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Lee, E., Kirkland, K., Miranda-Julian, C., & Greene, R. (2018). Reducing maltreatment recurrence through home visitation: a promising intervention for child welfare involved families. Child abuse & neglect, 86, 55-66.

Manuscript screening details
Screening decision Screening conclusion HomVEE procedures and standards version
Passes screens Eligible for review Version 2
Study design details
Rating Design Attrition Baseline equivalence Compromised randomization Confounding factors Valid, reliable measure(s)
Moderate Randomized controlled trial High

Established on race/ethnicity and SES; outcome(s) not feasible to assess at baseline

No

No

Yes, details reported below for findings on valid, reliable outcomes that otherwise rate at least moderate
Notes:
This study focuses on a subgroup of a larger randomized controlled trial; the subgroup is defined as mothers with at least one substantiated child protective services (CPS) report in the five years prior to random assignment. HomVee obtained information about the randomization process and the services delivered to the treatment and comparison groups from DuMont et al. (2008). The study also assessed the number of indicated reports for which the biological mother and/or child was a confirmed subject/victim of child abuse and neglect (separately and overall). The cumulative rates outcomes are reported instead of the cumulative numbers outcomes because HomVEE reports a single transformation of an outcome when multiple are examined, and the cumulative rates outcomes received moderate ratings whereas one of the cumulative number outcomes received a low rating. The study also examined other outcomes that received a low rating. Specifically, the study examined cumulative rates of indicated reports with the biological mother as a confirmed subject of neglect, physical abuse, and sexual abuse, separately, and these outcomes received a low rating because the model did not control for baseline measures of these outcomes.
Study characteristics
Study participants Families were referred to the Healthy Families New York (HFNY) randomized controlled trial if they met the following criteria: 1) families were expectant or had an infant less than three months old, 2) families were considered to be at risk for child abuse or neglect, and 3) families lived in areas with high rates of teen pregnancy, infant mortality, welfare, and limited uptake of prenatal care. Families were then deemed eligible to participate if parents scored 25 or above on the Kempe Family Stress Checklist, which assesses parental risk for child abuse or neglect. Over an 18-month recruitment period, 1,297 families were recruited and randomly assigned to the treatment or comparison group, and 1,254 of these families were deemed eligible to participate in the study. This study focuses on a subgroup of mothers who participated in this larger randomized controlled trial: mothers who had at least one substantiated child protective services (CPS) report in the five years prior to random assignment (N=104; 52 in each group). About two-thirds were pregnant at random assignment. About half (54 percent) were African-American (non-Latina), 34 percent were White (non-Latina), and 13 percent were Latina. At baseline, around half (53 percent) had at least a high school diploma or GED and 70 percent were receiving public assistance.
Setting New York state
Intervention services The treatment group participated in Healthy Families New York. Home visitors made biweekly visits during pregnancy, weekly visits after birth until the child was 6 months old, and then made less frequent visits until the child enrolled in Head Start or turned 5 or started kindergarten. While Healthy Families New York did not require a specific curriculum, the home visitors in this trial primarily used one of three evidence-based curricula. The home visitors aimed to promote parent-child attachment, positive parenting practices, and safe home environments. They also linked families with resources and healthcare, assessed children for developmental delays, and helped families address other issues such as substance abuse or maternal depression.
Comparison conditions The comparison group received referrals and information based on their needs. They were not referred to home visiting models that were similar to the Healthy Families New York program.
Subgroups examined This field lists subgroups examined in the manuscript (even if they were not replicated in other samples and not reported on the summary page for this model’s report).
Subgroup of mothers in NY sample
Staff characteristics and training Home visits were conducted by Family Support Workers, who were paraprofessionals who lived in the same communities and were linguistically and culturally similar to participants. Home visitors were not required to have post-secondary education, although a third were college graduates. Home visitors needed to attend a one-week core training to conduct home visits. They also shadowed a veteran home visitor before beginning work. They were observed on one home visit per quarter and met with their supervisors at least 1.5 hour each week.
Funding sources National Institute of Justice Grant 2006-Mu-Mu-0002 and NYS Office of Children and Family Services grant number 1058555-1-41144.
Author affiliation The authors report no conflicts of interest.
Peer reviewed Yes
Study Registration:
Clinicaltrials.gov Identifier: None found. Study registration was assessed by HomVEE beginning with the 2014 review.