Manuscript Details

Source

Ordway, M. R., Sadler, L. S., Dixon, J., Close, N., Mayes, L., & Slade, A. (2013). Lasting effects of an interdisciplinary home visiting program on child behavior: Preliminary follow-up results of a randomized trial. Journal of Pediatric Nursing, in press.
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Author Affiliation

Dr. Lois Sadler, second author on this publication, is a developer of this model.

Funding Sources

National Institutes of Health, Evelyn Anderson Scholarship, Dr. Lorraine G. Spranzo Memorial Scholarship, Sigma Theta Tau-Delta Mu Grant, Nurse Practitioner Health Care Foundation/Community Innovations Award, and Jonas Nurse Leaders Scholar Program

Study Design

Design Attrition Baseline equivalence Confounding factors Valid, reliable measures?
Randomized controlled trial High None
Study Participants

The study uses a subsample of the larger Minding the Baby® randomized controlled trial sample. In the larger study, 139 mothers were initially randomized to conditions. In the present study, the authors drew their subsample from 132 mothers who, according to the authors, were participating in the study. The authors were interested in child behavior one to three years after the intervention, so they restricted their sample to mother–child dyads in which the study child was ages 3 to 5 years at the time of data collection (March 2010 to March 2011). At total of 71 mother-child dyads met this criteria (36 treatment, 35 control). The authors imposed three additional eligibility requirements: (1) the mother had primary custody or regular visitation with the child, (2) the dyad lived in the state and/or was able to meet in the state for data collection, and (3) the mother participated in the Minding the Baby® program or the comparison condition beyond the initial consent period. Nine mother-child dyads were dropped from the sample due to these criteria. Twelve additional mother-child dyads were unreachable for data collection, leaving an analysis sample size of 50 mother-child dyads (24 treatment, 26 control). Overall, the study sample of mothers was 70 percent Latina (of any race), 60 percent white, 32 percent black or African American, 2 percent Native Hawaiian/Pacific Islander, and 8 percent of another race/ethnicity.

Setting

New Haven, Connecticut

Home Visiting Services

Home visitor teams conducted home visits to enhance parental reflective functioning and the development of secure attachment of the infant. Home visitors conducted a prenatal assessment of the mothers’ reflective functioning capacity. The home visitors also addressed maternal physical and mental health as well as infant mental health clinical care. Home visiting began in pregnancy and occurred weekly until the child’s first birthday, and then biweekly until the child’s second birthday.

Comparison Conditions

Mothers in the control group received routine health care (prenatal visits, well-woman care, and well-baby care) as dictated by clinical guidelines. Families also received monthly information sheets about child rearing and health, and birthday and holiday cards.

Study Participants

The study uses a subsample of the larger Minding the Baby® randomized controlled trial sample. In the larger study, 139 mothers were initially randomized to conditions. In the present study, the authors drew their subsample from 132 mothers who, according to the authors, were participating in the study. The authors were interested in child behavior one to three years after the intervention, so they restricted their sample to mother–child dyads in which the study child was ages 3 to 5 years at the time of data collection (March 2010 to March 2011). At total of 71 mother-child dyads met this criteria (36 treatment, 35 control). The authors imposed three additional eligibility requirements: (1) the mother had primary custody or regular visitation with the child, (2) the dyad lived in the state and/or was able to meet in the state for data collection, and (3) the mother participated in the Minding the Baby® program or the comparison condition beyond the initial consent period. Nine mother-child dyads were dropped from the sample due to these criteria. Twelve additional mother-child dyads were unreachable for data collection, leaving an analysis sample size of 50 mother-child dyads (24 treatment, 26 control). Overall, the study sample of mothers was 70 percent Latina (of any race), 60 percent white, 32 percent black or African American, 2 percent Native Hawaiian/Pacific Islander, and 8 percent of another race/ethnicity.

Setting

New Haven, Connecticut

Home Visiting Services

Home visitor teams conducted home visits to enhance parental reflective functioning and the development of secure attachment of the infant. Home visitors conducted a prenatal assessment of the mothers’ reflective functioning capacity. The home visitors also addressed maternal physical and mental health as well as infant mental health clinical care. Home visiting began in pregnancy and occurred weekly until the child’s first birthday, and then biweekly until the child’s second birthday.

Comparison Conditions

Mothers in the control group received routine health care (prenatal visits, well-woman care, and well-baby care) as dictated by clinical guidelines. Families also received monthly information sheets about child rearing and health, and birthday and holiday cards.

Findings that rate moderate or high in this manuscript

No findings found that rate moderate or high.

This study included participants with the following characteristics at enrollment:

Race/Ethnicity

Data not available

Maternal Education

Data not available

Other Characteristics

Data not available