American Indian or Alaska Native
1%
Green, B., Sanders, M. B., & Tarte, J. M. (2018). Effects of home visiting program implementation on preventive health care access and utilization: Results from a randomized trial of Healthy Families Oregon. Advance online publication. Prevention Science. https://doi.org/10.1007/s11121-018-0964-8
Model(s): Healthy Families America (HFA)®
Study design characteristics contributing to rating
| Design | Attrition | Baseline equivalence | Confounding factors? | Valid, reliable measures? |
|---|---|---|---|---|
| Randomized controlled trial | Low |
Established on race/ethnicity and SES; outcomes not feasible to assess at baseline |
None |
Not assessed in manuscripts reviewed under Handbook of Procedures and Standards, Version 1 |
Notes from the review of this manuscript
Information on baseline equivalence and additional details about the study enrollment and context came from Green et al. (2017). Models controlled for the Healthy Families Oregon (HFO) program site, caregiver’s race and ethnicity, and total number of risk factors related to child maltreatment at baseline (as defined in the New Baby Questionnaire [NBQ]).
Family Economic Self-Sufficiency
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Percentage of children ever enrolled in Oregon Health Plan | 2 years | High | 0.01 | Not statistically significant, p= 0.93 | 2707 children | Oregon, 2010-2012, full sample | |
| Percentage of parents ever enrolled in Oregon Health Plan | 2 years | Moderate | 0.02 | Not statistically significant, p= 0.77 | 2707 parents | Oregon, 2010-2012, full sample | |
| Total number of days enrolled in Oregon Health Plan (children) | 2 years | High | 0.02 | Not statistically significant, p= 0.61 | 2707 children | Oregon, 2010-2012, full sample | |
| Total number of days enrolled in Oregon Health Plan (parents) | 2 years | Moderate | 0.00 | Not statistically significant, p= 0.62 | 2707 parents | Oregon, 2010-2012, full sample |
This study included participants from the following locations:
- Oregon
Study Participants
Families were eligible to participate if they were first-time parents and considered to be at high risk for child maltreatment based on the NBQ. The questionnaire defined high risk as having two or more risk factors on the NBQ; for example, being a teenage parent, having symptoms of depression, or having less than a high school education. The program screened a total of 8,520 parents using the NBQ and found 4,646 eligible. The final sample consisted of 2,727 parents (others declined participation, could not be located, or received a study wavier allowing them to bypass random assignment). The program randomly assigned a total of 1,438 parents to the HFO program and 1,289 to the comparison group. At enrollment, 61.6 percent of parents (99.5 percent of whom were mothers) identified as White, 26.9 percent as Hispanic, 2.3 percent as Asian/Pacific Islander, and 6.5 percent as multiracial. About one-third (32.3 percent) had less than a high school education.
Setting
The study took place in seven Healthy Families Oregon program sites, three of which served primarily rural communities and four of which served mixed urban and rural communities.
Intervention condition
Note: Navigate to the model page for more information about the home visiting model. See the source manuscript for more information about how the model was implemented in this study.
Comparison Conditions
Families assigned to the comparison group were not eligible to receive home-visiting services through the HFO program.
Subgroups examined
• Public benefit receipt (family had Oregon Health Plan coverage)
Funding Sources
The study was funded by the U.S. Department of Health and Human Services, Children's Bureau (grant no. 90CA1782).