Family Check-Up® For Children Meets HHS Criteria

Model effectiveness research report last updated: 2021

Effects shown in research

Child development and school readiness

Findings rated high

Family Check-Up® For Children
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Remaining in “normal” (no externalizing or internalizing), age 2 to 3
FavorableUnfavorable or ambiguousNo Effect
Age 3 Early Steps Multisite Study Sample Not available Not available Not available OR = 3.75 Not available Not available
Remaining in “normal” (no externalizing or internalizing), age 3 to 4
FavorableUnfavorable or ambiguousNo Effect
Age 4 Early Steps Multisite Study Sample Not available Not available Not available OR = 1.94 Not available Not available
Transition from comorbid (externalizing and internalizing) at age 2 to “normal” at age 3
FavorableUnfavorable or ambiguousNo Effect
Age 3 Early Steps Multisite Study Sample Not available Not available Not available OR = 60.42 Not available Not available
Transition from comorbid (externalizing and internalizing) at age 3 to “normal” at age 4
FavorableUnfavorable or ambiguousNo Effect
Age 4 Early Steps Multisite Study Sample Not available Not available Not available OR = 167.80 Not available Not available
Transition from externalizing at age 2 to “normal” at age 3
FavorableUnfavorable or ambiguousNo Effect
Age 3 Early Steps Multisite Study Sample Not available Not available Not available OR = 0.89 Not available Not available
Transition from externalizing at age 3 to “normal” at age 4
FavorableUnfavorable or ambiguousNo Effect
Age 4 Early Steps Multisite Study Sample Not available Not available Not available OR = 0.89 Not available Not available
Transition from internalizing at age 2 to “normal” at age 3
FavorableUnfavorable or ambiguousNo Effect
Age 3 Early Steps Multisite Study Sample Not available Not available Not available OR = 1.01 Not available Not available
Transition from internalizing at age 3 to “normal” at age 4
FavorableUnfavorable or ambiguousNo Effect
Age 4 Early Steps Multisite Study Sample Not available Not available Not available OR = 9.35 Not available Not available
Family Check-Up® For Children
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Inhibitory control, Age 3, SEM
FavorableUnfavorable or ambiguousNo Effect
Age 3 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 731 children Not reported Not reported Not reported Not available Not statistically significant, p ≥ 0.05
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Authors used structural equation models to estimate the impact, and reported an estimate, coefficient, standard error, and p-value.
Language skills, Age 3, SEM
FavorableUnfavorable or ambiguousNo Effect
Age 3 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 731 children Not reported Not reported Not reported Not available Not statistically significant, p ≥ 0.05
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Authors used structural equation models to estimate the impact, and reported an estimate, coefficient, standard error, and p-value.
Family Check-Up® For Children
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Child Behavior Checklist (CBCL) Externalizing, Age 3, Correlation
FavorableUnfavorable or ambiguousNo Effect
Age 3 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 651 children Not reported Not reported Not reported Not available Not statistically significant, p ≥ 0.05
Child Behavior Checklist (CBCL) Externalizing, Age 4, Correlation
FavorableUnfavorable or ambiguousNo Effect
Age 4 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 619 children Not reported Not reported Not reported Not available Statistically significant, p<0.05
Child Behavior Checklist (CBCL) Internalizing, Age 3, Correlation
FavorableUnfavorable or ambiguousNo Effect
Age 3 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 651 children Not reported Not reported Not reported Not available Not statistically significant, p ≥ 0.05
Child Behavior Checklist (CBCL) Internalizing, Age 4, Correlation
FavorableUnfavorable or ambiguousNo Effect
Age 4 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 619 children Not reported Not reported Not reported Not available Statistically significant, p<0.05
Eyeberg Child Behavior Inventory Problem Score, Age 3, Correlation
FavorableUnfavorable or ambiguousNo Effect
Age 3 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 642 children Not reported Not reported Not reported Not available Not statistically significant, p ≥ 0.05
Eyeberg Child Behavior Inventory Problem Score, Age 4, Correlation
FavorableUnfavorable or ambiguousNo Effect
Age 4 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 616 children Not reported Not reported Not reported Not available Statistically significant, p<0.05
Growth in Child Behavior Checklist (CBCL) Externalizing from ages 2 to 4, Latent growth model
FavorableUnfavorable or ambiguousNo Effect
Ages 3 and 4 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 731 children Not reported Not reported Not reported Study reported = 0.23 Statistically significant, p<0.051
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Authors used a latent growth model to estimate the impact, and reported a coefficient, standard error, and effect size.
Growth in Child Behavior Checklist (CBCL) Internalizing from ages 2 to 4, Latent growth model
FavorableUnfavorable or ambiguousNo Effect
Ages 3 and 4 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 731 children Not reported Not reported Not reported Study reported = 0.21 Statistically significant, p<0.051
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Authors used a latent growth model to estimate the impact, and reported a coefficient, standard error, and effect size.
Growth in Eyeberg Child Behavior Inventory Problem Score from ages 2 to 4, Latent growth model
FavorableUnfavorable or ambiguousNo Effect
Ages 3 and 4 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 731 mothers Not reported Not reported Not reported Study reported = 0.23 Statistically significant, p<0.051
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Authors used a latent growth model to estimate the impact, and reported a coefficient, standard error, and effect size.
Family Check-Up® For Children
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
CBCL Aggression Scale (Revised version for age 4 follow-up)
FavorableUnfavorable or ambiguousNo Effect
Age 3 and Age 4 Pittsburgh sample 92 children Mean at age 3 = 9.85 (SD 4.04). Mean at age 4 = 6.96, (SD 4.76) = 9.85 Mean = 8.93 Difference = -1.16 HomVEE calculated = 30.22 Not statistically significant, p ≥ 0.05
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HomVEE calculated the difference in growth rates as the change over time (mean at age 4 minus mean at age 3) for the program group minus the change over time for the comparison group.

