Home Visitation Program for New Parent Support
Recruiting in Palo Alto (17 mi)
Overseen byDaniel F Perkins, PhD
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Penn State University
Disqualifiers: Under 18, Not military, others
No Placebo Group
Trial Summary
What is the purpose of this trial?This trial evaluates the TRHV program, where trained professionals visit new parents in the Navy and Marine Corps to provide parenting support. It aims to help families with young children at risk for abuse and neglect by improving parenting practices and child development through direct home visits.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It seems focused on evaluating a home visitation program rather than medical treatments.
What data supports the effectiveness of the treatment Services as Usual (SAU) and Take Root Home Visitation (TRHV) for new parent support?
Research shows that home visitation programs can improve health behaviors during pregnancy, enhance parent-child interactions, and reduce child abuse and neglect. Programs that involve both parents, like 'Dads Matter', have shown positive effects on family relationships and child well-being.
12345Is the Home Visitation Program for New Parent Support safe for participants?
Research on home visitation programs shows they can improve health behaviors and reduce risks like child abuse and emergency visits, suggesting they are generally safe. However, some mothers with high relationship anxiety and avoidance may experience adverse effects, indicating the need for careful participant selection and program tailoring.
12678How is the Take Root Home Visitation (TRHV) treatment different from other treatments for new parent support?
The Take Root Home Visitation (TRHV) treatment is unique because it involves trained personnel visiting new parents at home to provide information, support, and training on child health and development, which is not typically part of standard treatments for new parent support. This approach is designed to improve the home environment and prevent child behavior problems, making it distinct from other interventions that may not offer such personalized, in-home guidance.
910111213Eligibility Criteria
This trial is for families with children aged 0-3, or expecting parents, who are active duty, retired, National Guard or Reserves service members (or their partners) stationed at certain military installations. They must speak English well and be eligible for the New Parent Support Program home visits.Inclusion Criteria
NPSP Home Visitors: Speak and understand English proficiently
NPSP Participants: Eligible to receive NPSP home-visiting services
My child is between 0 and 3 years old.
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Exclusion Criteria
My child is older than 3 years.
NPSP Participants: Not an active duty, retired, National Guard or Reserves service member or spouse/partner
NPSP Participants: Not currently pregnant or the parent of a child 0-3-years-old
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Participant Groups
The study evaluates a new program called Take Root Home Visitation (TRHV), which aims to improve child development and parenting behaviors while reducing child abuse risk. It will be compared to the usual support services provided by the military.
2Treatment groups
Experimental Treatment
Active Control
Group I: Take Root Home Visitation (TRHV)Experimental Treatment1 Intervention
TRHV is an evidence-informed, manualized home-visiting curriculum.
Group II: Services as Usual (SAU)Active Control1 Intervention
SAU involves the current standard of care implemented at the participating Navy and Marine Corps installations.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
The Pennsylvania State UniversityUniversity Park, PA
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Who Is Running the Clinical Trial?
Penn State UniversityLead Sponsor
United States Department of Agriculture (USDA)Collaborator
References
Sustaining new parents in home visitation services: key participant and program factors. [2019]As prevention efforts have adopted more intensive service models, concerns over initial enrollment and retention rates have become more salient. This study examines the participant, provider and program factors that contribute to a longer length of stay and greater number of home visits for new parents enrolling in one national home visitation program.
Can home visitation improve the health of women and children at environmental risk? [2022]We reviewed randomized trials of prenatal and infancy home-visitation programs for socially disadvantaged women and children. Some home-visitation programs were effective in improving women's health-related behaviors during pregnancy, the birth weight and length of gestation of babies born to smokers and young adolescents, parents' interaction with their children, and children's developmental status; reducing the incidence of child abuse and neglect, childhood behavioral problems, emergency department visits and hospitalizations for injury, and unintended subsequent pregnancies; and increasing mothers' participation in the work force. The more effective programs employed nurses who began visiting during pregnancy, who visited frequently and long enough to establish a therapeutic alliance with families, and who addressed the systems of behavioral and psychosocial factors that influence maternal and child outcomes. They also targeted families at greater risk for health problems by virtue of the parents' poverty and lack of personal and social resources.
