Black or African American
48%
DuMont, K., Kirkland, K., Mitchell-Herzfeld, S., Ehrhard-Dietzel, S., Rodriguez, M. L., Lee, E., ... & Greene, R. (2010). A randomized trial of Healthy Families New York (HFNY): Does home visiting prevent child maltreatment? Rensselaer, NY: New York State Office of Children & Family Services and Albany, NY: University of Albany, State University of New York.
Screening Conclusion
Eligible for review
Model(s) Reviewed
Funding Sources
This research was supported by Award No: 2006-MU-MU-0002 awarded by the National Institute of Justice, U.S. Department of Justice.
Study Design
| Design | Attrition | Baseline equivalence | Confounding factors | Valid, reliable measures? |
|---|---|---|---|---|
| Randomized controlled trial | Low | Established on race/ethnicity. |
None |
Not assessed in manuscripts reviewed under Handbook of Procedures and Standards, Version 1 |
Notes
In 2020, HomVEE updated this review to move the measures of withdrawn depressed, anxious depressed, and social problems (Child Behavior Checklist) from the Child Health domain to the Child Development and School Readiness domain because ACF determined that HomVEE should place all child mental and behavioral health outcomes in the Child Development and School Readiness domain.
High rating applies to all outcomes except those with baseline differences that were not controlled. The moderate rating applies to the following outcomes: biological mother confirmed subject–sexual abuse, target child confirmed victim–sexual abuse, and nonviolent discipline prevalence (CTS-PC)
Findings that rate moderate or high in this manuscript
Child Development and School Readiness
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description | |
|---|---|---|---|---|---|---|---|---|
| Aggressive behaviors (CBCL) | 7 year | High | 0.04 | Not statistically significant, p ≥ 0.05 | 897 mothers | New York sample | ||
| Anxious, depressed (CBCL) | 7 year | High | 0.03 | Not statistically significant, p ≥ 0.05 | 897 mothers | New York sample | ||
| Attention problems (CBCL) | 7 year | High | 0.01 | Not statistically significant, p ≥ 0.05 | 897 mothers | New York sample | ||
| Percentage participating in a gifted program | 7 year | High | Statistically significant, p < 0.05 | 897 mothers | New York sample | |||
| Percentage receiving remedial services | 7 year | High | Not statistically significant, p ≥ 0.05 | 897 mothers | New York sample | |||
| Percentage receiving special education | 7 year | High | Statistically significant, p < 0.05 | 897 mothers | New York sample | |||
| Percentage repeating a grade | 7 year | High | Not statistically significant, p ≥ 0.05 | 897 mothers | New York sample | |||
| Percentage skipping school more than once | 7 year | High | Not statistically significant, p ≥ 0.05 | 897 mothers | New York sample | |||
| Rule-breaking behavior (CBCL) | 7 year | High | 0.03 | Not statistically significant, p ≥ 0.05 | 897 mothers | New York sample | ||
| Social problems (CBCL) | 7 year | High | 0.04 | Not statistically significant, p ≥ 0.05 | 897 mothers | New York sample | ||
| Withdrawn, depressed (CBCL) | 7 year | High | 0.04 | Not statistically significant, p ≥ 0.05 | 897 mothers | New York sample |
Reductions In Child Maltreatment
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description | |
|---|---|---|---|---|---|---|---|---|
| Biological mother confirmed subject—neglect, cumulative rate | 7 year | High | Not statistically significant, p ≥ 0.05 | 1173 mothers | New York sample | |||
| Biological mother confirmed subject—physical abuse, cumulative rate | 7 year | High | Not statistically significant, p ≥ 0.05 | 1173 mothers | New York sample | |||
| Biological mother confirmed subject—sexual abuse, cumulative rate | 7 year | High | Statistically significant, p < 0.05 | 1173 mothers | New York sample | |||
| Biological mother confirmed subject, cumulative number | 7 year | High | 0.00 | Not statistically significant, p ≥ 0.05 | 1173 mothers | New York sample | ||
