Hispanic or Latino
24%
Green, B. L., Tarte, J. M., Harrison, P. M., Nygren, M., & Sanders, M. B. (2014). Results from a randomized trial of the Healthy Families Oregon accredited statewide program: Early program impacts on parenting. Children and Youth Services Review, 44, 288-298.
Model(s) Reviewed
Navigate to model page for more information about the home visiting model.
Funding Sources
The grant (#90CA1782) was funded by the U.S. Department of Health and Human Services' Children's Bureau.
Study Design
| Design | Attrition | Baseline equivalence | Confounding factors | Valid, reliable measures? |
|---|---|---|---|---|
| Randomized controlled trial | Low | Not established on race; not established on SES; not established on outcome measures assessable at baseline |
None |
Not assessed in manuscripts reviewed under Handbook of Procedures and Standards, Version 1 |
In 2020, HomVEE updated this review to move the measure of the Protective Factors Survey (PFS) - Family Functioning Subscalefrom the Maternal Health domain to the Positive Parenting Practices because ACF determined that, with no overall score available for the PFS assessment, outcomes should belong in the domain that is most relevant to their subscale, and that the family functioning and resiliency outcomes belong in Positive Parenting Practices.
One outcome, duration of breastfeeding, rates low because it has high attrition and authors do not establish baseline equivalence on race or SES. On the outcomes with low attrition, summarized in the above table, the study rates moderate because the design did not statistically control for outcome measures that were assessable at baseline.
Findings that rate moderate or high in this manuscript
Positive parenting practices
| Outcome measure | Timing of follow-up | Rating | Direction of Effect | Effect size (absolute value) | Stastical significance | Sample size | Sample description | |
|---|---|---|---|---|---|---|---|---|
| Adult Adolescent Parenting Inventory Corporal Punishment Subscale (AAPI-CP) Score - full sample | Child's 1st birthday | Moderate | 0.10 | Not statistically significant, p ≥ 0.05 | 763 mothers | HF Oregon 2010-2012 | ||
| Number of times in last month parent read to child - full sample | Child's 1st birthday | Moderate | 0.26 | Statistically significant, p = 0.00 | 764 mothers | HF Oregon 2010-2012 | ||
| Parent-Child Activities Scale (PCAS) score - full sample | Child's 1st birthday | Moderate | 0.15 | Statistically significant, p = 0.02 | 764 mothers | HF Oregon 2010-2012 | ||
| Protective Factors Survey (PFS) - Family Functioning Subscale - full sample | Child's 1st birthday | Moderate | 0.01 | Not statistically significant, p ≥ 0.05 | 764 mothers | HF Oregon 2010-2012 |
Child health
| Outcome measure | Timing of follow-up | Rating | Direction of Effect | Effect size (absolute value) | Stastical significance | Sample size | Sample description | |
|---|---|---|---|---|---|---|---|---|
| Parent ever told that child was not on track developmentally - full sample | Child's 1st birthday | Moderate | Not statistically significant, p = 0.08 | 762 mothers | HF Oregon 2010-2012 | |||
| Baby received developmental screening in first year of life | Child's 1st birthday | Moderate | Statistically significant, p = 0.00 | 762 mothers | HF Oregon 2010-2012 | |||
| Child ever breastfed - full sample | Child's 1st birthday | Moderate | Not statistically significant, p ≥ 0.05 | 752 mothers | HF Oregon 2010-2012 |
Maternal health
| Outcome measure | Timing of follow-up | Rating | Direction of Effect | Effect size (absolute value) | Stastical significance | Sample size | Sample description | |
|---|---|---|---|---|---|---|---|---|
| CDC Pregnancy Risk Assessment Monitoring System (PRAMS) measure of maternal depression- full sample | Child's 1st birthday | Moderate | 0.06 | Not statistically significant, p ≥ 0.05 | 764 mothers | HF Oregon 2010-2012 | ||
| Parenting Stress Index - Short Form (PSI) Total Score | Child's 1st birthday | Moderate | 0.14 | Not statistically significant, p = 0.06 | 764 mothers | HF Oregon 2010-2012 | ||
| Parenting Stress Index - Short Form (PSI) - General Distress subscale score - full sample | Child's 1st birthday | Moderate | 0.11 | Not statistically significant, p ≥ 0.05 | 764 mothers | HF Oregon 2010-2012 | ||
| Parenting Stress Index - Short Form (PSI) - Parenting Stress subscale score - full sample | Child's 1st birthday | Moderate | 0.14 | Not statistically significant, p = 0.07 | 764 mothers | HF Oregon 2010-2012 |
Study Participants
Mothers selected to participate in the study were screened by program staff using standard Healthy Families Oregon Program (HFO) screening procedures. Mothers were study-eligible if they were first-time mothers, were pregnant or had an infant up to 3 months old, and did not have medically fragile infants or children at risk of removal from the home, and if either the mother or the family was at risk according to HFO's screener assessment (the New Baby Questionnaire). Eligible, interested, and consenting mothers were randomly assigned in this randomized controlled trial to an HFO program or a control group (n=2,664). Researchers collected survey data at the children's first birthday on a random subsample of 1,604 participants (802 HFO, 802 control) out of the initially randomized 2,664 mothers. Mothers with survey data (803 in total) were analyzed, and their characteristics are as follows: 62 percent were white, 24 percent were Hispanic, and 14 percent were another race/ethnicity. Over one-fourth (28 percent) had less than a high school diploma or GED, and nearly one third (32 percent) reported that both parents were unemployed. One-fifth (20 percent) were depressed.
Setting
This study included seven Healthy Families Oregon sites, four of which were primarily urban and three of which were rural.
Home Visiting Services
The Healthy Families Oregon program enrolled first-time parents with two or more risk factors according to the program screener, the New Baby Questionnaire. Families enrolled during pregnancy or up to 90 days after the child's birth and received up to 3 years of home visiting services.
Model(s) Reviewed
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Comparison Conditions
Families assigned to the comparison condition received a standard resource and referral packet.
Were any subgroups examined?
No
Subgroups examined
• Maternal depression (present based on screening)
This study included participants from the following locations:
- Oregon