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Improving adolescent parenting: Results from a randomized controlled trial of a home visiting program for young families

Author

Listed:
  • Jacobs, F.
  • Easterbrooks, M.A.
  • Goldberg, J.
  • Mistry, J.
  • Bumgarner, E.
  • Raskin, M.
  • Fosse, N.
  • Fauth, R.

Abstract

Objectives. Our aim was to estimate the effects of Healthy Families Massachusetts, a statewide home visiting program serving first-time adolescent parents, on parenting, child development, educational attainment, family planning, and maternal health and well-being. Methods. We used a randomized controlled trial design to randomly assign the 704 participants to a group receiving home visiting services or a control group. Between 2008 and 2012, telephone and in-person interviews were conducted and administrative data obtained at 12 and 24months after enrollment. Intention-to-treat analyses compared group differences across 5 outcome domains: parenting, child health and development, educational and economic achievement, family planning, and parental health and well-being. Results. The home visiting program had a positive influence on parenting stress, college attendance, condom use, intimate partner violence, and engagement in risky behaviors. No negative findings were observed. Conclusions. A paraprofessional home visiting program specifically targeting young mothers appears effective in domains of particular salience to young parents and their infants and toddlers. Expanding participation in the program appears a worthy goal for program administrators and policymakers.

Suggested Citation

  • Jacobs, F. & Easterbrooks, M.A. & Goldberg, J. & Mistry, J. & Bumgarner, E. & Raskin, M. & Fosse, N. & Fauth, R., 2016. "Improving adolescent parenting: Results from a randomized controlled trial of a home visiting program for young families," American Journal of Public Health, American Public Health Association, vol. 106(2), pages 342-349.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302919_7
    DOI: 10.2105/AJPH.2015.302919
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    Cited by:

    1. Stargel, Lauren E. & Easterbrooks, M. Ann, 2020. "Diversity of adverse childhood experiences among adolescent mothers and the intergenerational transmission of risk to children's behavior problems," Social Science & Medicine, Elsevier, vol. 250(C).
    2. Mynti Hossain & Lauren Akers & Patricia Del Grosso & Marisa Shenk & Michael Cavanaugh & Melissa Azur, "undated". "Touchpoints for Addressing Substance Use Issues in Home Visiting: Phase 1 Final Report," Mathematica Policy Research Reports 0761ea54498b4f27b8d238e2b, Mathematica Policy Research.
    3. Kelly, Cara & LeCroy, Craig, 2022. "Can we measure risk in home visitation? An examination of the predictive validity of the Healthy Families Parenting Inventory (HFPI)," Children and Youth Services Review, Elsevier, vol. 139(C).
    4. Jessica Harding & Jean Knab & Susan Zief & Kevin Kelly & Diana McCallum, "undated". "A Systematic Review of Programs to Promote Aspects of Teen Parents’ Self-Sufficiency: Supporting Educational Outcomes and Healthy Birth Spacing," Mathematica Policy Research Reports 05e656f1b4a54dae83654795b, Mathematica Policy Research.

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