Early Childhood Interventions: Benefits, Costs, and Savings

Karoly, Lynn A.; Greenwood, Peter W.; Everingham, Susan S. Sohler; Hoube, Jill; Kilburn, M. Rebecca; Rydell, C. Peter; Sanders, Matthew R.; Chiesa, James

doi:10.7249/rb5014

Cited by 29 publications

(47 citation statements)

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“…Although the 27% missing from the sample is relatively high, a recent review by RAND Corporation of some of the same literature used as an inclusion standard studies in which attrition at follow-up was less than 50%. 26 All of the major studies reported in this journal issue would meet that standard.…”

Section: Methodsmentioning

confidence: 98%

Home Visiting: Recent Program Evaluations: Analysis and Recommendations

Gomby¹,

Culross²,

Behrman³

1999

The Future of Children

449

365

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Section: Methodsmentioning

confidence: 98%

Home Visiting: Recent Program Evaluations: Analysis and Recommendations

Gomby¹,

Culross²,

Behrman³

1999

The Future of Children

449

365

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“…Studies show that providing early‐intervention programs serving low‐income mothers and their children can reduce federal government spending on adolescent pregnancy. The Nurse Home Visitation Program in Elmira, New York, based on the David Olds Home Visitation Model, shows a taxpayer savings of more than $18,000 per low‐income first‐time mother (Karoly, Greenwood, Everingham, Hoube, Kilburn, Rydell, Sanders, & Cheisa, 1998). Studies have demonstrated the effectiveness of the Olds Home Visitation Model in reducing the number of repeat pregnancies; child abuse; and maternal behavioral problems due to use of alcohol and drugs, sexual partners, cigarettes smoked, and alcohol consumption in 15‐year‐old girls (Karoly et al., 1998).…”

mentioning

confidence: 99%

“…The Nurse Home Visitation Program in Elmira, New York, based on the David Olds Home Visitation Model, shows a taxpayer savings of more than $18,000 per low‐income first‐time mother (Karoly, Greenwood, Everingham, Hoube, Kilburn, Rydell, Sanders, & Cheisa, 1998). Studies have demonstrated the effectiveness of the Olds Home Visitation Model in reducing the number of repeat pregnancies; child abuse; and maternal behavioral problems due to use of alcohol and drugs, sexual partners, cigarettes smoked, and alcohol consumption in 15‐year‐old girls (Karoly et al., 1998). This article presents an overview of the Nurse‐Family Partnership (NFP) Pilot Study in Orange County, California, and reviews early results of the pilot study.…”

mentioning

confidence: 99%

A Comparison Pilot Study of Public Health Field Nursing Home Visitation Program Interventions for Pregnant Hispanic Adolescents

Nguyen

Carson

Parris

et al. 2003

Public Health Nursing

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“…The positive effects of EDI on early child development have been demonstrated in numerous controlled trials in the US and other high-income countries [e.g., [ 12 - 17 ]], which have been confirmed through meta-analyses [ 18 , 19 ] as well as expert reviews [e.g., [ 16 , 20 , 21 ]]. The average effect size across studies evaluating EDI has ranged from 0.50 - 0.75 [ 21 , 22 ].…”

Section: Introductionmentioning

confidence: 95%

Brain Research to Ameliorate Impaired Neurodevelopment - Home-based Intervention Trial (BRAIN-HIT)

et al. 2010

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BackgroundThis randomized controlled trial aims to evaluate the effects of an early developmental intervention program on the development of young children in low- and low-middle-income countries who are at risk for neurodevelopmental disability because of birth asphyxia. A group of children without perinatal complications are evaluated in the same protocol to compare the effects of early developmental intervention in healthy infants in the same communities. Birth asphyxia is the leading specific cause of neonatal mortality in low- and low-middle-income countries and is also the main cause of neonatal and long-term morbidity including mental retardation, cerebral palsy, and other neurodevelopmental disorders. Mortality and morbidity from birth asphyxia disproportionately affect more infants in low- and low-middle-income countries, particularly those from the lowest socioeconomic groups. There is evidence that relatively inexpensive programs of early developmental intervention, delivered during home visit by parent trainers, are capable of improving neurodevelopment in infants following brain insult due to birth asphyxia.Methods/DesignThis trial is a block-randomized controlled trial that has enrolled 174 children with birth asphyxia and 257 without perinatal complications, comparing early developmental intervention plus health and safety counseling to the control intervention receiving health and safety counseling only, in sites in India, Pakistan, and Zambia. The interventions are delivered in home visits every two weeks by parent trainers from 2 weeks after birth until age 36 months. The primary outcome of the trial is cognitive development, and secondary outcomes include social-emotional and motor development. Child, parent, and family characteristics and number of home visits completed are evaluated as moderating factors.DiscussionThe trial is supervised by a trial steering committee, and an independent data monitoring committee monitors the trial. Findings from this trial have the potential to inform about strategies for reducing neurodevelopmental disabilities in at-risk young children in low and middle income countries.Trial RegistrationClinicaltrials.gov NCT00639184

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Early Childhood Interventions: Benefits, Costs, and Savings

Cited by 29 publications

References 0 publications

Home Visiting: Recent Program Evaluations: Analysis and Recommendations

Home Visiting: Recent Program Evaluations: Analysis and Recommendations

A Comparison Pilot Study of Public Health Field Nursing Home Visitation Program Interventions for Pregnant Hispanic Adolescents

Brain Research to Ameliorate Impaired Neurodevelopment - Home-based Intervention Trial (BRAIN-HIT)

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