Riggs, J. L., Rosenblum, K. L., Muzik, M., Jester, J., Freeman, S., Huth-Bocks, A., Waddell, R., Alfafara, E., Miller, A., Lawler, J., Erickson, N., Weatherston, D., Shah, P., Brophy-Herb, H., & Michigan Collaborative for Infant Mental Health Research. (2022). Infant mental health home visiting mitigates impact of maternal adverse childhood experiences on toddler language competence: A randomized controlled trial. Journal of Developmental and Behavioral Pediatrics, 43(4), e227–e236. https://doi.org/10.1097/DBP.0000000000001020
| Screening decision | Screening conclusion | HomVEE procedures and standards version |
|---|---|---|
| Passes screens | Eligible for review | Version 2 |
| Rating | Design | Attrition | Baseline equivalence | Compromised randomization | Confounding factors | Valid, reliable measure(s) |
|---|---|---|---|---|---|---|
| High | Randomized controlled trial | Low | Not assessed for randomized controlled trials with low attrition |
No | No |
Yes |
Information on measure reliability and data collection timing is based on correspondence with the author. Some findings in the manuscript are ineligible for review, including moderating analyses based on parent adverse childhood experiences score.
| Study participants | Study participants were mother-child dyads who were recruited via community mental health organizations or provider referrals. Mothers were eligible if their child was younger than 24 months old and the mother reported at least two risk factors (economic disadvantage, depression, perceived parenting challenges, or high parent adverse childhood experience [ACE] scores). A total of 62 dyads were randomly assigned and participated in the study: 32 in the Infant Mental Health Home Visiting (IMH-HV) group, and 30 in the comparison group. Outcomes were assessed at 12 months after enrollment. Seventy-three percent of mothers identified as White, 37 percent as Black, 12 percent as Hispanic or Latino/a, and 18 percent as another race; participants could identify as more than one race or ethnicity. Twenty-eight percent of mothers reported family incomes lower than $20,000 per year at the time of enrollment. The mean age of participating mothers at enrollment was 32, and the mean age of children at enrollment was 10.8 months. |
|---|---|
| Setting | The study took place in Michigan, with participants recruited via the Michigan community mental health system or from provider referrals. |
| Intervention services | Michigan Infant Mental Health Home Visiting (IMH-HV) is a home visiting model for mother–child dyads with children younger than age 2. IMH-HV focuses on enhancing responsive parenting, reducing the risk of child maltreatment, and improving children’s social-emotional development. All sessions took place in the families’ homes, and families were offered services for up to 12 months. The total number of visits was determined based on family needs. In this study, the median number of home visits received was 26. |
| Comparison conditions | Participants assigned to the comparison group were not eligible to receive IMH-HV services, but they received a list of community resources. |
| 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). There were no subgroups reported in this manuscript. |
| Funding sources | Not reported |
| Author affiliation | The study authors are affiliated with Michigan Medicine, University Hospitals Cleveland Medical Center, University of Michigan School of Public Health, Eastern Michigan University, University of Minnesota, the Alliance for the Advancement of Infant Mental Health, and Michigan State University. Additional author contributions were provided by the Michigan Collaborative for Infant Mental Health Research. HomVEE is not aware of any relationship between the authors and the home visiting model developer or distributor. |
| Peer reviewed | Yes |
Clinicaltrials.gov Identifier: NCT03175796. SocialScienceRegistry.org Identifier: None found. Registry of Efficacy and Effectiveness Studies Identifier: None found. Study registration was assessed by HomVEE for Clinicaltrials.gov beginning with the 2014 review, and for other registries beginning with the 2021 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| High | Preschool Language Scales, Fifth Edition (PLS-5) Screening Test |
FavorableUnfavorable or ambiguousNo Effect |
IMH-HV vs. comparison, Michigan, 2017-2020, full sample |
12 months after baseline |
62 children | Unadjusted mean = 0.84 | Unadjusted mean = 0.73 | Mean difference = 0.80 | HomVEE calculated = 2.47 | Not statistically significant, p= 0.11 |