Home Visiting for Child Development and Parenting

Age: < 18

Sex: Any

Trial Phase: Academic

Sponsor: University of New Mexico

Disqualifiers: Children older than 3-months, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 7

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines the impact of a home visiting program on families with new babies. The research aims to assess how the program influences child development, parenting, and family well-being over the long term. Families with a first-born child who is three months old or younger and living in the specified area may be eligible to join. Participants will either receive home visits or continue with their usual care, while researchers track changes in family and child outcomes over time. As an unphased trial, this study offers families the opportunity to contribute to valuable research that could enhance support programs for new parents.

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

What prior data suggests that this program is safe for families and children?

Research has shown that home visiting programs are generally safe for families and children. These programs link to positive outcomes such as better child health, reduced child abuse, and improved parenting. A detailed review suggests that home visits can support children's physical and mental growth.

Additionally, these programs often help parents enhance their own health and well-being. Studies have not reported any major safety issues with home visiting programs, indicating they are safe and beneficial for participating families. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the Home Visiting program because it offers a personalized approach to supporting child development and parenting directly in families' homes. Unlike traditional methods that might rely on parenting classes or clinic visits, this program delivers interventions in a familiar setting, potentially increasing comfort and effectiveness. By focusing on direct home interactions, the program aims to improve parenting practices and child outcomes more effectively than standard options, which often lack this personalized touch.

What evidence suggests that the Home Visiting program is effective for child development and parenting?

Research has shown that home visiting programs improve outcomes for both parents and children. In this trial, participants in the Home Visiting Group will receive program interventions through home visits. Studies have found that children in these programs often develop better language and thinking skills early on. They also tend to excel in math and reading as they grow. Additionally, these programs can enhance children's health, especially with professional involvement. Overall, home visiting shows promise in supporting the well-being and development of families. ^{1 2 3 5 6}

Who Is on the Research Team?

Paul Guerin, PhD

Principal Investigator

University of New Mexico

Are You a Good Fit for This Trial?

This trial is for families with a first-born child who is 3 months old or younger, living within the program's 3-county area. It aims to assess the impact of home visits on various aspects of child development and family well-being.

Inclusion Criteria

My child is 3 months old or younger.

Must be first-born child of one of the parents

At the time of enrollment family must live within the 3 county area covered by the program

Exclusion Criteria

My child is older than 3 months.

Children who are not the first-born child of one of the parents

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessment

Initial data collection using self-report questionnaires and administrative records

1-2 weeks

1 visit (in-person or virtual)

Longitudinal Follow-up

Participants are monitored at multiple time points to assess outcomes across various domains

Up to 19 years

Multiple assessments at 6 months, 12 months, 18 months, 24 months, 3 years, 5 years, 8 years, 12 years, 15 years, and at high-school graduation or 19 years of age

Data Analysis and Reporting

Analysis of collected data to evaluate the impact and effectiveness of the CHI SJC program

What Are the Treatments Tested in This Trial?

Interventions

• Home Visiting

Trial Overview The CHI St. Joseph's Children program's effectiveness in improving child health, parenting practices, economic self-sufficiency, and reducing neglect and delinquency is being tested against standard care without this intervention.

How Is the Trial Designed?

Group I: Home Visiting Group Experimental Treatment 1 Intervention

The home visiting group receives the program interventions which comprises home visits.

Group II: Business as Usual Group Active Control 1 Intervention

The control group is business as usual and does not receive the program intervention.

Who Is Running the Clinical Trial?

University of New Mexico

Lead Sponsor

Trials

393

Recruited

3,526,000+

Published Research Related to This Trial

A pilot home visiting program in a disadvantaged suburb of Sydney showed that nurses provided essential emotional support and information on health and infant development to families, leading to significant improvements in their access to support services.

The program successfully increased clients' self-efficacy and social networks, demonstrating that home visiting can empower vulnerable families to manage daily challenges more effectively.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Sustained health home visiting can improve families' social support and community connectedness. Stubbs, JM., Achat, HM.[2017]

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC12013050/

Systematic review and meta-analysis of home visiting ... Numerous systematic reviews have shown home visiting interventions to be effective at improving a variety of parent and child outcomes.

2. nhvrc.org nhvrc.org/yearbook/2023-yearbook/about-home-visiting/results/

Results In the long run, children of home visiting participants demonstrate improved early language and cognitive development, greater math and reading achievement, ...

3. publications.aap.org publications.aap.org/pediatrics/article/149/1%20Meeting%20Abstracts%20February%202022/76/185726/Efficacy-of-a-Home-Visiting-Program-on-Child

Efficacy of a Home Visiting Program on Child Outcomes Conclusion: The 12-month follow-up showed promising evidence of the effectiveness of the home visiting program under investigation. It is ...

4. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC4503253/

Components Associated With Home Visiting Program ... Using professional home visitors was also a significant predictor of better child physical health outcomes, as was teaching discipline and behavior management ...

5. mchb.hrsa.gov mchb.hrsa.gov/programs-impact/maternal-infant-early-childhood-home-visiting-miechv-program

Maternal, Infant, and Early Childhood Home Visiting (MIECHV ... The MIECHV Program helps pregnant women and parents of young children improve health and well-being for themselves and their families.

6. countyhealthrankings.org countyhealthrankings.org/strategies-and-solutions/what-works-for-health/strategies/early-childhood-home-visiting-programs

Early childhood home visiting programs Reduced child maltreatment · Reduced child injury · Improved cognitive skills · Improved social emotional skills · Improved parenting · Improved ...