American Indian or Alaska Native
6.80%
Source
Peer reviewed?
Yes
Riggs, J. L., Rosenblum, K. L., Muzik, M., Jester, J., Freeman, S., Huth-Bocks, A., Waddell, R., Alfafara, E., Miller, A., Lawler, J., Erickson, N., Weatherston, D., Shah, P., Brophy-Herb, H., & Michigan Collaborative for Infant Mental Health Research. (2022). Infant mental health home visiting mitigates impact of maternal adverse childhood experiences on toddler language competence: A randomized controlled trial. Journal of Developmental and Behavioral Pediatrics, 43(4), e227–e236. https://doi.org/10.1097/DBP.0000000000001020
Model(s) Reviewed
Study Registration
Funding Sources
Not reported
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
Information on measure reliability and data collection timing is based on correspondence with the author. Some findings in the manuscript are ineligible for review, including moderating analyses based on parent adverse childhood experiences score.
Study Participants
Study participants were mother-child dyads who were recruited via community mental health organizations or provider referrals. Mothers were eligible if their child was younger than 24 months old and the mother reported at least two risk factors (economic disadvantage, depression, perceived parenting challenges, or high parent adverse childhood experience [ACE] scores). A total of 62 dyads were randomly assigned and participated in the study: 32 in the Infant Mental Health Home Visiting (IMH-HV) group, and 30 in the comparison group. Outcomes were assessed at 12 months after enrollment. Seventy-three percent of mothers identified as White, 37 percent as Black, 12 percent as Hispanic or Latino/a, and 18 percent as another race; participants could identify as more than one race or ethnicity. Twenty-eight percent of mothers reported family incomes lower than $20,000 per year at the time of enrollment. The mean age of participating mothers at enrollment was 32, and the mean age of children at enrollment was 10.8 months.
Setting
The study took place in Michigan, with participants recruited via the Michigan community mental health system or from provider referrals.
Home Visiting Services
Michigan Infant Mental Health Home Visiting (IMH-HV) is a home visiting model for mother–child dyads with children younger than age 2. IMH-HV focuses on enhancing responsive parenting, reducing the risk of child maltreatment, and improving children’s social-emotional development. All sessions took place in the families’ homes, and families were offered services for up to 12 months. The total number of visits was determined based on family needs. In this study, the median number of home visits received was 26.
Comparison Conditions
Participants assigned to the comparison group were not eligible to receive IMH-HV services, but they received a list of community resources.
Were any subgroups examined?
No
Subgroups examined
There were no subgroups reported in this manuscript.
Findings that rate moderate or high in this manuscript
| Outcome measure | Timing of follow-up | Rating | Direction of Effect | Effect size | Stastical significance | Sample size | Sample description | |
|---|---|---|---|---|---|---|---|---|
Preschool Language Scales, Fifth Edition (PLS-5) Screening Test |
12 months after baseline |
High | 2.47 | Not statistically significant, p= 0.11 |
62 children | IMH-HV vs. comparison, Michigan, 2017-2020, full sample |
This study included participants with the following characteristics at enrollment:
Race/Ethnicity
Maternal Education
Other Characteristics
This study included participants from the following locations:
- Michigan