Manuscript Details

Chambliss, J. W. (1998). An experimental trial of a home visiting program to prevent child maltreatment (Doctoral dissertation, Georgia State University, 1998). Dissertation Abstracts International, 61(03B), 152-1628. (AAI9967277)

High rating
Study reviewed under: Handbook of Procedures and Standards, Version 1
Study design characteristics contributing to rating
Design Attrition Baseline equivalence Confounding factors? Valid, reliable measures?
Randomized controlled trial Low

Established on race/ethnicity, SES, and feasible outcome measures in the analytic sample for some outcomes.

None

Not assessed in manuscripts reviewed under Handbook of Procedures and Standards, Version 1
Notes from the review of this manuscript

High rating applies to the Child Protective Services crosscheck results (e.g., total count of any substantiated maltreatment reports up to 12 months). Other outcomes receive a low rating because of high attrition and failure to demonstrate baseline equivalence.

Reductions In Child Maltreatment
Outcome Measure Timing of Follow-Up Rating Direction of Effect Effect Size (Absolute Value) Stastical Significance Sample Size Sample Description
Substantiated CPS reports Year 1 High
0.20 Statistical significance not reported 249 families Full sample, Georgia trial
Effect rating key
Favorable finding / Statistically significant
Unfavorable finding / Statistically significant
Ambiguous finding / Statistically significant
No effect / Not statistically significant

This study included participants with the following characteristics at enrollment:

Race/Ethnicity

The race and ethnicity categories may sum to more than 100 percent if Hispanic ethnicity was reported separately or respondents could select two or more race or ethnicity categories.

Asian
2%
Black or African American
74%
Hispanic or Latino
9%
White
16%

Maternal Education

Less than a high school diploma
73%
High school diploma or GED
20%
Some college or Associate's degree
7%

Other Characteristics

Data not available

This study included participants from the following locations:

  • Georgia
Study Participants

Healthy Families Georgia staff screened the medical records of all first-time mothers for risk factors for child abuse and neglect. Mothers who were found to be at risk were screened further using the Kempe Family Stress Checklist (FSC). Families in which either parent scored 25 or greater on the FSC were assigned to the program group or the comparison group based on the day of the month (odd or even) of their child’s birth. Among eligible families, 249 agreed to participate and were randomly assigned to the program group (n = 130) or the comparison group (n = 119). The analysis for this study included 132 families (61 in the program group and 71 in the comparison group). At baseline, on average, women in the program group were 17.9 years of age and women in the comparison group were 17.8 years of age. The sample was 76.2% African American, 2.3% Asian, 8.5% Hispanic, and 13.1% White in the program group, and 70.2% African American, 0.8% Asian, 9.2% Hispanic, and 19.3% White in the comparison group. 71.5% of the program group mothers and 74.8% of comparison group mothers had not graduated from high school and 86.6% and 86.3% of the respective groups were unemployed at baseline.

Setting

Eight counties in Georgia: Americus, Brunswick, DeKalb, Grady, Rome, Cordele, Gainsville, and Tifton.

Intervention condition
Comparison Conditions

Control group families received incentive payments up to $100 for participating in data collection visits and mothers were referred to other community services on an as-needed basis.

Author Affiliation

None of the study authors are developers of this model.

Funding Sources

Children's Trust Fund Commission of Georgia