Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT)

Model effectiveness research report last updated: 2022

Effects shown in research

Child development and school readiness

Findings rated high

Anzman-Frasca, S., Paul, I. M., Moding, K. J., Savage, J. S., Hohman, E. E., & Birch, L. L. (2018). Effects of the INSIGHT obesity preventive intervention on reported and observed infant temperament. Journal of Developmental and Behavioral Pediatrics: JDBP, 39(9), 736-743. https://doi.org/10.1097/DBP.0000000000000597

Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT)

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Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance	Notes
Infant Behavior Questionnaire-Revised (IBQ-R): Distress to limitations	FavorableUnfavorable or ambiguousNo Effect	1 year old	INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample	240 children	Unadjusted mean = 3.85	Unadjusted mean = 4.08	Mean difference = -0.23	HomVEE calculated = -0.33	Statistically significant, p <.05	Negative effect is favorable Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.
Infant Behavior Questionnaire-Revised (IBQ-R): Falling reactivity	FavorableUnfavorable or ambiguousNo Effect	1 year old	INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample	240 children	Unadjusted mean = 2.60	Unadjusted mean = 2.85	Mean difference = -0.25	HomVEE calculated = -0.36	Statistically significant, p <.01	Negative effect is favorable Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.
Infant Behavior Questionnaire-Revised (IBQ-R): Fear	FavorableUnfavorable or ambiguousNo Effect	1 year old	INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample	240 children	Unadjusted mean = 2.97	Unadjusted mean = 2.95	Mean difference = 0.02	HomVEE calculated = 0.02	Not statistically significant, p= 0.86	Negative effect is favorable Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.
Infant Behavior Questionnaire-Revised (IBQ-R): Negativity	FavorableUnfavorable or ambiguousNo Effect	1 year old	INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample	240 children	Unadjusted mean = 3.16	Unadjusted mean = 3.30	Mean difference = -0.14	HomVEE calculated = -0.26	Statistically significant, p <.05	Negative effect is favorable Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.
Infant Behavior Questionnaire-Revised (IBQ-R): Negativity	FavorableUnfavorable or ambiguousNo Effect	16 weeks old	INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample	230 children	Unadjusted mean = 3.25	Unadjusted mean = 3.46	Mean difference = -0.21	HomVEE calculated = -0.24	Not statistically significant, p <.10	Negative effect is favorable Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.
Infant Behavior Questionnaire-Revised (IBQ-R): Regulation	FavorableUnfavorable or ambiguousNo Effect	1 year old	INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample	240 children	Unadjusted mean = 4.73	Unadjusted mean = 4.79	Mean difference = -0.06	HomVEE calculated = -0.11	Not statistically significant, p= 0.39
Infant Behavior Questionnaire-Revised (IBQ-R): Regulation	FavorableUnfavorable or ambiguousNo Effect	16 weeks old	INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample	230 children	Unadjusted mean = 5.42	Unadjusted mean = 5.37	Mean difference = 0.05	HomVEE calculated = 0.07	Not statistically significant, p = 0.58
Infant Behavior Questionnaire-Revised (IBQ-R): Sadness	FavorableUnfavorable or ambiguousNo Effect	1 year old	INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample	240 children	Unadjusted mean = 3.22	Unadjusted mean = 3.32	Mean difference = -0.10	HomVEE calculated = -0.13	Not statistically significant, p= 0.29	Negative effect is favorable Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.
Negativity score during toy removal (toy removal frustration task)	FavorableUnfavorable or ambiguousNo Effect	1 year old	INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample	230 children	Unadjusted mean = 0.67	Unadjusted mean = 0.67	Mean difference = 0.00	HomVEE calculated = 0.00	Not statistically significant, p= 0.99	Negative effect is favorable Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.
Negativity score during toy return (toy removal frustration task)	FavorableUnfavorable or ambiguousNo Effect	1 year old	INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample	230 children	Unadjusted mean = 0.41	Unadjusted mean = 0.41	Mean difference = 0.00	HomVEE calculated = 0.00	Not statistically significant, p= 0.96	Negative effect is favorable Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.
Other regulation during toy removal (toy removal frustration task)	FavorableUnfavorable or ambiguousNo Effect	1 year old	INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample	230 children	Unadjusted mean = 64.70	Unadjusted mean = 66.80	Mean difference = -2.10	HomVEE calculated = -0.12	Not statistically significant, p= 0.36
Other regulation during toy return (toy removal frustration task)	FavorableUnfavorable or ambiguousNo Effect	1 year old	INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample	230 children	Unadjusted mean = 89.70	Unadjusted mean = 92.30	Mean difference = -2.60	HomVEE calculated = -0.17	Not statistically significant, p= 0.22
Self-soothing by orienting (toy removal frustration task)	FavorableUnfavorable or ambiguousNo Effect	1 year old	INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample	230 children	Unadjusted mean = 8.00	Unadjusted mean = 7.40	Mean difference = 0.60	HomVEE calculated = 0.07	Not statistically significant, p= 0.39
Self-soothing by self-comforting (toy removal frustration task)	FavorableUnfavorable or ambiguousNo Effect	1 year old	INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample	230 children	Unadjusted mean = 12.00	Unadjusted mean = 7.80	Mean difference = 4.20	HomVEE calculated = 0.28	Statistically significant, p <.05
Self-soothing strategy (any) during toy removal (toy removal frustration task)	FavorableUnfavorable or ambiguousNo Effect	1 year old	INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample	230 children	Unadjusted mean = 41.90	Unadjusted mean = 41.90	Mean difference = 0.00	HomVEE calculated = 0.00	Not statistically significant, p= 1.00
Self-soothing strategy (any) during toy return (toy removal frustration task)	FavorableUnfavorable or ambiguousNo Effect	1 year old	INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample	230 children	Unadjusted mean = 18.80	Unadjusted mean = 13.90	Mean difference = 4.90	HomVEE calculated = 0.30	Statistically significant, p <.05

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