Effectiveness of Home Visiting in Improving Child Health and Reducing Child Maltreatment
Effectiveness of Home Visiting in Improving Child Health and Reducing Child Maltreatment
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DOI：
10.1542/peds.2013-1021g
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发表时间：
2013-11-01
期刊：
影响因子：
8
通讯作者：
Supplee, Lauren H.
中科院分区：
文献类型：
--
作者：
Avellar, Sarah A.;Supplee, Lauren H.
背景和目的：《病人保护和平价医疗法》建立了产妇、婴儿和幼儿家访方案，该方案在5年内向各州提供15亿美元，用于为高危孕妇和从出生到5岁的儿童提供家访方案模式。该法案规定，75%的资金必须用于根据严格的评估研究证明有效的项目。家庭访视有效性证据回顾了家庭访视研究文献，并提供了一个评估的有效性证据的计划模式，服务于孕妇和儿童从出生到5岁的家庭。方法：家庭访视有效性证据包括一个系统的搜索和筛选过程，研究质量的审查，并评估计划的有效性。评审员评价研究的能力，以提供公正的估计方案的影响，并确定一个程序是否符合卫生和人类服务部的循证model.RESULTS标准：截至2012年7月，32个模型进行了审查，其中12个符合卫生和人类服务部的标准。这些模型中的大多数被证明对儿童发育有良好的影响。其他常见的有利影响包括医疗保健的使用和虐待儿童的减少。不太常见的是有利的影响出生outcomes.CONCLUSIONS：家访是一个很有前途的方式来服务家庭谁可能难以从事支持性服务。现有的严格研究表明，家访有可能在高风险家庭中产生积极的结果，特别是在医疗保健使用和儿童发展方面。
BACKGROUND AND OBJECTIVE: The Patient Protection and Affordable Care Act established the Maternal, Infant, and Early Childhood Home Visiting Program, which provides $1.5 billion to states over 5 years for home visiting program models serving at-risk pregnant women and children from birth to age 5. The act stipulates that 75% of the funds must be used for programs with evidence of effectiveness based on rigorous evaluation research. Home Visiting Evidence of Effectiveness reviewed the home visiting research literature and provided an assessment of the evidence of effectiveness for program models that serve families with pregnant women and children from birth to age 5.METHODS: Home Visiting Evidence of Effectiveness included a systematic search and screening process, a review of the research quality, and an assessment of program effectiveness. Reviewers rated studies' capacity to provide unbiased estimates of program impacts and determined whether a program met the Department of Health and Human Services' criteria for an evidence-based model.RESULTS: As of July 2012, 32 models were reviewed, of which 12 met the Department of Health and Human Services criteria. Most of these models were shown to have favorable effects on child development. Other common favorable effects included health care usage and reductions in child maltreatment. Less common were favorable effects on birth outcomes.CONCLUSIONS: Home visiting is a promising way to serve families who may be difficult to engage in supportive services. Existing rigorous research indicates that home visiting has the potential for positive results among high-risk families, particularly on health care usage and child development.