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Statistical significance is based on the results of the authors’ analysis using a two-way repeated measures analysis of variance.

CBCL Destructive Scale (Revised version for age 4 follow-up)
FavorableUnfavorable or ambiguousNo Effect
Age 3 and Age 4 Pittsburgh sample 92 children Mean at age 3 = 2.66 (SD 1.82), Mean at age 4 = 1.87 (SD 1.87) = 2.66 Mean = 3.21 Difference = 0.15 HomVEE calculated = 3.00 Not statistically significant, p ≥ 0.05
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Statistical significance is based on the results of the authors’ analysis using a two-way repeated measures analysis of variance.

CBCL Physical Aggression
FavorableUnfavorable or ambiguousNo Effect
Age 3 and Age 4 Pittsburgh sample 92 children Mean at age 3=0.96, (SD=1.07). Mean at age 4=0.65, (SD= 0.95). = 0.96 Mean = 0.67 Difference = -0.42 HomVEE calculated = 30.27 Statistical significance not reported
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HomVEE calculated the difference in growth rates as the change over time (mean at age 4 minus mean at age 3) for the program group minus the change over time for the comparison group.

Family Check-Up® For Children
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Child Behavior Checklist (CBCL) Oppositional/Aggressive, Age 5, Correlation
FavorableUnfavorable or ambiguousNo Effect
Age 5 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 614 families Not reported Not reported Not reported Not available Not statistically significant, p ≥ 0.05
Child Behavior Checklist (CBCL) Oppositional/Aggressive, Age 5, T-test
FavorableUnfavorable or ambiguousNo Effect
Age 5 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 614 families Unadjusted mean = 0.43 Unadjusted mean = 0.47 Mean difference = -0.04 HomVEE calculated = 0.11 Not statistically significant, p ≥ 0.05
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Negative value is favorable to the intervention.

