Oklahoma’s Community-Based Family Resource and Support (CBFRS) Program

Model Effectiveness

Evidence Based Model

Manuscripts

Released in 1979 through 2011

Manuscripts

Impact studies rated high or moderate quality

Services intended at ages

Prenatal

0-11 months (WILL BE REMOVED)

Favorable results from well-defined research

Maternal health

Positive parenting practices

Skip to: Effectiveness Implementation

Oklahoma’s Community-Based Family Resource and Support (CBFRS) program was developed to improve maternal and child health and child development.

Effectiveness

This model meets criteria established by the U.S. Department of Health and Human Services for an evidence-based home visiting model.

Does not meet criteria for an evidence-based home visiting model for Indigenous peoples and communities.

Extent of Evidence

For more information about manuscripts, search the research database.

For more information on the criteria used to rate research, please see details of HomVEEʼs methods and standards.

Manuscripts

Released in 1979 through 2011

Manuscripts

Eligible for review

Manuscripts

Impact studies rated high or moderate quality

Summary of Findings

To see details on each manuscript HomVEE reviewed in well-designed research, click on the manuscript counts in the table.

Favorable:
A finding showing a statistically significant impact on an outcome measure in a direction that is beneficial for children and parents.

No effect:
Findings are not statistically significant.

Unfavorable:
A finding showing a statistically significant impact on an outcome measure in a direction that may indicate potential harm to children and/or parents.

Outcomes	Manuscripts	Favorable Findings	No Effects Findings	Unfavorable Findings
Child development and school readiness	Not measured	-	-	-
Child health	View 1 Manuscript	0	3	0
Family economic self-sufficiency	Not measured	-	-	-
Linkages and referrals	Not measured	-	-	-
Maternal health	View 1 Manuscript	3	0	0
Positive parenting practices	View 1 Manuscript	2	5	0
Reductions in child maltreatment	Not measured	-	-	-
Reductions in juvenile delinquency, family violence, and crime	Not measured	-	-	-

Research Characteristics

Well-designed impact studies about this model included participants with the following characteristics:

Race/Ethnicity

American Indian or Alaska Native

13.00%

Black or African American

11.00%

Hispanic or Latino

5.00%

White

70.00%

Unknown

6.00%

Implementation

In this section:

Overview

Theoretical approach, intended population, and targeted outcomes.

Support Availability

Service Delivery

Model services, adaptions and enhancements, model intensity and length.

Requirements

Staffing and organizational requirements.

Overview

Theoretical approach

Oklahoma’s Community-Based Family Resource and Support (CBFRS) program was developed to improve the health and development outcomes of mothers and their infants. Based on research suggesting that home visiting provided by professionals as opposed to paraprofessionals might provide more positive impacts, the developers decided to use professionals in the field of child development to provide the home visits.

Intended population

Oklahoma’s CBFRS program served first-time mothers living in rural counties.

Targeted outcomes

The program was designed to enhance maternal and child health and development. Specifically the program sought to positively affect mothers’ parenting knowledge and skill, use of community services, family planning, household safety, and child immunization. The program also aimed to increase mothers’ knowledge of the effects of second-hand smoke on their children and decrease the number of cigarettes smoked.

Highlights

Services intended at ages

Prenatal

0-11 months (WILL BE REMOVED)

Support Availability

Implementation support availability

The Child Abuse Prevention and Treatment Act amendments of 1996 allocated funding for state CBFRS programs designed to reduce the incidence of child abuse and neglect through a wide range of services. Oklahoma used CBFRS funding to implement a home visiting program for first-time mothers.

No information was available about technical assistance.

Service Delivery

Model services

Oklahoma’s CBFRS program provided home visitation to participants. The content and the intensity of the program varied depending upon the stage of the intervention and the age of the child.

Oklahoma’s CBFRS program followed a standardized curriculum that covered (1) maternal and child health, (2) child growth and development, and (3) parenting. The parenting-related materials covered topics such as attachment, guidance, and play. The health portion of the curriculum focused on topics including maternal and child nutrition, substance use, labor and delivery, family planning, and immunizations. The content of the curriculum varied depending on the stage of the intervention. For example, during the prenatal period, the home visitors covered more maternal health-related topics, whereas the curriculum focused more on parenting following the child’s birth. All families received instruction covering the three general curriculum topics, but the home visitors could tailor the curriculum by selecting subtopics within the overarching categories that addressed families’ specific concerns or interests.

Model intensity and length

The program was designed to be initiated before 28 weeks gestation and continue to the child’s first birthday. The frequency of the home visits varied based upon the program phase. During pregnancy, participants were visited weekly the first month of the program, followed by biweekly visits until the child’s birth for a total of eight prenatal visits. After the child’s birth, home visits occurred weekly during the first three months of the child’s life and biweekly for the next three months, for a total of 18 visits. Between six months and one year, biweekly visits continued for the remainder of the program for a total of 12 visits. Each visit was about an hour in length.

Adaptations and enhancements

No information was available about model adaptations or enhancements.

Requirements

Staffing requirements

The program was staffed by child development specialists under the supervision of master’s-level administrators.

The home visitors had a bachelor’s or master’s degree in child development or were attending college and had five years of experience working with children and families. The race and ethnicity of the home visitors mirrored the demographics of the counties in which they worked. The supervisors had at least a master’s degree in child development and a minimum of two years of supervisory experience.

The supervisors provided weekly supervision during which they reviewed the home visitor’s records from each visit to provide feedback and help ensure program fidelity.

Oklahoma’s CBFRS program provided the home visitors with more than 40 hours of pre-service training.

The home visitors received ongoing training, but no additional information on the training was available.

Organizational requirements

Oklahoma’s CBFRS program was administered by the Oklahoma State Department of Health and implemented by county health departments.

No information was available about whether the model specified any fidelity guidelines that implementing programs or home visitors were required to meet on an ongoing basis.

HomVEE requests input and feedback from the model developers on their profiles. The information in this implementation profile reflects feedback, if provided, from this model’s developer as of the above date. HomVEE reserves the right to edit the profile for clarity and consistency. The description of the implementation of the model(s) here may differ from how the model(s) was implemented in the manuscripts reviewed to determine this model’s evidence of effectiveness. Model developers are encouraged to notify HomVEE of any changes to their contact information on this page.