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Impact of a Statewide Home Visiting Program on Parenting and on Child Health and Development

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Title: Impact of a Statewide Home Visiting Program on Parenting and on Child Health and Development
Language: English
Authors: Caldera, Debra, Burrell, Lori, Rodriguez, Kira, Crowne, Sarah Shea, Rohde, Charles, Duggan, Anne
Source: Child Abuse & Neglect: The International Journal. Aug 2007 31(8):829-852.
Availability: Elsevier. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. Tel: 877-839-7126; Tel: 407-345-4020; Fax: 407-363-1354; e-mail: usjcs@elsevier.com; Web site: http://www.elsevier.com
Peer Reviewed: Y
Page Count: 24
Publication Date: 2007
Document Type: Journal Articles
Reports - Evaluative
Descriptors: Program Effectiveness, Family Environment, Child Rearing, Child Health, Self Efficacy, Home Visits, Control Groups, Child Development, Mothers, State Programs, Program Evaluation, Interviews, Parent Education, Parent Child Relationship, Check Lists, Behavior Problems
Geographic Terms: Alaska
DOI: 10.1016/j.chiabu.2007.02.008
ISSN: 0145-2134
Abstract: Objectives: To assess the impact of a voluntary, paraprofessional home visiting program on promoting child health and development and maternal parenting knowledge, attitudes, and behaviors. Methods: This collaborative, experimental study of 6 Healthy Families Alaska (HFAK) programs enrolled 325 families from 1/00 to 7/01, randomly assigned them to HFAK and control groups, interviewed mothers at baseline, and followed families until children were 2 years old (85% follow-up). Child outcomes included health care use, development and behavior. Parent outcomes included knowledge of infant development, parenting attitudes, quality of the home environment, and parent-child interaction. HFAK records were reviewed to measure home visiting services. Home visitors were surveyed to measure knowledge, perceived effectiveness and perceived training adequacy. Results: There was no overall impact on child health, but HFAK group children had more favorable developmental and behavioral outcomes. HFAK and control mothers had similar parenting outcomes except that HFAK mothers had greater parenting self-efficacy (35.1 vs. 34.6 based on the Teti Self-Efficacy Scale, p less than 0.05). Fewer HFAK families had a poor home environment for learning (20% vs. 31%, p less than 0.001). HFAK families were more likely to use center-based parenting services (48% vs. 39%, p less than 0.05). The impact was greater for families with lower baseline risk (Family Stress Checklist scores less than 45). There was little evidence of efficacy for families with a higher dose of service. Conclusions: The program promoted child development and reduced problem behaviors at 2 years. Impact could be strengthened by improving home visitor effectiveness in promoting effective parenting. Future research is needed to determine whether short-term benefits are sustained.
Abstractor: Author
Entry Date: 2007
Accession Number: EJ775492
Database: ERIC
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  Data: Impact of a Statewide Home Visiting Program on Parenting and on Child Health and Development
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  Data: English
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  Data: <searchLink fieldCode="AR" term="%22Caldera%2C+Debra%22">Caldera, Debra</searchLink><br /><searchLink fieldCode="AR" term="%22Burrell%2C+Lori%22">Burrell, Lori</searchLink><br /><searchLink fieldCode="AR" term="%22Rodriguez%2C+Kira%22">Rodriguez, Kira</searchLink><br /><searchLink fieldCode="AR" term="%22Crowne%2C+Sarah+Shea%22">Crowne, Sarah Shea</searchLink><br /><searchLink fieldCode="AR" term="%22Rohde%2C+Charles%22">Rohde, Charles</searchLink><br /><searchLink fieldCode="AR" term="%22Duggan%2C+Anne%22">Duggan, Anne</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Child+Abuse+%26+Neglect%3A+The+International+Journal%22"><i>Child Abuse & Neglect: The International Journal</i></searchLink>. Aug 2007 31(8):829-852.
