Asian
28%
Bair-Merritt, M. H., Jennings, J. M., Chen, R., Burrell, L., McFarlane, E., Fuddy, L., et al. (2010). Reducing maternal intimate partner violence after the birth of a child: A randomized controlled trial of the Hawaii Healthy Start home visitation program. Archives of Pediatrics and Adolescent Medicine, 164(1), 16–23.
Model(s): Healthy Families America (HFA)®
Study design characteristics contributing to rating
| Design | Attrition | Baseline equivalence | Confounding factors? | Valid, reliable measures? |
|---|---|---|---|---|
| Randomized controlled trial | Low |
Established on race and feasible outcome measures but not on SES (i.e., mother’s employment). Maternal employment is included as a control. |
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 overall maternal IPV victimization and perpetration outcomes only. Outcomes pertaining to specific types of maternal IPV victimization and perpetration receive a low rating because the analyses do not control for baseline outcome measures.
Reductions in Juvenile Delinquency, Family Violence, and Crime
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Maternal perpetration (CTS) | Average across 3 years of program | High | Statistically significant,p < 0.05 | 640 mothers | Full sample, Hawaii trial | ||
| Maternal perpetration (CTS) | Average when child was 7-9 years old | High | Not statistically significant, p ≥ 0.05 | 640 mothers | Full sample, Hawaii trial | ||
| Maternal victimization (CTS) | Average when child was 7-9 years old | High | Not statistically significant, p ≥ 0.05 | 640 mothers | Full sample, Hawaii trial | ||
| Maternal victimization (CTS) | Average across 3 years of program | High | Not statistically significant, p ≥ 0.05 | 640 mothers | Full sample, Hawaii trial |
This study included participants from the following locations:
- Hawaii
Study Participants
Families were recruited to the study between November 1994 and December 1995. Hawaii Healthy Start Program staff screened the medical records of mothers from one of four Oahu communities delivering children at Kapiolani Maternity Hospital for risk factors for child abuse and neglect. Mothers found to be at risk, or those whose records did not contain sufficient information to screen out, were screened further using the Kempe Family Stress Checklist; eligible families were those in which either parent scored 25 or greater. Of the 897 families who were eligible to participate in the study, 730 (81%) agreed to participate and were randomly assigned to the program group (n = 395), the main comparison group (n = 290), or a testing comparison group (n = 45). This study includes data from all three follow-up years of the Hawaii Healthy Start randomized controlled trial. Specifically, the sample includes 373 families from the program group and 270 families from the main comparison group. At baseline, 24% of program group and 21% of comparison group mothers were age 18 or younger, 45% of program group and 48% of comparison group mothers were between the ages of 19 and 25, and 31% of mothers in both groups were age 26 or older. 64% of program group mothers and 69% of comparison group mothers were high school graduates. The racial composition of the program group was 34% native Hawaiian or Pacific Islander, 28% Asian or Filipino, 10% Caucasian, and 28% of unknown primary ethnicity. The comparison group consisted of 33% native Hawaiian or Pacific Islander, 28% Asian or Filipino, 13% Caucasian, and 26% of unknown primary ethnicity.
Setting
Six Healthy Start Program sites operated by three community-based organizations in Oahu, Hawaii.
Intervention condition
Note: Navigate to the model page for more information about the home visiting model. See the source manuscript for more information about how the model was implemented in this study.
Comparison Conditions
The main comparison group was tested annually to measure outcomes. A second “testing” comparison group was evaluated only at year 3 to ascertain the effect of repeated testing on observed outcomes (Duggan, McFarlane, Fuddy, Burrell, Higman, Windham, et al., 2004).
Funding Sources
The parent study, evaluation of the Hawaii Healthy Start Program, was supported by grants R40 MC 00029 and R40 MC 00123 from the Federal Maternal and Child Health Bureau; the Robert Wood Johnson Foundation; the Annie E. Casey Foundation; the David and Lucile Packard Foundation; the Hawaii State Department of Health; and grant P30MH38725 from the National Institutes of Health. Dr. Bair-Merritt is funded in part by Career Development Award K23HD057180 sponsored by the National Institute of Child Health and Human Development.