Manuscript Details

Source

Peer reviewed?
No

Astuto, J., & Allen, L. (2018). Learning more about home visitation: RCT evaluation of the Parent Child+ Program for Latino Spanish speaking children of immigrants. Technical Report. (Study 2). https://parentchildplus.org/wp-content/uploads/2024/04/study-2-astuto-allen-technical-report-final2018.pdf

Rating
High
Author Affiliation

The authors are affiliated with the Steinhardt School of Culture, Education, and Human Development at New York University. HomVEE is not aware of any relationship between the authors and the home visiting model developer or distributor.

Funding Sources

This research was supported by the Pew Charitable Trusts, Heising-Simons Foundation, Edith Glick Shoolman Children’s Foundation, and the Edward & Ellen Roche Relief Foundations.

Study Design

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

Three findings from the Preschool Language Scale, Fourth Edition (PLS-4) and the Parent as a Teacher Inventory (PAAT) received a high rating because they had low attrition. Findings from the Ages and Stages Questionnaire (ASQ), the Day Night Task, and the Tower Clean-Up Task, as well as the PLS-4: Expressive, received an indeterminate rating. These findings received an indeterminate rating because they had high or unknown attrition and HomVEE could not determine whether the intervention and comparison groups satisfied the baseline equivalence requirement, or because HomVEE could not determine the measure’s reliability. 

Study Participants

Families were eligible to participate if their children were ages 18 to 30 months, the family was Spanish speaking, and the family was within 100 percent of the federal poverty level and eligible for government assistance programs (including the Special Supplemental Nutrition Program for Women, Infants, and Children; Medicaid; and the Supplemental Nutrition Assistance Program). The study team recruited most families from community-based organizations serving mainly low-income, immigrant, Spanish-speaking families and delivering the ParentChild+ model. Study team members randomly assigned 166 parent-child dyads to the ParentChild+ intervention group (83 dyads) or the comparison condition (83 dyads). They measured outcomes two years after the families enrolled in the study. All parents identified as Latino and were born outside of the United States. On average, the children were 2.4 years old at the start of the study and 3.8 years old at the end.

Setting

The study took place in a large city in the northeastern United States.

Home Visiting Services

The ParentChild+ intervention consisted of twice-weekly home visits for 23 weeks over two years. At each home visit, home visitors brought a new book or toy for the family and used it to model reading and verbal interactions and to teach parents about age-appropriate expectations and interactions. Home visitors delivered services in the parents’ primary language.

Comparison Conditions

Families assigned to the comparison condition were not eligible to receive intervention services through ParentChild+. Participants took part in three data collection interviews over two years. 

Were any subgroups examined?
No
Subgroups examined

There were no subgroups reported in this manuscript.

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

Preschool Language Scale – Fourth Edition (PLS-4): Auditory

2 years after enrollment

High 0.38

Statistically significant, p= 0.03

133 children

Parent Child+ vs. comparison RCT, large northeastern city, full sample

Preschool Language Scale – Fourth Edition (PLS-4): Total Score

2 years after enrollment

High 0.37

Statistically significant, p= 0.04

127 children

Parent Child+ vs. comparison RCT, large northeastern city, full sample

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

Parent as a Teacher Inventory (PAAT), Spanish-language translation: Total Score

2 years after enrollment

High 0.08

Not statistically significant, p= 0.64

144 parents

Parent Child+ vs. comparison RCT, large northeastern city, 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

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.

Hispanic or Latino
100.00%

Maternal Education

Less than a high school diploma
45.00%
High school diploma or GED
30.90%
Some college or Associate's degree
10.50%
Bachelor's degree or higher
13.20%
Unknown
0.40%

Other Characteristics

Enrollment in means-tested programs
100.00%