Parents as Teachers (PAT)® Meets HHS Criteria

Model effectiveness research report last updated: 2019

Effects shown in research

Child health

Findings rated high

Parents as Teachers (PAT)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Child saw doctor for well-child care in past 6 months
FavorableUnfavorable or ambiguousNo Effect
2 year Northern California sample 365 children % = 84.70 % = 86.90 = -2.20 Study reported = -0.24 Not statistically significant, p ≥ 0.05
Child saw doctor for well-child care in past 6 months
FavorableUnfavorable or ambiguousNo Effect
3 year Northern California sample 352 children % = 56.90 % = 57.60 = -0.70 Study reported = -0.01 Not statistically significant, p ≥ 0.05
Child treated for illness in the past year
FavorableUnfavorable or ambiguousNo Effect
2 year Northern California sample 365 children % = 39.30 % = 33.30 = 6.00 Study reported = 0.13 Not statistically significant, p ≥ 0.05
Child treated for illness in the past year
FavorableUnfavorable or ambiguousNo Effect
3 year Northern California sample 352 children % = 51.00 % = 50.20 = 0.80 Study reported = -0.02 Not statistically significant, p ≥ 0.05
Child went to the emergency room in the past year
FavorableUnfavorable or ambiguousNo Effect
2 year Northern California sample 365 children % = 29.70 % = 33.60 = -3.90 Study reported = -0.08 Not statistically significant, p ≥ 0.05
Child went to the emergency room in the past year
FavorableUnfavorable or ambiguousNo Effect
3 year Northern California sample 352 children % = 20.30 % = 24.50 = -4.20 Study reported = -0.10 Not statistically significant, p ≥ 0.05

Findings rated moderate

Parents as Teachers (PAT)®
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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 saw doctor for well-child care in past 6 months
FavorableUnfavorable or ambiguousNo Effect
2 year Three-site sample 265 children % = 91.40 % = 94.80 = -3.40 Study reported = -0.14 Not statistically significant, p ≥ 0.05
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In contrast to the study-reported results, HomVEE calculations showed this difference to be statistically significant (p ≤ 0.05). The HomVEE tests of statistical significance are based on the HomVEE calculated effect sizes, whereas authors may have used other techniques to determine statistical significance, such as regression models or analyses of variance (ANOVA).

Child was fully immunized
FavorableUnfavorable or ambiguousNo Effect
2 year Three-site sample 265 children % = 26.30 % = 19.00 = 7.30 Study reported = 0.17 Not statistically significant, p ≥ 0.05
Child went to the emergency room
FavorableUnfavorable or ambiguousNo Effect
2 year Three-site sample 265 children % = 38.50 % = 50.60 = -12.10 Study reported = -0.24 Not statistically significant, p ≥ 0.05
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In contrast to the study-reported results, HomVEE calculations showed this difference to be statistically significant (p ≤ 0.05). The HomVEE tests of statistical significance are based on the HomVEE calculated effect sizes, whereas authors may have used other techniques to determine statistical significance, such as regression models or analyses of variance (ANOVA).

Parents as Teachers (PAT)®
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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 had a regular source of medical care
FavorableUnfavorable or ambiguousNo Effect
1 year Teen mothers sample 232 children % = 92.00 % = 94.10 = -2.10 HomVEE calculated = -0.20 Not statistically significant, p ≥ 0.05
Child had a regular source of medical care
FavorableUnfavorable or ambiguousNo Effect
2 year Teen mothers sample 192 children % = 90.30 % = 92.90 = -2.60 HomVEE calculated = -0.21 Not statistically significant, p ≥ 0.05
Child saw a doctor for well-baby care in past 6 months
FavorableUnfavorable or ambiguousNo Effect
1 year Teen mothers sample 232 children % = 97.40 % = 95.80 = 1.60 HomVEE calculated = 0.30 Not statistically significant, p ≥ 0.05
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In contrast to the study-reported results, HomVEE calculations showed this difference to be statistically significant (p ≤ 0.05). The HomVEE tests of statistical significance are based on the HomVEE calculated effect sizes, whereas authors may have used other techniques to determine statistical significance, such as regression models or analyses of variance (ANOVA).

