Healthy Families America (HFA)^®

Model effectiveness research report last updated: 2020

Effects shown in research

Reductions in juvenile delinquency, family violence, and crime

Findings rated high

Duggan, A., Fuddy, L., Burrell, L., Higman, S. M., McFarlane, E., Windham, A., et al. (2004). Randomized trial of a statewide home visiting program to prevent child abuse: Impact in reducing parental risk factors. Child Abuse & Neglect, 28(6), 623–643.

Healthy Families America (HFA)^®

Show findings details

Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance	Notes
Partner incident resulting in injury (CTS)	FavorableUnfavorable or ambiguousNo Effect	Year 1	Full sample, Hawaii trial	564 mothers	% = 24.00	% = 26.00	= -2.00	HomVEE calculated = -0.06	Not statistically significant, p ≥ 0.05	HomVEE calculated significance Submitted by nwu on Fri, 04/12/2019 - 18:31 Statistical significance is based on HomVEE calculations.
Partner incident resulting in injury (CTS)	FavorableUnfavorable or ambiguousNo Effect	Year 2	Full sample, Hawaii trial	556 mothers	% = 14.00	% = 20.00	= -6.00	HomVEE calculated = -0.26	Statistically significant, p < 0.05	HomVEE calculated significance Submitted by nwu on Fri, 04/12/2019 - 18:31 Statistical significance is based on HomVEE calculations.
Partner incident resulting in injury (CTS)	FavorableUnfavorable or ambiguousNo Effect	Year 3	Full sample, Hawaii trial	548 mothers	% = 17.00	% = 18.00	= -1.00	HomVEE calculated = -0.04	Not statistically significant, p ≥ 0.05	HomVEE calculated significance Submitted by nwu on Fri, 04/12/2019 - 18:31 Statistical significance is based on HomVEE calculations.
Partner incident resulting in injury (CTS)	FavorableUnfavorable or ambiguousNo Effect	Years 1-3	Full sample, Hawaii trial	564 mothers	% = 24.00	% = 26.00	OR = 0.81	Not available	Not statistically significant, p ≥ 0.05
Partner physical abuse (CTS)	FavorableUnfavorable or ambiguousNo Effect	Year 1	Full sample, Hawaii trial	564 mothers	% = 37.00	% = 42.00	= -5.00	HomVEE calculated = -0.13	Not statistically significant, p ≥ 0.05	HomVEE calculated significance Submitted by nwu on Fri, 04/12/2019 - 18:31 Statistical significance is based on HomVEE calculations.
Partner physical abuse (CTS)	FavorableUnfavorable or ambiguousNo Effect	Year 2	Full sample, Hawaii trial	556 mothers	% = 26.00	% = 32.00	= -6.00	HomVEE calculated = -0.18	Statistically significant, p < 0.05	HomVEE calculated significance Submitted by nwu on Fri, 04/12/2019 - 18:31 Statistical significance is based on HomVEE calculations.
Partner physical abuse (CTS)	FavorableUnfavorable or ambiguousNo Effect	Year 3	Full sample, Hawaii trial	548 mothers	% = 29.00	% = 30.00	= -1.00	HomVEE calculated = -0.03	Not statistically significant, p ≥ 0.05	HomVEE calculated significance Submitted by nwu on Fri, 04/12/2019 - 18:31 Statistical significance is based on HomVEE calculations.
Partner physical abuse (CTS)	FavorableUnfavorable or ambiguousNo Effect	Years 1-3	Full sample, Hawaii trial	564 mothers	% = 37.00	% = 42.00	OR = 0.83	Not available	Not statistically significant, p ≥ 0.05
Partner psychological abuse (CTS)	FavorableUnfavorable or ambiguousNo Effect	Year 1	Full sample, Hawaii trial	564 mothers	% = 49.00	% = 49.00	= 0.00	HomVEE calculated = 0.00	Not statistically significant, p ≥ 0.05	HomVEE calculated significance Submitted by nwu on Fri, 04/12/2019 - 18:31 Statistical significance is based on HomVEE calculations.
Partner psychological abuse (CTS)	FavorableUnfavorable or ambiguousNo Effect	Year 2	Full sample, Hawaii trial	556 mothers	% = 42.00	% = 42.00	= 0.00	HomVEE calculated = 0.00	Not statistically significant, p ≥ 0.05	HomVEE calculated significance Submitted by nwu on Fri, 04/12/2019 - 18:31 Statistical significance is based on HomVEE calculations.
Partner psychological abuse (CTS)	FavorableUnfavorable or ambiguousNo Effect	Year 3	Full sample, Hawaii trial	548 mothers	% = 42.00	% = 38.00	= -4.00	HomVEE calculated = 0.10	Not statistically significant, p ≥ 0.05	HomVEE calculated significance Submitted by nwu on Fri, 04/12/2019 - 18:31 Statistical significance is based on HomVEE calculations.
Partner psychological abuse (CTS)	FavorableUnfavorable or ambiguousNo Effect	Years 1-3	Full sample, Hawaii trial	564 mothers	% = 49.00	% = 49.00	OR = 1.05	Not available	Not statistically significant, p ≥ 0.05	footnote51 Submitted by user on Fri, 03/15/2019 - 14:29 Adjusted odds ratios are based on the average effect across all follow-up years.

