Black or African American
39%
Goodman, W. B., Dodge, K. A., Bai, Y., O’Donnell, K. J., & Murphy, R. A. (2019). Randomized controlled trial of Family Connects: Effects on child emergency medical care from birth to 24 months. Development and Psychopathology, 31(5), 1863–1872.
Peer Reviewed
Model(s): Family Connects
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
Findings about physician cost data are not eligible for HomVEE review, because they are not in one of HomVEE's eligible outcome domains.
Child Health
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Inpatient hospital overnights (component of total child emergency medical care) | Through age 24 months | High | 0.24 | Statistically significant, p= <0.001 | 531 children | Children born in Durham County, North Carolina during the 18-month study period | |
| Inpatient hospital overnights (component of total child emergency medical care) | Age 12 - 24 months | High | 0.12 | Not statistically significant, p= 0.06 | 531 children | Children born in Durham County, North Carolina during the 18-month study period | |
| Outpatient ER visits (component of total child emergency medical care) | Through age 24 months | High | 0.08 | Not statistically significant, p= 0.47 | 531 children | Children born in Durham County, North Carolina during the 18-month study period | |
| Outpatient ER visits (component of total child emergency medical care) | Age 12 - 24 months | High | 0.01 | Not statistically significant, p= 0.88 | 531 children | Children born in Durham County, North Carolina during the 18-month study period | |
| Total child emergency medical care | Through age 24 months | High | 0.24 | Statistically significant, p= <0.001 | 531 children | Children born in Durham County, North Carolina during the 18-month study period | |
| Total child emergency medical care | Age 12 - 24 months | High | 0.07 | Not statistically significant, p= 0.73 | 531 children | Children born in Durham County, North Carolina during the 18-month study period |
Reductions In Child Maltreatment
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Emergency medical care for accidents or injuries | Through age 24 months | High | 0.07 | Not statistically significant, p= 0.45 | 531 children | Children born in Durham County, North Carolina during the 18-month study period | |
| Maltreatment-related injuries | Through age 24 months | High | Not statistically significant, p= <0.30 | 531 children | Children born in Durham County, North Carolina during the 18-month study period | ||
| Multiple emergency visits for accidents and injuries | Through age 24 months | High | Not statistically significant, p= 0.10 | 531 children | Children born in Durham County, North Carolina during the 18-month study period |
This study included participants from the following locations:
- North Carolina
Study Participants
Families were eligible for this study if they lived in Durham County and the pregnant person gave birth in one of two Durham County hospitals between July 1, 2009, and December 31, 2010. Families were randomly assigned to one of two groups based on the infant’s birth date. Families whose infants had an even-numbered birth date were assigned to receive Family Connects, and families whose infants had an odd-numbered birth date were assigned to the comparison group and received other community services as usual. Out of all eligible families randomly assigned to receive Family Connects or other community services, 682 families were randomly selected via birth records to participate in an impact evaluation when their infants were 6 months old. A total of 549 families (269 families in the intervention group and 280 in the comparison group) participated in this impact evaluation. Eighteen families (nine families in the intervention group and nine comparison group families) were declared ineligible after an examination of hospital discharge records. Hospital administrative records were received and coded between birth and age 24 months and between ages 12 and 24 months. An at-home interview was conducted when infants were six months old.
Setting
The study took place in Durham County, North Carolina.
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 in the comparison condition were not offered Family Connects, but did receive other community services as usual.
Subgroups examined
• Medicaid/no insurance at birth • Mother minority status • Mother single-parent status • Infant gender
Funding Sources
This research was supported by Award Number R01HD069981 from the Eunice Kennedy Shriver National Institute for Child Health and Human Development, the Duke Endowment, and the Pew Center on the States.