Manuscript Details

PFL Evaluation Team at the UCD Geary Institute. (2013). Preparing For Life: Early childhood intervention. Assessing the impact of Preparing For Life at eighteen months. Dublin, Ireland: UCD Geary Institute.

High rating
Study reviewed under: Handbook of Procedures and Standards, Version 2
Study design characteristics contributing to rating
Design Attrition Baseline equivalence Confounding factors? Valid, reliable measures?
Randomized controlled trial Low

Not assessed for randomized controlled trials with low attrition

No

Yes

Notes from the review of this manuscript

Several findings not reported in the tables below received a low rating because they had high attrition and did not satisfy the baseline equivalence requirement or did not satisfy the reliability requirement. Findings about mothers’ civic engagement, partnership status, household size, the presence of grandparents, and whether the mother knows the baby’s weight are ineligible for review because they do not fall in one of HomVEE’s eligible outcome domains. Measures of the fathers’ income and education are ineligible for review because HomVEE does not review measures of family self-sufficiency for the father, unless the manuscript clearly indicates that the father resides in the household.

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
MacArthur-Bates Communicative Development Inventories: Words and Gestures (CDI-WG), Vocabulary Words Produced 18 months old High
0.00 Not statistically significant, p = 0.99 126 children High PFL vs. Low PFL; Dublin, Ireland 2008-2010; full sample
MacArthur-Bates Communicative Developmental Inventories: Words and Gestures (CDI-WG), Vocabulary Words Understood 18 months old High
0.17 Not statistically significant, p = 0.34 126 children High PFL vs. Low PFL; Dublin, Ireland 2008-2010; full sample
Effect rating key
Favorable finding / Statistically significant
Unfavorable finding / Statistically significant
Ambiguous finding / Statistically significant
No effect / Not statistically significant
Family Economic Self-Sufficiency
Outcome Measure Timing of Follow-Up Rating Direction of Effect Effect Size (Absolute Value) Stastical Significance Sample Size Sample Description
Equivalised weekly household income 18 months old High
0.05 Not statistically significant, p = 0.78 139 families High PFL vs. Low PFL; Dublin, Ireland 2008-2010; full sample
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

Data not available

Maternal Education

Data not available

Other Characteristics

Data not available

This study included participants from the following locations:

  • State not reported or international
International Locations
Ireland
Study Participants

Study participants were pregnant women recruited in a maternity hospital or in the community. A total of 233 pregnant women were randomly assigned to either the Preparing for Life—Home Visiting group that received home visiting services (“high PFL”; 115 participants) or the comparison condition that did not receive home visiting services (“low PFL”; 118 participants). A total of 154 participants were included in the study, 74 in the high PFL group and 80 in the low PFL comparison group. Outcomes were measured when the children in the sample were 18 months old. At intake, the average age of the mothers was 25. The percentage of mothers identifying as Irish was 96 percent, and 4 percent identified as Irish Traveller. About half of the women were first-time mothers.

Setting

The study took place in North Dublin, Ireland.

Intervention condition
Comparison Conditions

Participants in the low PFL (comparison) group did not have access to the home visiting services or tip sheets. The comparison group did, however, receive some of the same resources made available to the high PFL (intervention) group, including the package of safety items and toys. These participants had access to an information officer who met with participants before the child’s birth and at various intervals after birth and provided information on Preparing for Life community events and other local services. Participants in the comparison group had access to public health workshops, such as a stress-control program and a healthy food program.

Subgroups examined

• Maternal substance use/disorder (smoked or drank during pregnancy) • Relationship status (mother currently has a partner) • Pregnancy status (currently pregnant or not currently pregnant) • Maternal childcare use (uses out-of-home care) • Maternal employment (currently working)

Author Affiliation

Dr. Doyle and the Preparing for Life Evaluation team are affiliated with the University College Dublin Geary Institute for Public Policy. The authors were contracted by the home visiting model developers to evaluate Preparing for Life—Home Visiting.

Funding Sources

The Atlantic Philanthropies and the Department of Children and Youth Affairs (Ireland) supported the research.