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  Data: Elsevier. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. Tel: 877-839-7126; Tel: 407-345-4020; Fax: 407-363-1354; e-mail: usjcs@elsevier.com; Web site: http://www.elsevier.com
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  Data: Y
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  Data: 24
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  Data: 2007
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  Data: Journal Articles<br />Reports - Evaluative
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  Data: <searchLink fieldCode="DE" term="%22Program+Effectiveness%22">Program Effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Family+Environment%22">Family Environment</searchLink><br /><searchLink fieldCode="DE" term="%22Child+Rearing%22">Child Rearing</searchLink><br /><searchLink fieldCode="DE" term="%22Child+Health%22">Child Health</searchLink><br /><searchLink fieldCode="DE" term="%22Self+Efficacy%22">Self Efficacy</searchLink><br /><searchLink fieldCode="DE" term="%22Home+Visits%22">Home Visits</searchLink><br /><searchLink fieldCode="DE" term="%22Control+Groups%22">Control Groups</searchLink><br /><searchLink fieldCode="DE" term="%22Child+Development%22">Child Development</searchLink><br /><searchLink fieldCode="DE" term="%22Mothers%22">Mothers</searchLink><br /><searchLink fieldCode="DE" term="%22State+Programs%22">State Programs</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Evaluation%22">Program Evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Interviews%22">Interviews</searchLink><br /><searchLink fieldCode="DE" term="%22Parent+Education%22">Parent Education</searchLink><br /><searchLink fieldCode="DE" term="%22Parent+Child+Relationship%22">Parent Child Relationship</searchLink><br /><searchLink fieldCode="DE" term="%22Check+Lists%22">Check Lists</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+Problems%22">Behavior Problems</searchLink>
– Name: Subject
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Alaska%22">Alaska</searchLink>
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1016/j.chiabu.2007.02.008
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 0145-2134
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives: To assess the impact of a voluntary, paraprofessional home visiting program on promoting child health and development and maternal parenting knowledge, attitudes, and behaviors. Methods: This collaborative, experimental study of 6 Healthy Families Alaska (HFAK) programs enrolled 325 families from 1/00 to 7/01, randomly assigned them to HFAK and control groups, interviewed mothers at baseline, and followed families until children were 2 years old (85% follow-up). Child outcomes included health care use, development and behavior. Parent outcomes included knowledge of infant development, parenting attitudes, quality of the home environment, and parent-child interaction. HFAK records were reviewed to measure home visiting services. Home visitors were surveyed to measure knowledge, perceived effectiveness and perceived training adequacy. Results: There was no overall impact on child health, but HFAK group children had more favorable developmental and behavioral outcomes. HFAK and control mothers had similar parenting outcomes except that HFAK mothers had greater parenting self-efficacy (35.1 vs. 34.6 based on the Teti Self-Efficacy Scale, p less than 0.05). Fewer HFAK families had a poor home environment for learning (20% vs. 31%, p less than 0.001). HFAK families were more likely to use center-based parenting services (48% vs. 39%, p less than 0.05). The impact was greater for families with lower baseline risk (Family Stress Checklist scores less than 45). There was little evidence of efficacy for families with a higher dose of service. Conclusions: The program promoted child development and reduced problem behaviors at 2 years. Impact could be strengthened by improving home visitor effectiveness in promoting effective parenting. Future research is needed to determine whether short-term benefits are sustained.
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  Data: 2007
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  Data: EJ775492
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ775492
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        Value: 10.1016/j.chiabu.2007.02.008
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      – Text: English
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        PageCount: 24
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    Subjects:
      – SubjectFull: Program Effectiveness
        Type: general
      – SubjectFull: Family Environment
        Type: general
      – SubjectFull: Child Rearing
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      – SubjectFull: Child Health
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      – SubjectFull: Self Efficacy
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      – SubjectFull: Home Visits
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      – SubjectFull: Control Groups
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      – SubjectFull: Child Development
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      – SubjectFull: Mothers
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      – SubjectFull: State Programs
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      – SubjectFull: Program Evaluation
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      – SubjectFull: Parent Child Relationship
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      – SubjectFull: Check Lists
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      – SubjectFull: Behavior Problems
        Type: general
      – SubjectFull: Alaska
        Type: general
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      – TitleFull: Impact of a Statewide Home Visiting Program on Parenting and on Child Health and Development
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