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Results from a randomized trial of the Healthy Families Oregon accredited statewide program: Early program impacts on parenting

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  • Green, Beth L.
  • Tarte, Jerod M.
  • Harrison, Paige M.
  • Nygren, Margaret
  • Sanders, Mary Beth

Abstract

Home visiting programs are a promising early prevention model for improving parenting and reducing children's risk for child maltreatment. However, randomized studies of widely implemented (scalable) home visiting models targeting infants and toddlers remain relatively scarce. Moreover, few studies provide much-needed information about whether home visiting services may be differentially effective for families with different social, demographic, and other characteristics. As part of a larger randomized study of the Healthy Families America home visiting program being conducted in Oregon (Healthy Families Oregon, HFO), we conducted a telephone survey with a randomly selected group of mothers to assess early outcomes at children's 1-year birthday. Eight hundred three first-time mothers (n=803, 402 randomly assigned to receive the HFO program and 401 control) were interviewed by telephone to assess the effects of the program on service utilization and on early parenting and child risk and protective factors associated with abuse and neglect. Results found that mothers assigned to the Healthy Families program group read more frequently to their young children, provided more developmentally supportive activities, and had less parenting stress. Children of these mothers were more likely to have received developmental screenings, and were somewhat less likely to have been identified as having a developmental challenge. Families with more baseline risk had better outcomes in some areas; however, generally there were not large differences in outcomes across a variety of subgroups of families. Implications of these results for understanding which short-term program impacts are most feasible for early prevention programs, as well as for understanding how these services might be better targeted are discussed.

Suggested Citation

  • Green, Beth L. & Tarte, Jerod M. & Harrison, Paige M. & Nygren, Margaret & Sanders, Mary Beth, 2014. "Results from a randomized trial of the Healthy Families Oregon accredited statewide program: Early program impacts on parenting," Children and Youth Services Review, Elsevier, vol. 44(C), pages 288-298.
  • Handle: RePEc:eee:cysrev:v:44:y:2014:i:c:p:288-298
    DOI: 10.1016/j.childyouth.2014.06.006
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    Cited by:

    1. Dominic Richardson & UNICEF Office of Research - Innocenti, 2018. "Key Findings on Families, Family Policy and the Sustainable Development Goals: Synthesis Report," Papers inorer948, Innocenti Research Report.
    2. Waid, Jeffrey & Cho, Minhae & Marsalis, Scott, 2022. "Mental health targets in child maltreatment prevention programs: A systematic review of randomized trials," Children and Youth Services Review, Elsevier, vol. 136(C).
    3. Mersky, Joshua P. & Janczewski, Colleen E. & Plummer Lee, ChienTi & Yasin, Tajammal, 2022. "Impact of home visiting programs on parenting stress in low-income women: Findings from a community-based trial at an urban health department," Children and Youth Services Review, Elsevier, vol. 142(C).
    4. Palmer Molina, Abigail & Traube, Dorian E. & Kemner, Allison, 2020. "Addressing maternal mental health to increase participation in home visiting," Children and Youth Services Review, Elsevier, vol. 113(C).
    5. Helen Lee & Sarah Shea Crowne & Melanie Estarziau & Keith Kranker & Charles Michalopoulos & Anne Warren & Tod Mijanovich & Jill H. Filene & Anne Duggan & Virginia Knox, "undated". "The Effects of Home Visiting on Prenatal Health, Birth Outcomes, and Health Care Use in the First Year of Life: Final Implementation and Impact Findings from the Mother and Infant Home Visiting Progra," Mathematica Policy Research Reports a9626a8d90bf4f01811d0c9d7, Mathematica Policy Research.
    6. 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.
    7. 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).

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