Landsverk, J., Carrilio, T., Connelly, C. D., Ganger, W., Slymen, D., Newton, R., et al. (2002). Healthy Families San Diego clinical trial: Technical report. San Diego, CA: The Stuart Foundation, California Wellness Foundation, State of California Department of Social Services: Office of Child Abuse Prevention.

Healthy Families America (HFA)^®

Show findings details

Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance
Family court	FavorableUnfavorable or ambiguousNo Effect	Year 1	Full sample, San Diego trial	422 families	% = 11.00	% = 10.00	= 1.00	HomVEE calculated = 0.06	Not statistically significant, p ≥ 0.05
Family court	FavorableUnfavorable or ambiguousNo Effect	Year 3	Full sample, San Diego trial	382 families	% = 10.00	% = 7.00	= 3.00	HomVEE calculated = 0.24	Not statistically significant, p ≥ 0.05
Incident of physical assault, frequency (CTS)	FavorableUnfavorable or ambiguousNo Effect	Year 1	Full sample, San Diego trial	422 families	Mean = 24.70	Mean = 2.20	Mean difference = -0.20	HomVEE calculated = -0.04	Not statistically significant, p ≥ 0.05
Incident of physical assault, frequency (CTS)	FavorableUnfavorable or ambiguousNo Effect	Year 3	Full sample, San Diego trial	382 families	Mean = 0.93	Mean = 0.87	Mean difference = 0.06	HomVEE calculated = 0.02	Not statistically significant, p ≥ 0.05
Incident of physical assault, prevalence (CTS)	FavorableUnfavorable or ambiguousNo Effect	Year 1	Full sample, San Diego trial	422 families	% = 36.00	% = 39.00	= -3.00	HomVEE calculated = -0.08	Not statistically significant, p ≥ 0.05
Incident of physical assault, prevalence (CTS)	FavorableUnfavorable or ambiguousNo Effect	Year 3	Full sample, San Diego trial	382 families	% = 18.00	% = 17.00	= 1.00	HomVEE calculated = 0.04	Not statistically significant, p ≥ 0.05
Partner violence resulting in injury (CTS)	FavorableUnfavorable or ambiguousNo Effect	Year 1	Full sample, San Diego trial	422 families	% = 15.00	% = 15.00	= 1.00	HomVEE calculated = 0.00	Not statistically significant, p ≥ 0.05
Partner violence resulting in injury (CTS)	FavorableUnfavorable or ambiguousNo Effect	Year 3	Full sample, San Diego trial	382 families	% = 8.00	% = 6.00	= 2.00	HomVEE calculated = 0.19	Not statistically significant, p ≥ 0.05
Restraining order	FavorableUnfavorable or ambiguousNo Effect	Year 1	Full sample, San Diego trial	422 families	% = 7.00	% = 7.00	= 0.00	HomVEE calculated = 0.00	Not statistically significant, p ≥ 0.05
Restraining order	FavorableUnfavorable or ambiguousNo Effect	Year 3	Full sample, San Diego trial	382 families	% = 6.00	% = 4.00	= 2.00	HomVEE calculated = 0.26	Not statistically significant, p ≥ 0.05

