableUnfavorable or ambiguousNo Effect
2006-2008 sample, 3 years postpartum Full 322 mothers Adjusted mean = 75.53 Adjusted mean = 79.10 Mean difference = -3.57 Study reported = 0.18 Not statistically significant, p = 0.10
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Negative value is favorable to the intervention.

Findings rated moderate

Family Spirit®
Show findings details
Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Alcohol in last month - 12 months
FavorableUnfavorable or ambiguousNo Effect
12 months postpartum Mothers enrolled 2002-2004 82 mothers Adjusted mean % = 19.00 Adjusted mean % = 13.00 OR = 1.54 HomVEE calculated = 0.25 Not statistically significant,
p = >=.10
Alcohol in last month - 2 months
FavorableUnfavorable or ambiguousNo Effect
2 months postpartum Mothers enrolled 2002-2004 125 mothers Adjusted mean % = 11.00 Adjusted mean % = 7.00 OR = 1.52 HomVEE calculated = 0.30 Not statistically significant,
p = >=.10
Alcohol in last month - 6 months
FavorableUnfavorable or ambiguousNo Effect
6 months postpartum Mothers enrolled 2002-2004 115 mothers Adjusted mean % = 12.00 Adjusted mean % = 6.00 OR = 2.19 HomVEE calculated = 0.39 Not statistically significant,
p = >=.10
Change in depressive symptoms (CES-D) - 2 months
FavorableUnfavorable or ambiguousNo Effect
2 months postpartum Mothers enrolled 2002-2004 125 mothers Adjusted mean = -2.00 Adjusted mean = -3.30 coeff = 0.05 HomVEE calculated = 0.12 Not statistically significant,
p = >=.10
Change in depressive symptoms (CES-D) - 6 months
FavorableUnfavorable or ambiguousNo Effect
6 months postpartum Mothers enrolled 2002-2004 115 mothers Adjusted mean = -4.00 Adjusted mean = -4.00 coeff = -0.58 HomVEE calculated = 0.00 Not statistically significant,
p = >=.10
Change in depressive symptoms (CES-D)- 12 months
FavorableUnfavorable or ambiguousNo Effect
12 months postpartum Mothers enrolled 2002-2004 82 mothers Adjusted mean = -3.10 Adjusted mean = -2.00 coeff = -1.69 HomVEE calculated = -0.10 Not statistically significant,
p = >=.10
Change in social support - 12 months
FavorableUnfavorable or ambiguousNo Effect
12 months postpartum Mothers enrolled 2002-2004 82 mothers Adjusted mean = 0.50 Adjusted mean = -2.20 coeff = 1.98 HomVEE calculated = 0.13 Not statistically significant,
p = >=.10
Change in social support - 2 months
FavorableUnfavorable or ambiguousNo Effect
2 months postpartum Mothers enrolled 2002-2004 125 mothers Adjusted mean = -0.40 Adjusted mean = -1.70 coeff = -0.21 HomVEE calculated = 0.07 Not statistically significant,
p = >=.10
Change in social support - 6 months
FavorableUnfavorable or ambiguousNo Effect
6 months postpartum Mothers enrolled 2002-2004 115 mothers Adjusted mean = -3.70 Adjusted mean = -2.50 coeff = -0.98 HomVEE calculated = -0.06 Not statistically significant,
p = >=.10
Cigarette in last month - 12 months
FavorableUnfavorable or ambiguousNo Effect
12 months postpartum Mothers enrolled 2002-2004 82 mothers Adjusted mean % = 19.00 Adjusted mean % = 15.00 OR = 1.27 HomVEE calculated = 0.14 Not statistically significant,
p = >=.10
Cigarette in last month - 2 months
FavorableUnfavorable or ambiguousNo Effect
2 months postpartum Mothers enrolled 2002-2004 125 mothers Adjusted mean % = 13.00 Adjusted mean % = 17.00 OR = 0.74 HomVEE calculated = -0.19 Not statistically significant,
p = >=.10
Cigarette in last month - 6 months
FavorableUnfavorable or ambiguousNo Effect
6 months postpartum Mothers enrolled 2002-2004 115 mothers Adjusted mean % = 22.00 Adjusted mean % = 13.00 OR = 2.06 HomVEE calculated = 0.35 Not statistically significant,
p = >=.10
Illegal substance in last month - 12 months
FavorableUnfavorable or ambiguousNo Effect
12 months postpartum Mothers enrolled 2002-2004 82 mothers Adjusted mean % = 16.00 Adjusted mean % = 9.00 OR = 2.37 HomVEE calculated = 0.41 Not statistically significant,
p = >=.10
Illegal substance in last month - 2 months
FavorableUnfavorable or ambiguousNo Effect
2 months postpartum Mothers enrolled 2002-2004 125 mothers Adjusted mean % = 13.00 Adjusted mean % = 7.00 OR = 2.02 HomVEE calculated = 0.41 Not statistically significant,
p = >=.10
Illegal substance in last month - 6 months
FavorableUnfavorable or ambiguousNo Effect
6 months postpartum Mothers enrolled 2002-2004 115 mothers Adjusted mean % = 7.00 Adjusted mean % = 3.00 OR = 2.57 HomVEE calculated = 0.49 Not statistically significant,
p = >=.10
Parenting stress index - 12 months
FavorableUnfavorable or ambiguousNo Effect
12 months postpartum Mothers enrolled 2002-2004 82 mothers Adjusted mean = 62.60 Adjusted mean = 60.40 coeff = 3.91 HomVEE calculated = 0.14 Not statistically significant,
p = >=.10
Parenting stress index - 2 months
FavorableUnfavorable or ambiguousNo Effect
2 months postpartum Mothers enrolled 2002-2004 125 mothers Adjusted mean = 62.30 Adjusted mean = 66.80 coeff = -3.31 HomVEE calculated = -0.26 Not statistically significant,
p = >=.10
Parenting stress index - 6 months
FavorableUnfavorable or ambiguousNo Effect
6 months postpartum Mothers enrolled 2002-2004 115 mothers Adjusted mean = 63.30 Adjusted mean = 64.10 coeff = 1.01 HomVEE calculated = -0.05 Not statistically significant,
p = >=.10
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