Promoting father involvement in early home visiting services for vulnerable families: Findings from a pilot study of "Dads matter". [2019]Despite mounting evidence on the importance of fathers in children's development, evidence-based perinatal home visitation programs have largely overlooked fathers in the design and delivery of services. This paper describes the design, development, and pilot testing of the "Dads Matter" enhancement to standard home visiting services. Dads Matter is a manualized intervention package designed to fully incorporate fathers into perinatal home visiting services. Twenty-four families were enrolled in a pilot study to assess the feasibility, acceptability, and preliminary outcomes of the intervention. Using a quasi-experimental time-lagged design, 12 families received standard home visiting services and completed baseline and four-month post-tests. Home visitor staff were then trained and supervised to implement the Dads Matter enhancement in addition to standard services. Twelve additional families were then enrolled and completed baseline and four-month post-tests. Implementation data indicated that Dads Matter was implemented as planned. Cohen's d scores on outcome measures indicate positive trends associated with Dads Matter in the quality of the mother-father relationship, perceived stress reported by both parents, fathers' involvement with the child, maltreatment indicators, and fathers' verbalizations toward the infant. Effect sizes generally ranged from moderate to large in magnitude and were larger than overall effect sizes of home visitation services alone reported in prior meta-analyses. Dads Matter appears to be a feasible, acceptable, and promising approach to improving fathers' engagement in home visiting services and promoting family and child well-being.
Technology to Augment Early Home Visitation for Child Maltreatment Prevention: A Pragmatic Randomized Trial. [2018]Early home visitation (EHV) for child maltreatment prevention is widely adopted but has received inconsistent empirical support. Supplementation with interactive software may facilitate attention to major risk factors and use of evidence-based approaches. We developed eight 20-min computer-delivered modules for use by mothers during the course of EHV. These modules were tested in a randomized trial in which 413 mothers were assigned to software-supplemented e-Parenting Program ( ePP), services as usual (SAU), or community referral conditions, with evaluation at 6 and 12 months. Outcomes included satisfaction, working alliance, EHV retention, child maltreatment, and child maltreatment risk factors. The software was well-received overall. At the 6-month follow-up, working alliance ratings were higher in the ePP condition relative to the SAU condition (Cohen's d = .36, p
Home visitation services for at-risk pregnant and postpartum women: a randomized trial. [2022]A randomized trial tested the psychosocial efficacy of a home visitation model for women at risk of out-of-home placement of their newborns. After an average of ten months of exposure, the experimental group reported significantly increased social support, greater access to services, and decreased psychological distress. Implications of the findings for interventions with at-risk families are discussed.
Variation in pregnancy outcomes following statewide implementation of a prenatal home visitation program. [2022]To examine, following statewide dissemination, the influence of an evidence-based home visitation program for first-time mothers on reductions of subsequent pregnancies across time and different locations.
Maternal relationship security as a moderator of home visiting impacts on maternal psychosocial functioning. [2021]There is variability in home visiting program impacts on the outcomes achieved by high risk families. An understanding of how effects vary among families is important for refining service targeting and content. The current study assessed whether and how maternal attributes, including relationship security, moderate short- and long-term home visiting impacts on maternal psychosocial functioning. In this multisite RCT of home visiting in a population-based, ethnically-diverse sample of families at risk for maltreatment of their newborns (n = 643), families were randomly assigned to home visited (HV) and control groups. HV families were to receive intensive services by trained paraprofessionals from birth-3 years. Outcome data were collected when children were 1, 2, and 3 years old and 7, 8, and 9 years old. Overall, short- and long-term outcomes for HV and control mothers did not differ significantly. Demographic attributes, a general measure of overall maternal risk, and partner violence did not moderate program impact on psychosocial functioning outcomes. Maternal relationship security did moderate program impact. Mothers who scored high on relationship anxiety but not on relationship avoidance showed the greatest benefits, particularly at the long-term follow-up. Mothers scoring high for both relationship anxiety and avoidance experienced some adverse consequences of home visiting. Further research is needed to determine mediating pathways and to inform and test ways to improve the targeting of home visiting and the tailoring of home visit service models to extend positive home visiting impacts to targeted families not benefiting from current models.
