McKelvey, L., Schiffman, R. F., Brophy-Herb, H. E., Bocknek, E. L., Fitzgerald, H. E., Reischl, T. M., Hawver, S., & DeLuca, M. C. (2015). Examining long-term effects of an infant mental health home-based Early Head Start Program on family strengths and resilience. Infant Mental Health Journal, 36(4), 353-365.
Model(s) Reviewed:
Early Head Start Infant Mental Health Home-Based Services Adaptation (IMH-HB EHS)
| Screening decision | Screening conclusion | HomVEE procedures and standards version |
|---|---|---|
| Passes screens | Eligible for review | Version 1 |
| Rating | Design | Attrition | Baseline equivalence | Compromised randomization | Confounding factors | Valid, reliable measure(s) |
|---|---|---|---|---|---|---|
| Moderate | Randomized controlled trial | Low | Not established on race; established on SES; not established on outcome measures assessable at baseline. | None | None | Not assessed in manuscripts reviewed before 2021 |
| Study participants | This study used data from one of 17 sites that were part of a national randomized controlled trial (the Early Head Start Research and Evaluation Project). This site, called the Pathways Project, implemented an infant mental health home-based services (IMH-HB) version of Early Head Start. The site randomly assigned 98 families to the treatment condition and 98 to the control condition. The analysis sample included 152 families who participated in three waves of data collection when the child was 3, 5, and 7 years old. The median household income at baseline data collection was $7,714 [1998 dollars], and approximately half (45 percent) of parents had less than a high school degree. The majority of parents were Caucasian (75 percent), 17 percent were African American, and the remainder (8 percent) identified as another race/ethnicity. |
|---|---|
| Setting | The study examined outcomes for participants in Jackson, Michigan. Jackson was one of 17 sites that participated in a larger study of Early Head Start. |
| Intervention services | Families enrolled in the program participated for an average of 21 months with an average of 71 completed home visits. The home visits included activities focused on the child, the family, and staff-family relationship building. |
| Comparison conditions | Families in the comparison condition were not enrolled in Early Head Start but could access similar services in their communities, including home visiting services. Seventy percent of families in the comparison condition accessed home visiting services, including those provided by Medicaid enhanced prenatal care programs. |
| Subgroups examined |
This field lists subgroups examined in the manuscript (even if they were not replicated in other samples and not reported on the summary page for this model’s report). Subgroups are not listed for manuscripts reviewed before 2021. |
| Funding sources | 90YF0010: Pathways Project: Research into Directions for Family Health and Service Use, from the Administration on Children, Youth, and Families, Department of Health and Human Services, Rachel F. Schiffman, Ph.D., R.N., Principal Investigator, Michigan State University. |
| Author affiliation | The authors are members of the Early Head Start Research Consortium, and the research is part of an independent research conducted by Michigan State University. |
| Peer reviewed | Peer reviewed status is not listed for manuscripts reviewed before 2021. |
Study Registration:
Clinicaltrials.gov Identifier: None found. Study registration was assessed by HomVEE beginning with the 2014 review.
Findings that rate moderate or high
| Rating | Outcome measure | Effect | Sample | Timing of follow-up | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance | Notes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Moderate | Pearlin Mastery, age 7 | FavorableUnfavorable or ambiguousNo Effect |
0 | Age 7 | 152 | Not reported | Not reported | Not reported | Not available | Statistically significant, p<0.05 | IMH-HB EHS group showed higher levels of perceived mastery. P-value reported by the author was based on an F-test of repeated measure analysis.
|
| Moderate | PSI: parent-child dysfunctional interaction | FavorableUnfavorable or ambiguousNo Effect |
Full sample | Pooled (ages 3 and 7) | 152 | Not reported | Not reported | Not reported | Not available | Not statistically significant, p ≥ 0.05 | |
| Moderate | PSI: parental distress | FavorableUnfavorable or ambiguousNo Effect |
Full sample | Pooled (ages 3 and 7) | 152 | Not reported | Not reported | Not reported | Not available | Not statistically significant, p ≥ 0.05 | |
| Moderate | F-COPES: cognitive reframing | FavorableUnfavorable or ambiguousNo Effect |
Full sample | Pooled (ages 3, 5, and 7) | 152 | Not reported | Not reported | Not reported | Not available | Not statistically significant, p >0.10 | |
| Moderate | F-COPES: seeking support from family and friends | FavorableUnfavorable or ambiguousNo Effect |
Full sample | Pooled (ages 3, 5, and 7) | 152 | Not reported | Not reported | Not reported | Not available | Not statistically significant, p >0.10 | |
| Moderate | F-COPES: seeking support from neighbors | FavorableUnfavorable or ambiguousNo Effect |
Full sample | Pooled (ages 3, 5, and 7) | 152 | Not reported | Not reported | Not reported | Not available | Statistically significant, p<0.05 | Comparison group was more likely to seek neighbor support. P-value reported by the author was based on an F-test of repeated measure analysis.
|
| Moderate | F-COPES: seeking support from service providers | FavorableUnfavorable or ambiguousNo Effect |
Full sample | Pooled (ages 3, 5, and 7) | 152 | Not reported | Not reported | Not reported | Not available | Not statistically significant, p >0.10 | |
| Moderate | F-COPES: spiritual coping | FavorableUnfavorable or ambiguousNo Effect |
Full sample | Pooled (ages 3, 5, and 7) | 152 | Not reported | Not reported | Not reported | Not available | Not statistically significant, p > 0.10 | |
| Moderate | McMaster FAD: healthy functioning | FavorableUnfavorable or ambiguousNo Effect |
Full sample | Pooled (ages 3, 5, and 7) | 152 | Not reported | Not reported | Not reported | Not available | Statistically significant, p<0.01 | IMH-HB EHS group had higher scores on healthy functioning. P-value reported by the author was based on an F-test of repeated measure analysis.
|
| Moderate | McMaster FAD: unhealthy functioning | FavorableUnfavorable or ambiguousNo Effect |
Full sample | Pooled (ages 3, 5, and 7) | 152 | Not reported | Not reported | Not reported | Not available | Statistically significant, p<0.01 | IMH-HB EHS group had lower scores on unhealthy functioning. P-value reported by the author was based on an F-test of repeated measure analysis.
|
| Moderate | PES: attitudes | FavorableUnfavorable or ambiguousNo Effect |
Full sample | Pooled (ages 3, 5, and 7) | 152 | Not reported | Not reported | Not reported | Not available | Statistically significant, p<0.01 | IMH-HB EHS group had higher levels of empowerment based on reported attitudes. P-value reported by the author was based on an F-test of repeated measure analysis.
|
| Moderate | PES: skills & knowledge | FavorableUnfavorable or ambiguousNo Effect |
Full sample | Pooled (ages 3, 5, and 7) | 152 | Not reported | Not reported | Not reported | Not available | Statistically significant, p<0.01 | IMH-HB EHS group had higher levels of empowerment based on reported knowledge and skills. P-value reported by the author was based on an F-test of repeated measure analysis.
|