REST Routine

Implementation support is not currently available for the model as reviewed.

Model effectiveness research report last updated: 2012

In brief

Evidence of model effectiveness

This model does not meet the criteria established by the Department of Health and Human Services (HHS) for an “evidence-based early childhood home visiting service delivery model” for the general population or for tribal populations because the findings from high- or moderate-rated effectiveness studies of the model do not meet all required criteria.

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Model description

REST (Reassurance, Empathy, Support, and Time-Out) Routine aimed to reduce infant irritability and unexplained crying and to relieve parental stress. It targeted families with healthy, full-term infants who had excessive and unexplained irritability and colic. Pediatric nurse specialists individualized and delivered home visits weekly, one-hour home visits for four weeks. Nurses helped parents prevent their infants from being over-stimulated, synchronize the infants’ sleep-wake cycles with the environment, create structure and routine, and practice holds and positions. The nurses also provided emotional support and reassurance to the parents and helped them find other resources and a support network. During the last home visit, nurses assessed the need and options for ongoing support and intervention. For more information, please read the Model Overview.

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Extent of evidence

Results of search and review
Number of manuscripts
At least one finding was eligible for review…
  …and at least one finding rated high
  …and at least one finding rated moderate (but none rated high)
  …and all findings that were eligible for review rated low
  …but manuscript is additional source2

For more information, see the research database. For more information on the criteria used to rate research, please see details of HomVEE’s methods and standards.

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Summary of findings

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Criteria established by the U.S. Department of Health and Human Services

Information based on comprehensive review of all high- and moderate-rated manuscripts
CriterionCriterion descriptionCriterion met?
1High- or moderate-quality impact study?Yes
2Across high- or moderate-quality studies, favorable impacts in at least two outcome domains within one sample OR the same domain for at least two non-overlapping samples?No
3Favorable impacts on full sample?Yes
4Any favorable impacts on outcome measures sustained at least 12 months after model enrollment?
Reported for all research but only required for RCTs.
5One or more favorable, statistically significant impact reported in a peer-reviewed journal?
Reported for all research but only required for RCTs.
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