Randomized Trial of the Early Start Program of Home Visitation

Fergusson, David M.; Grant, Hildegard; Horwood, L. John; Ridder, Elizabeth M.

doi:10.1542/peds.2005-0948

Cited by 139 publications

(163 citation statements)

References 27 publications

(33 reference statements)

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“…The most recent reviews of the effects of maltreatment prevention indicate that intervention through home visits can improve parenting skills and reduce child maltreatment (6,7).In the interest of improving primary prevention programs for child maltreatment, this study investigated the association between atrisk parents identified by maternity hospitals and local health centers and intervention outcomes. This paper also offers an important next step concerning how to intervene with at-risk parents predicted to maltreat their children.…”

Section: Introductionmentioning

confidence: 99%

Effects of primary prevention of child abuse that begins during pregnancy and immediately after childbirth

et al. 2017

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: Objective : To improve primary prevention of child maltreatment, the association between at-risk parents identified by maternity hospitals and local health centers and intervention outcomes was investigated. Methods : A screening program for primary prevention of child maltreatment has been implemented for parents with children aged 3 years in A Prefecture. At-risk parents are identified at maternity hospitals and local health centers. Public health nurses provide intervention to promote positive parenting through home visits, and referred to child protective centers when they suspect child maltreatment. Results : Between 2009 and 2014, a total of 2,252 new at-risk parents were identified, 956 from maternity hospitals and 1,296 from local health centers. Among these at-risk parents, 356 (15.8% %) were referred to child protective centers for possible child maltreatment, 88 of which came from maternity hospitals and 268 from local health centers. The rate of referral from maternity hospitals was significantly lower than that from local health centers (9.2% % vs. 20.7% %, p 0.001). Conclusions : Identification of at-risk parents during pregnancy and early intervention resulted in a decrease in the rate of referrals to child protective centers. The specific risk factors of "perceived lack of social support", "mental illness" and "teen pregnancy" may be mitigated by early intervention. J. Med. Invest. 64 : 153-159, February, 2017

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Section: Introductionmentioning

confidence: 99%

Effects of primary prevention of child abuse that begins during pregnancy and immediately after childbirth

et al. 2017

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“…It appears likely that the presence of the Family Start worker in the home, and increased contact with other services because of Family Start, made it more likely that concerning behaviours and circumstances were identified and brought to the early attention of CYF. Studies of other home-visiting programmes have also suggested the existence of such "safeguarding" effects (Fergusson, Grant, Horwood, & Ridder, 2005;Robling, et al, 2016;Tufts Interdisciplinary Evaluation Research, 2015). 16…”

Section: Box 3 Sudi Prevention Efforts As a Competing Explanationmentioning

confidence: 99%

He awa whiria—braided rivers: Understanding the outcomes from Family Start for Māori

Cram¹,

Vette²,

Wilson³

et al. 2018

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In Aotearoa New Zealand a braided rivers-he awa whiria metaphor is facilitating conversations between Māori (indigenous peoples) and non-Māori researchers about the integration of knowledge systems. This article explores how an approach based on he awa whiria can work in practice in the examination of the efficacy for Māori whānau (families) of the government's intensive home-visiting programme, Family Start. A retrospective impact evaluation of Family Start for children born from 2004 to 2011 examined the outcomes for children in families receiving Family Start, compared to a matched control group who did not receive this service. The awa-or knowledge streams-called upon to inform the consideration of the findings for Māori from this evaluation related to: Family Start and its child development and parenting curriculum Āhuru Mōwai and Born to Learn, whānau ora, and measures of whānau wellbeing, other indigenous home-visiting programmes, the impact evaluation method, and the indigenous data sovereignty movement. Braiding (whiria) across these knowledge streams offered new perspectives on the impact evaluation's results for Māori. These results suggested that Family Start reduced post-neonatal mortality for Māori children, regardless of whether the Family Start provider was Māori or nonMāori. Māori children receiving Family Start were more likely to be fully up-to-date with immunisations at age 2, and their mothers were more likely to access services for treatment of addiction relative to the control group. The impact of Family Start on child maltreatment was uncertain. He awa whiria provided a vehicle for Māori and non-Māori research and practice expertise to contribute knowledge to understanding Family Start and explaining these findings. This metaphor holds the promise of supporting Māori engagement with the growing use of linked administrative data.In 1998 the Aotearoa New Zealand government introduced Family Start, an intensive home-visiting programme for pregnant mothers and families with preschool children. The programme targets families and whānau 1 whose social, economic, and family circumstances put at risk good health, education, and social outcomes for their children. Referrals are made by a range of organisations and individuals, and families and whānau may self-refer. Families and whānau are generally enrolled prior to their child's first birthday and remain in the programme until the family can confidently cope and access support on their own, or the child reaches school age (Ministry of Social Development, 2016). Half the children served by Family Start are Māori (Vaithianathan, Wilson, Maloney & Baird, 2016).A recent impact evaluation of Family Start covered children entering the programme over the period 2004to 2011 -12 (Vaithianathan et al., 2016. During this time, Family Start workers made regular home visits (either weekly or fortnightly depending on need) and sought to improve parenting using a structured child development and parenting curriculum called "Āhuru Mōwai and Born to Learn" (se...

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“…Some authors reported results from the same study at different follow-up time points in separate papers and several authors reported results from the same study in more than one paper. Sixteen [70][71][72]74,[76][77][78]80,[82][83][84][85]87,89,90 (73%) included studies were RCTs, two 73,81 (9%) were non-RCTs, one 86 (5%) was a partially randomised study with two randomised intervention arms and one non-randomised control arm, two 75,88 (9%) were CBA studies and one 79 (5%) was a quasi-RCT. Four studies 73,75,81,88 used clustered allocation.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…Four studies 73,75,81,88 used clustered allocation. Thirteen studies [72][73][74][78][79][80]82,84,85,[88][89][90] [70][71][72]74,75,[77][78][79]81,[83][84][85]90 recruited socioeconomically disadvantaged participants.…”

Section: Description Of Studiesmentioning

confidence: 99%

The feasibility of using a parenting programme for the prevention of unintentional home injuries in the under-fives: a cluster randomised controlled trial

Mytton

Ingram

Manns

et al. 2014

Health Technology Assessment

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Randomized Trial of the Early Start Program of Home Visitation

Cited by 139 publications

References 27 publications

Effects of primary prevention of child abuse that begins during pregnancy and immediately after childbirth

Effects of primary prevention of child abuse that begins during pregnancy and immediately after childbirth

He awa whiria—braided rivers: Understanding the outcomes from Family Start for Māori

The feasibility of using a parenting programme for the prevention of unintentional home injuries in the under-fives: a cluster randomised controlled trial

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