Llewellyn, G., McConnell, D., Honey, A., Mayes, R., & Russo, D. (2003). Promoting health and home safety for children of parents with intellectual disability: A randomized controlled trial. Research in Developmental Disabilities, 24(6), 405-431.
Model(s) Reviewed:
Australian adaptation of the UCLA Parent-Child Health and Wellness Project, a version of SafeCare
| 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 | Not applicable | Established on race/ethnicity and SES | Yes | None | Not assessed in manuscripts reviewed before 2021 |
| Study participants | Parents eligible to participate in the study (1) were the primary caretakers of children younger than 5 years of age, (2) spoke English as their first language, and (3) had an intellectual disability. A total of 63 parents from 57 families were recruited; of these, 45 parents from 40 families completed the project. The authors categorized the sample as follows: 82 percent of the parents were from an English-speaking background, 13 percent were from a culturally and linguistically diverse background, and 5 percent were Aboriginal or Torres Strait Islanders. |
|---|---|
| Setting | Sydney, Australia |
| Intervention services | The authors called this adaptation of SafeCare the Home Learning Project (HLP). The HLP was adapted from the UCLA Parent-Child Health and Wellness Project for the Australian context (e.g., language was changed to reflect Australian usage). The goal of the intervention was to equip parents of young children with the knowledge and skills necessary for managing home dangers, accidents, and childhood illnesses. The HLP consisted of 10 lessons, delivered by a trained parent educator in a one-on-one situation in the parent's home. The lessons lasted 60 to 90 minutes and occurred over a 10- to 12-week period. |
| Comparison conditions | The research design permitted all parents to receive the HLP in a staggered sequence. Initially, each parent was randomly allocated to one of three groups. However, a fourth group was created of parents who were referred late and would not have been able to complete the staggered sequence. During the first intervention phase, Group 1 (n = 20) received the full HLP intervention. Group 2 (n = 11) received home visits but no parent education. Groups 3 and 4 (n = 10 and n = 4, respectively) received business-as-usual services in this phase. Assessment 2 occurred after the first intervention phase. During the second intervention phase, Group 2 received HLP, Group 3 received lesson booklets only, and Group 4 received HLP. Assessment 3 occurs after this phase. At this point, all groups had received some portion of the intervention. |
| 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 | Best Practice Parenting Education Initiative of the Commonwealth Department of Family and Community Services and the NSW Ageing and Disability Department, August 1998 to November 2000. |
| Author affiliation | Not specified. |
| Peer reviewed | Peer reviewed status is not listed for manuscripts reviewed before 2021. |
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 | Going to the doctor | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 2 | Assessment 2 | 31 families | Mean = 2.85 | Mean = 2.00 | Mean difference = 0.85 | HomVEE calculated = 0.78 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Health comprehension | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 2 | Assessment 2 | 31 families | Mean = 5.10 | Mean = 4.91 | Mean difference = 0.19 | HomVEE calculated = 0.16 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Home Illustrations—Dangers | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 2 | Assessment 2 | 31 families | Mean = 76.25 | Mean = 54.82 | Mean difference = 21.43 | HomVEE calculated = 1.65 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Home Illustrations—Precautions | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 2 | Assessment 2 | 31 families | Mean = 78.85 | Mean = 48.91 | Mean difference = 29.94 | HomVEE calculated = 1.75 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Home Precautions | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 2 | Assessment 2 | 31 families | Mean = 60.35 | Mean = 48.73 | Mean difference = 11.62 | HomVEE calculated = 0.60 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Illness and symptom recognition | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 2 | Assessment 2 | 31 families | Mean = 12.95 | Mean = 9.36 | Mean difference = 3.59 | HomVEE calculated = 1.09 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Life threatening emergencies | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 2 | Assessment 2 | 31 families | Mean = 4.95 | Mean = 1.91 | Mean difference = 3.04 | HomVEE calculated = 1.79 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Using medicine safely | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 2 | Assessment 2 | 31 families | Mean = 2.15 | Mean = 1.27 | Mean difference = 0.88 | HomVEE calculated = 0.97 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Going to the doctor | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 3 | Assessment 2 | 30 families | Mean = 2.85 | Mean = 2.20 | Mean difference = 0.65 | HomVEE calculated = 0.59 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Health comprehension | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 3 | Assessment 2 | 30 families | Mean = 5.10 | Mean = 5.80 | Mean difference = -0.70 | HomVEE calculated = -0.71 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Home Illustrations—Dangers | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 3 | Assessment 2 | 30 families | Mean = 76.25 | Mean = 55.70 | Mean difference = 20.55 | HomVEE calculated = 2.02 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Home Illustrations—Precautions | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 3 | Assessment 2 | 30 families | Mean = 78.85 | Mean = 47.10 | Mean difference = 31.75 | HomVEE calculated = 1.91 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Home Precautions | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 3 | Assessment 2 | 30 families | Mean = 60.35 | Mean = 53.30 | Mean difference = 7.05 | HomVEE calculated = 0.35 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Illness and symptom recognition | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 3 | Assessment 2 | 30 families | Mean = 12.95 | Mean = 10.80 | Mean difference = 2.15 | HomVEE calculated = 0.62 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Life threatening emergencies | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 3 | Assessment 2 | 30 families | Mean = 4.95 | Mean = 3.00 | Mean difference = 1.95 | HomVEE calculated = 0.98 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Using medicine safely | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 3 | Assessment 2 | 30 families | Mean = 2.15 | Mean = 1.00 | Mean difference = 1.15 | HomVEE calculated = 1.30 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Going to the doctor | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 4 | Assessment 2 | 24 families | Mean = 2.85 | Mean = 1.75 | Mean difference = 1.10 | HomVEE calculated = 0.92 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Health comprehension | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 4 | Assessment 2 | 24 families | Mean = 5.10 | Mean = 5.50 | Mean difference = -0.40 | HomVEE calculated = -0.36 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Home Illustrations—Dangers | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 4 | Assessment 2 | 24 families | Mean = 76.25 | Mean = 57.33 | Mean difference = 18.92 | HomVEE calculated = 1.50 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Home Illustrations—Precautions | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 4 | Assessment 2 | 24 families | Mean = 78.85 | Mean = 45.33 | Mean difference = 33.52 | HomVEE calculated = 1.92 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Home Precautions | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 4 | Assessment 2 | 24 families | Mean = 60.35 | Mean = 45.67 | Mean difference = 14.68 | HomVEE calculated = 0.67 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Illness and symptom recognition | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 4 | Assessment 2 | 24 families | Mean = 12.95 | Mean = 10.50 | Mean difference = 2.45 | HomVEE calculated = 0.69 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Life threatening emergencies | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 4 | Assessment 2 | 24 families | Mean = 4.95 | Mean = 3.25 | Mean difference = 1.70 | HomVEE calculated = 0.88 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|
| Moderate | Using medicine safely | FavorableUnfavorable or ambiguousNo Effect |
Group 1 vs. Group 4 | Assessment 2 | 24 families | Mean = 2.15 | Mean = 1.75 | Mean difference = 0.40 | HomVEE calculated = 0.46 | Not available | Author-reported statistics are derived from models controlling for baseline outcomes as required for a moderate rating. However, author-reported statistics cannot be reported separately for the comparisons of interest. Because of this lack of sufficient information, this outcome has been categorized as no effect.
|