Bair-Merritt, M. H., Jennings, J. M., Chen, R., Burrell, L., McFarlane, E., Fuddy, L., et al. (2010). Reducing maternal intimate partner violence after the birth of a child: A randomized controlled trial of the Hawaii Healthy Start home visitation program. Archives of Pediatrics and Adolescent Medicine, 164(1), 16–23.

Healthy Families America (HFA)^®

Show findings details

Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance	Notes
Maternal perpetration (CTS)	FavorableUnfavorable or ambiguousNo Effect	Average across 3 years of program	Full sample, Hawaii trial	640 mothers	Mean = 5.08	Mean = 7.72	IRR = 0.83	Not available	Statistically significant, p < 0.05	footnote60 Submitted by user on Fri, 03/15/2019 - 14:29 Actual p-value was not reported by the authors.
Maternal perpetration (CTS)	FavorableUnfavorable or ambiguousNo Effect	Average when child was 7-9 years old	Full sample, Hawaii trial	640 mothers	Mean = 2.45	Mean = 2.51	IRR = 0.98	Not available	Not statistically significant, p ≥ 0.05
Maternal victimization (CTS)	FavorableUnfavorable or ambiguousNo Effect	Average across 3 years of program	Full sample, Hawaii trial	640 mothers	Mean = 7.50	Mean = 9.55	IRR = 0.86	Not available	Not statistically significant, p ≥ 0.05	footnote59 Submitted by user on Fri, 03/15/2019 - 14:29 Incidence rate ratio is calculated using imputed data and adjusted for baseline covariates.
Maternal victimization (CTS)	FavorableUnfavorable or ambiguousNo Effect	Average when child was 7-9 years old	Full sample, Hawaii trial	640 mothers	Mean = 3.35	Mean = 4.01	IRR = 0.95	Not available	Not statistically significant, p ≥ 0.05

Findings rated moderate

Duggan, A., Fuddy, L., McFarlane, E., Burrell, L., Windham, A., Higman, S., & Sia, C. (2004). Evaluating a statewide home visiting program to prevent child abuse in at-risk families of newborns: Fathers’ participation and outcomes. Child Maltreatment, 9(1), 3–17.

Healthy Families America (HFA)^®

Show findings details

Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance	Notes
Maternally reported father violence	FavorableUnfavorable or ambiguousNo Effect	Years 1-3	All families	600 families	Not available	Not available	OR = 0.78	HomVEE calculated = -0.15	Not statistically significant, p = 0.12	Negative effect is favorable Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.

LeCroy, C. W., & Krysik, J. (2011). Randomized trial of the Healthy Families Arizona home visiting program. Children and Youth Services Review, 33(10), 1761–1766.

Healthy Families America (HFA)^®

Show findings details

Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance
Family violence	FavorableUnfavorable or ambiguousNo Effect	12 months	Arizona sample	168 mothers	Mean = 0.43	Mean = 0.52	Mean difference = -0.09	HomVEE calculated = -1.12	Not statistically significant, p =0.37
Family violence	FavorableUnfavorable or ambiguousNo Effect	6 months	Arizona sample	180 mothers	Mean = 0.51	Mean = 0.43	Mean difference = 0.08	HomVEE calculated = 1.87	Not statistically significant, p =0.15

View Revisions