| Biological mother or target child confirmed subject or victim of CPS report, cumulative number | 7 year | High | 0.01 | Not statistically significant, p ≥ 0.05 | 1173 mothers | New York sample | ||
| Biological mother or target child confirmed subject or victim of CPS report, cumulative rate | 7 year | High | Not statistically significant, p ≥ 0.05 | 1173 mothers | New York sample | |||
| Foster care placement—target child, cumulative rate | 7 year | High | Not statistically significant, p ≥ 0.05 | 1173 mothers | New York sample | |||
| Minor physical aggression frequency(CTS-PC) | 7 year | High | 0.02 | Not statistically significant, p ≥ 0.05 | 897 mothers | New York sample | ||
| Minor physical aggression prevalence(CTS-PC) | 7 year | High | Not statistically significant, p ≥ 0.05 | 897 mothers | New York sample | |||
| Neglect frequency(CTS-PC) | 7 year | High | 0.05 | Not statistically significant, p ≥ 0.05 | 897 mothers | New York sample | ||
| Neglect prevalence(CTS-PC) | 7 year | High | Not statistically significant, p ≥ 0.05 | 897 mothers | New York sample | |||
| Non-violent discipline frequency(CTS-PC) | 7 year | High | 0.14 | Statistically significant, p < 0.05 | 897 mothers | New York sample | ||
| Non-violent discipline prevalence)(CTS-PC) | 7 year | High | Not statistically significant, p ≥ 0.05 | 897 mothers | New York sample | |||
| Psychological aggression frequency(CTS-PC) | 7 year | High | 0.01 | Not statistically significant, p ≥ 0.05 | 897 mothers | New York sample | ||
| Psychological aggression prevalence(CTS-PC) | 7 year | High | Not statistically significant, p ≥ 0.05 | 897 mothers | New York sample | |||
| Serious physical abuse frequency(CTS-PC) | 7 year | High | 0.20 | Statistically significant, p < 0.05 | 897 mothers | New York sample | ||
| Serious physical aggressionprevalence (CTS-PC) | 7 year | High | Not statistically significant, p ≥ 0.05 | 897 mothers | New York sample | |||
| Target child confirmed victim—neglect, cumulative rate | 7 year | High | Not statistically significant, p ≥ 0.05 | 1173 mothers | New York sample | |||
| Target child confirmed victim—physical abuse, cumulative rate | 7 year | High | Not statistically significant, p ≥ 0.05 | 1173 mothers | New York sample | |||
| Target child confirmed victim—sexual abuse, cumulative rate | 7 year | High | Not statistically significant, p ≥ 0.05 | 1173 mothers | New York sample | |||
| Target child confirmed victim, cumulative number | 7 year | High | 0.02 | Not statistically significant, p ≥ 0.05 | 1173 mothers | New York sample |
This study included participants from the following locations:
- New York
Study Participants
Community agencies, including prenatal care providers and hospitals, screened expectant parents and parents with an infant younger than three months of age who lived in high-risk target areas and who were considered to be at risk for child abuse or neglect. Women were selected for the study following the same screening and assessment procedures used to determine eligibility for Healthy Families New York (HFNY). Family assessment workers (FAWs) obtained informed consent from women before the administration of a well-established risk assessment tool. In total 1,254 mothers were randomly assigned (intervention, n = 621; control, n = 633), and 1,173 mothers (intervention, n = 579; control, n = 594) completed baseline interviews. Thirty-four percent of the mothers were white, non-Latina; 45 percent were African American, non-Latina; and 18 percent were Latina.
Setting
This study took place in three sites within the HFNY home visiting program.
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 control group was given information on and received referrals to appropriate services other than home visiting.
Were any subgroups examined?
No
Subgroups examined
• Maternal age and parity (primiparous and age less than 20 years) • Child maltreatment (mother has at least one substantiated child protective services report)