Findings rated moderate

Family Check-Up® For Children
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Child Behavior Checklist (CBCL) Externalizing, Age 3, Mean and SD
FavorableUnfavorable or ambiguousNo Effect
Age 3 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 651 children Unadjusted mean = 55.83 Unadjusted mean = 56.11 Mean difference = -0.28 HomVEE calculated = -0.03 Not statistically significant, p=0.70
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Negative value is favorable to the intervention.
Child Behavior Checklist (CBCL) Externalizing, Age 4, Mean and SD
FavorableUnfavorable or ambiguousNo Effect
Age 4 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 619 children Unadjusted mean = 52.68 Unadjusted mean = 54.67 Mean difference = -1.99 HomVEE calculated = -0.19 Statistically significant, p=0.02
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Negative value is favorable to the intervention.
Child Behavior Checklist (CBCL) Externalizing, Ages 3 and 4, Latent growth model
FavorableUnfavorable or ambiguousNo Effect
Ages 3 and 4 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 723 children Not reported Not reported Not reported Not available Statistically significant, p<0.052
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Authors used a latent growth model to estimate the impact.
Eyeberg Child Behavior Inventory Problem Score, Age 3, Mean and SD
FavorableUnfavorable or ambiguousNo Effect
Age 3 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 642 children Unadjusted mean = 59.18 Unadjusted mean = 60.06 Mean difference = -0.88 HomVEE calculated = -0.08 Not statistically significant, p=0.28
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Negative value is favorable to the intervention.
Eyeberg Child Behavior Inventory Problem Score, Age 4, Mean and SD
FavorableUnfavorable or ambiguousNo Effect
Age 4 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 616 children Unadjusted mean = 58.64 Unadjusted mean = 60.63 Mean difference = -1.99 HomVEE calculated = -0.18 Statistically significant, p=0.03
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Negative value is favorable to the intervention.
Eyeberg Child Behavior Inventory Problem Score, Ages 3 and 4, Latent growth model
FavorableUnfavorable or ambiguousNo Effect
Ages 3 and 4 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 723 children Not reported Not reported Not reported Not available Statistically significant, p<0.052
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Authors used a latent growth model to estimate the impact.
Family Check-Up® For Children
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Inhibitory control intercept, Ages 2-4, Preliminary conditional growth model
FavorableUnfavorable or ambiguousNo Effect
Ages 2-4 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 720 children Not reported Not reported Not reported Not available Not statistically significant, p>0.051
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Authors used a preliminary conditional growth model and reported a coefficient, standard error, and p-value.
Inhibitory control slope, Ages 2-4, Preliminary conditional growth model
FavorableUnfavorable or ambiguousNo Effect
Ages 2-4 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 720 children Not reported Not reported Not reported Not available Not statistically significant, p>0.051
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Authors used a preliminary conditional growth model and reported a coefficient, standard error, and p-value.
Inhibitory control, Age 3, Correlation
FavorableUnfavorable or ambiguousNo Effect
Age 3 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 645 children Not reported Not reported Not reported Not available Not statistically significant, p ≥ 0.05
Inhibitory control, Age 4, Correlation
FavorableUnfavorable or ambiguousNo Effect
Age 4 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 622 children Not reported Not reported Not reported Not available Not statistically significant, p ≥ 0.05
Family Check-Up® For Children
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Child Behavior Checklist (CBCL) Oppositional/Aggressive, Age 3, Correlation
FavorableUnfavorable or ambiguousNo Effect
Age 3 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 657 children Not reported Not reported Not reported Not available Not statistically significant, p ≥ 0.05
Child Behavior Checklist (CBCL) Oppositional/Aggressive, Age 4, Correlation
FavorableUnfavorable or ambiguousNo Effect
Age 4 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 627 children Not reported Not reported Not reported Not available Not statistically significant, p ≥ 0.05
Child Behavior Checklist (CBCL) Oppositional/Aggressive, Age 5, Correlation
FavorableUnfavorable or ambiguousNo Effect
Age 5 WIC sites in Pittsburgh, PA, Eugene, OR, and Charlottesville, VA 612 children Not reported Not reported Not reported Not available Not statistically significant, p ≥ 0.05
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