Manuscript Details

Source

Pfannenstiel, J. (2015). Evaluation of the i3 validation of improving education outcomes for American Indian children. Unpublished manuscript. Overland Park, KS: Research & Training Associates, Inc.

Rating
Moderate
Author Affiliation

Study authors are not model developers or distributors. They were contracted by the implementers to conduct an independent evaluation of the Baby FACE program.

Funding Sources

Institute of Education Sciences (IES) U.S. Department of Education, Grant #U396B100189.

Study Design

Design Attrition Baseline equivalence Confounding factors Valid, reliable measures?
Randomized controlled trial High

Established on race/ethnicity and SES; outcomes not feasible to assess at baseline

None

Notes

This study reports findings for both a RCT and a quasi-experimental design (QED). In the RCT, outcomes that were not assessable at baseline received a moderate rating. Outcomes that were assessable at baseline received a low rating because the study did not establish baseline equivalence for these outcomes.

In the QED, all outcomes received a low rating because treatment and comparison groups were not enrolled in the study at the same time, creating a confounding factor.

Study Participants

The study recruited families from the catchment areas of 20 Bureau of Indian Education schools that had not previously implemented the FACE program (Baby FACE is the home visiting component of FACE). One of the 20 programs withdrew from the grant after two years and is not included in the study. The study included a QED analysis and a smaller RCT.

The QED analysis sample included families from the 19 remaining schools. The QED study included 1,329 participants: 853 in the treatment group and 476 in the comparison group. Within the QED, 49 percent of children in the treatment group and 55 percent of children in the comparison group were male. In the treatment group, 25 percent of mothers had completed less than a 12th grade education and 37 percent had a high school diploma or GED. Three percent had a bachelor’s degree or higher. In the comparison group, 21 percent of mothers had completed less than a 12th grade education and 32 percent had a high school diploma or GED. Seven percent had a bachelor’s degree or higher. A majority of children were from two-parent households. Seventy-three percent of treatment and comparison groups received Supplemental Nutrition Assistance Program benefits.

The RCT sample included families from one of the 19 Bureau of Indian Education school catchment areas that were included in the QED analysis. The site was selected for the RCT because it had more eligible families than space in the program. Within the RCT, 129 families were randomly assigned, with 63 families assigned to the treatment group (Baby FACE) and 66 assigned to the comparison group (business-as-usual).

Setting

The QED study included 20 Bureau of Indian Education school catchment areas located across the following U.S. states: Arizona, Idaho, New Mexico, North Carolina, South Dakota, and Washington. The RCT took place in one of the QED study sites that was oversubscribed.

Home Visiting Services

The Baby FACE program is based on the Parents as Teachers (PAT) model. Participants in the treatment group received home visits by certified parent educators, developmental screenings, group meetings with other parents (known as Family Circle), and referrals to community resources. The initial home visits focused on the foundational topics of the model, and the home visitor selected subsequent topics for home visiting sessions based on the family's goals and needs.

Comparison Conditions

The comparison group was eligible to receive existing business-as-usual services that were available to them within their communities.

Subgroups examined

• Maternal education (high education, level undefined) • Household poverty status (below poverty threshold) • Intergenerational household (yes or no)

Findings that rate moderate or high in this manuscript

Child development and school readiness
Outcome measure Timing of follow-up Rating Effect size Stastical significance Sample size Sample description

Boehm Test of Basic Concepts-3 Preschool - Total Score

3 years

Moderate

Not statistically significant, p=0.050

67 families

RCT: BabyFACE vs. comparision

Devereux Early Childhood Assessment (DECA) - Behavioral concerns

3 years

Moderate

Statistically significant, p = 0.03

68 families

RCT: BabyFACE vs. comparision

Boehm Test of Basic Concepts -3 Preschool, Total Score

3 years

Moderate 0.34

Not statistically significant, p = 0.09

67 families

RCT: BabyFACE vs. comparision

Devereux Early Childhood Assessment (DECA) - Initiative

2 years

Moderate 0.27

Not statistically significant, p = 0.56

66 families

RCT: BabyFACE vs. comparision

Devereux Early Childhood Assessment (DECA) - Initiative

3 years

Moderate 1.04

Not statistically significant, p = 0.19

68 families

RCT: BabyFACE vs. comparision

Devereux Early Childhood Assessment (DECA) - Self-control

2 years

Moderate -0.38

Not statistically significant, p = 0.82

66 families

RCT: BabyFACE vs. comparision

Devereux Early Childhood Assessment (DECA) - Self-control

3 years

Moderate 0.10

Not statistically significant, p = 0.35

68 families

RCT: BabyFACE vs. comparision

Devereux Early Childhood Assessment (DECA) - Attachment

2 years

Moderate 0.07

Not statistically significant, p = 0.69

66 families

RCT: BabyFACE vs. comparision

Devereux Early Childhood Assessment (DECA) - Attachment

3 years

Moderate 0.15

Not statistically significant, p = 0.26

68 families

RCT: BabyFACE vs. comparision

Devereux Early Childhood Assessment (DECA) - Behavioral concerns

2 years

Moderate -0.19

Not statistically significant, p = 0.22

66 families

RCT: BabyFACE vs. comparision

Devereux Early Childhood Assessment (DECA) - Behavioral concerns

3 years

Moderate -0.47

Not statistically significant, p = 0.56

68 families

RCT: BabyFACE vs. comparision

Effect rating key
Favorable finding / Statistically significant
UnFavorable finding / Statistically significant
Ambiguous finding / Statistically significant
No effect / Not statistically significant
Positive parenting practices
Outcome measure Timing of follow-up Rating Effect size Stastical significance Sample size Sample description

Protective Factors Survey - Parent's Child Development Knowledge

3 years

Moderate 0.27

Not statistically significant, p = 0.13

68 families

RCT: BabyFACE vs. comparision

Protective Factors Survey - Nurturing and Attachment

2 years

Moderate 0.08

Not statistically significant, p = 0.55

66 families

RCT: BabyFACE vs. comparision

Protective Factors Survey - Nurturing and Attachment

3 years

Moderate 0.13

Not statistically significant, p = 0.56

68 families

RCT: BabyFACE vs. comparision

Frequency of home literacy activity

3 years

Moderate 0.64

Statistically significant, p = 0.01

67 families

RCT: BabyFACE vs. comparision

Hours parent reads to child

3 years

Moderate 0.49

Statistically significant, p = 0.04

67 families

RCT: BabyFACE vs. comparision

Protective Factors Survey - Parent's Child Development Knowledge

2 years

Moderate 0.16

Not statistically significant, p = 0.21

66 families

RCT: BabyFACE vs. comparision

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

The race and ethnicity categories may sum to more than 100 percent if Hispanic ethnicity was reported separately or respondents could select two or more race or ethnicity categories.

American Indian or Alaska Native
100.00%

Maternal Education

Less than a high school diploma
23.70%
High school diploma or GED
34.70%
Some college or Associate's degree
34.30%
Bachelor's degree or higher
4.60%
Unknown
2.70%

Other Characteristics

Indigenous population
100.00%
Enrollment in means-tested programs
73.00%