Results from a randomized trial of the Healthy Families Oregon accredited statewide program: Early program impacts on parenting
Results from a randomized trial of the Healthy Families Oregon accredited statewide program: Early program impacts on parenting
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DOI：
10.1016/j.childyouth.2014.06.006
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发表时间：
2014-09-01
影响因子：
3.3
通讯作者：
Sanders, Mary Beth
中科院分区：
文献类型：
--
作者：
Green, Beth L.;Tarte, Jerod M.;Sanders, Mary Beth
家访方案是一种很有前途的早期预防模式，可改善父母养育和减少儿童遭受虐待的风险。然而，针对婴幼儿的广泛实施（可扩展）家访模式的随机研究仍然相对较少。此外，很少有研究提供急需的信息，是否家访服务可能是不同的有效性，不同的社会，人口和其他特征的家庭。作为在俄勒冈州（健康家庭俄勒冈州，HFO）进行的美国健康家庭家访计划的更大随机研究的一部分，我们对随机选择的一组母亲进行了电话调查，以评估儿童1岁生日时的早期结果。803个第一次母亲（n = 803，402随机分配接受HFO计划和401对照）通过电话采访，以评估该计划对服务利用率和早期养育和儿童风险的影响，以及与虐待和忽视相关的保护因素。结果发现，被分配到健康家庭计划组的母亲更频繁地阅读他们的幼儿，提供更多的发展支持活动，并有更少的育儿压力。这些母亲的孩子更有可能接受发育筛查，并且不太可能被确定为具有发育挑战。具有更多基线风险的家庭在某些方面有更好的结果;然而，一般来说，在不同的家庭亚组之间的结果没有很大的差异。这些结果的影响，了解短期方案的影响是最可行的早期预防方案，以及了解这些服务可能会更好地针对性进行了讨论。(C)2014爱思唯尔有限公司版权所有。
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. (C) 2014 Elsevier Ltd. All rights reserved.