Evaluation of a Home Visiting Program for First Time Parents

Not Applicable

Completed

• Conditions: Child Abuse
• Interventions: Behavioral: Yearly Checkup; Behavioral: Healthy Families Durham

• Registration Number: NCT00579449
• Lead Sponsor: Duke University

Brief Summary

The purpose of this research is to evaluate the Healthy Families Durham (HFD) program by comparing the traditional 3-year program to 18-months of Healthy Families Durham to Yearly Visits with case management referrals to community services as usual, and to determine whether participation in the program reduces the number of reports for child maltreatment within the first seven years of the child's life.

Detailed Description

Not available

Study Timeline

• Study Start: 2005-03
• Study First Submitted: 2007-12-20
• Study First Submitted QC: 2007-12-20
• Study First Posted: 2007-12-24
• Primary Completion: 2011-12
• Study Completion: 2011-12
• Status Verified: 2014-09
• Last Update Submitted: 2014-09-19
• Last Update Posted: 2014-09-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 343

Inclusion Criteria

• mother is a first-time parent (has been a primary caregiver of a child for less than 3 months total
• resident of Durham, North Carolina
• mother is being referred during pregnancy
• has at least one of the following risk factors: 16 years old or younger; lack of social support; history of substance abuse in the past 12 months; ever received treatment for alcohol or drug problems; history of domestic violence; history of being abused or neglected as a child; history of mental health problems in past 12 months; past child protective services involvement as a parent

Exclusion Criteria

• actively suicidal or homicidal
• acutely psychotic
• moderately to severely mentally retarded

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
YC	Yearly Checkup	For those assigned to the Yearly Checkup group, a clinically-trained member of the HFD team will make yearly home visits to conduct the evaluation assessment. Information about community services and assistance with referrals are provided based on needs identified.
HF 36	Healthy Families Durham	For those randomly assigned to the 3-year HFD group, services begin during the third trimester of pregnancy. These families are assigned a Family Support Worker, who begins to initiate contact with the family at approximately 6 months gestation, when possible, so that the family can be engaged and services begun at seven months gestation. The Family Support Worker will provide home visiting services according the existing HFD model, which combines the empirically supported Parents as Teachers Curriculum (see attached description of the Parents as Teachers curriculum) provided in accordance with Healthy Families America standards of service delivery. The 3-year HFD group will receive services to the child's third birthday.
HF 18	Healthy Families Durham	For those randomly assigned to the 18-month HFD group, services begin during the third trimester of pregnancy. These families are assigned a Family Support Worker, who begins to initiate contact with the family at approximately 6 months gestation, so that the family can be engaged and services begun at seven months gestation. The Family Support Worker will provide home visiting services according the existing HFD model, which combines the empirically supported Parents as Teachers Curriculum (see attached description of the Parents as Teachers curriculum) provided in accordance with Healthy Families America standards of service delivery. Services for this group are terminated when the child is 18 months old, with clinically necessary referrals made for ongoing psychosocial and health needs.

Primary Outcome Measures

Name	Time	Method
Durham County, North Carolina Department of Social Services reports of child maltreatment	2011

Trial Locations

Locations (1)

Center for Child and Family Health; 🇺🇸 Durham, North Carolina, United States