Exploring Multilevel Factors for Family Engagement in Home Visiting Across Two National Models. [2018]The associations of family, home visitor and site characteristics with family engagement within the first 6 months were examined. The variation in family engagement was also explored. Home visiting program participants were drawn from 21 Healthy Families America sites (1707 families) and 9 Nurse-Family Partnership sites (650 families) in New Jersey. Three-level nested generalized linear mixed models assessed the associations of family, home visitor and site characteristics with family receipt of a high dose of services in the first 6 months of enrollment. A family was considered to have received a high dose of service in the first 6 months of enrollment if they were active at 6 months and had received at least 50% of their expected visits in the first 6 months. In general, both home visiting programs engaged, at a relatively high level (Healthy Families America (HFA) 59%, Nurse-Family Partnership (NFP) 64%), with families demonstrating high-risk characteristics such as lower maternal education, maternal smoking, and maternal mental health need. Home visitor characteristics explained more of the variation (87%) in the receipt of services for HFA, while family characteristics explained more of the variation (75%) in the receipt of services for NFP. At the family level, NFP may improve the consistency with which they engage families by increasing retention efforts among mothers with lower education and smoking mothers. HFA sites seeking to improve engagement consistency should consider increasing the flexible in home visitor job responsibilities and examining the current expected-visit policies followed by home visitors on difficult-to-engage families.
First reports evaluating the effectiveness of strategies for preventing violence: early childhood home visitation. Findings from the Task Force on Community Preventive Services. [2016]Early childhood home visitation programs are those in which parents and children are visited in their home during the child's first 2 years of life by trained personnel who provide some combination of the following: information, support, or training regarding child health, development, and care. Home visitation has been used for a wide range of objectives, including improvement of the home environment, family development, and prevention of child behavior problems. The Task Force on Community Preventive Services (the Task Force) conducted a systematic review of scientific evidence concerning the effectiveness of early childhood home visitation for preventing several forms of violence: violence by the visited child against self or others; violence against the child (i.e., maltreatment [abuse or neglect]); other violence by the visited parent; and intimate partner violence. On the basis of strong evidence of effectiveness, the Task Force recommends early childhood home visitation for the prevention of child abuse and neglect. The Task Force found insufficient evidence to determine the effectiveness of early childhood home visitation in preventing violence by visited children, violence by visited parents (other than child abuse and neglect), or intimate partner violence in visited families. (Note that insufficient evidence to determine effectiveness should not be interpreted as evidence of ineffectiveness.) No studies of home visitation evaluated suicide as an outcome. This report provides additional information regarding the findings, briefly describes how the reviews were conducted, and provides information that can help in applying the recommended intervention locally.
The Role of State Context in Promoting Service Coordination in Maternal, Infant, and Early Childhood Home Visiting Programs. [2021]The federal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program provides funding to states to promote health and development of at-risk expectant families and families with young children. MIECHV programs are required to coordinate services within a larger system of care; yet, little is known about state-level factors that support coordination.
Hawaii's healthy start program of home visiting for at-risk families: evaluation of family identification, family engagement, and service delivery. [2014]To describe family identification, family engagement, and service delivery in a statewide home visiting program for at-risk families of newborns.
Family support in the home. Programs, policy, and social change. [2019]The need for a coordinated national policy on family support in the home is discussed. First, the history of home visiting programs is reviewed. Then, recommendations for practice, training, and research in family support programs are presented. A discussion of the impact of new federal initiatives on family support programs and research demonstration efforts follows.
Parent And Caregiver Active Participation Toolkit (PACT): Adaptation for a Home Visitation Program. [2022]Parent engagement poses a persistent challenge to home visitation (HV) programs. Previous work on parent engagement in HV has focused primarily on enrollment, attendance, and retention, with less attention on participation. The purpose of this study was to adapt an engagement toolkit originally developed for child mental health treatment settings, the Parent And Caregiver Active Participation Toolkit (PACT), and test the adapted toolkit in a HV program, SafeCare® (SC), with a focus on parent participation.