Child saw a doctor for well-baby care in past 6 months
FavorableUnfavorable or ambiguousNo Effect
2 year Teen mothers sample 194 children % = 87.10 % = 92.10 = -5.00 HomVEE calculated = -0.33 Not statistically significant, p ≥ 0.05
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In contrast to the study-reported results, HomVEE calculations showed this difference to be statistically significant (p ≤ 0.05). The HomVEE tests of statistical significance are based on the HomVEE calculated effect sizes, whereas authors may have used other techniques to determine statistical significance, such as regression models or analyses of variance (ANOVA).

PAT Parents as First Teachers (New Zealand)
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Incidence of ear infections
FavorableUnfavorable or ambiguousNo Effect
3 years Dunedin sample 208 mothers Unadjusted % = 0.70 Unadjusted % = 0.79 Mean difference = -0.09 HomVEE calculated = -0.29 Not statistically significant, p ≥ 0.05
Incidence of hearing problems
FavorableUnfavorable or ambiguousNo Effect
3 years Dunedin sample 208 mothers Unadjusted % = 0.08 Unadjusted % = 0.07 Mean difference = 0.01 HomVEE calculated = 0.09 Not statistically significant, p ≥ 0.05
Number of health problems children had experienced
FavorableUnfavorable or ambiguousNo Effect
3 years Dunedin sample 208 mothers Unadjusted mean = 4.85 Unadjusted mean = 4.91 Mean difference = -0.06 HomVEE calculated = -0.03 Not statistically significant, p ≥ 0.05
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Authors report that significantly more program children experienced bronchitis attacks.
Number of hospital admissions
FavorableUnfavorable or ambiguousNo Effect
3 years Dunedin sample 208 mothers Unadjusted % = 0.33 Unadjusted % = 0.30 Mean difference = 0.03 HomVEE calculated = 0.08 Not statistically significant, p ≥ 0.05
Number of hospital visits
FavorableUnfavorable or ambiguousNo Effect
3 years Dunedin sample 208 mothers Unadjusted % = 0.64 Unadjusted % = 0.72 Mean difference = -0.08 HomVEE calculated = -0.22 Not statistically significant, p ≥ 0.05
Number of times children visited a hospital clinic
FavorableUnfavorable or ambiguousNo Effect
3 years Dunedin sample 208 mothers Unadjusted % = 0.42 Unadjusted % = 0.51 Mean difference = -0.09 HomVEE calculated = -0.22 Not statistically significant, p ≥ 0.05
Number of times children visited general practitioner
FavorableUnfavorable or ambiguousNo Effect
3 years Dunedin sample 208 mothers Unadjusted % = 0.00 Unadjusted % = 0.00 Mean difference = 0.00 Not available Not statistically significant, p ≥ 0.05
Number of times children visited health specialist
FavorableUnfavorable or ambiguousNo Effect
3 years Dunedin sample 208 mothers Unadjusted % = 0.54 Unadjusted % = 0.51 Mean difference = 0.03 HomVEE calculated = 0.07 Not statistically significant, p ≥ 0.05
Number of times children visited other professional health service
FavorableUnfavorable or ambiguousNo Effect
3 years Dunedin sample 208 mothers Unadjusted % = 0.18 Unadjusted % = 0.15 Mean difference = 0.03 HomVEE calculated = 0.13 Not statistically significant, p ≥ 0.05
Total number of injuries
FavorableUnfavorable or ambiguousNo Effect
3 years Dunedin sample 208 mothers Unadjusted % = 0.42 Unadjusted % = 0.38 Mean difference = 0.04 HomVEE calculated = 0.10 Not statistically significant, p ≥ 0.05
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