343 Participants Needed

Home Visiting for Child Development and Parenting

Age: < 18
Sex: Any
Trial Phase: Academic
Sponsor: University of New Mexico
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

What is the purpose of this trial?

This study involves a long-term outcome study of the Catholic Health Initiative St. Joseph's Children (CHI SJC) program using a randomized control study. The purpose of this study is to determine the short-term and long-term impact and effectiveness of the CHI SJC program. The CHI SJC program has not been studied to determine program effectiveness. The investigators intend to follow families and their children until the children in the study graduate from high-school or turn 19 years of age. The study, as a template, uses the eight outcome domains listed and described in the Home Visiting Evidence of Effectiveness website (http://homvee.acf.hhs.gov/outcomes.aspx). These eight domains are: * Child development and school readiness * Family economic self-sufficiency * Maternal health * Reductions in child maltreatment * Child health * Linkages and referrals * Positive parenting practices * Reductions in juvenile delinquency, family violence, and crime The investigators expect to observe significant differences among the two groups with respect to the primary outcome domains listed. The investigators expect study group members randomized to the CHI SJC program will perform better on the eight outcome domains. Other hypotheses include: Other Hypotheses: Hypothesis 1. Randomization to CHI SJC will be associated with higher quality functioning and better child health and well-being. Hypothesis 2. Randomization to CHI SJC will result in more connections to community resources. Hypothesis 3. Randomization to CHI SJC will result in improved indications of maternal health and positive parenting practices. Hypothesis 4. Randomization to CHI SJC will be associated with higher measures of family economic self-sufficiency. Hypothesis 5. Randomization to CHI SJC will be associated with increased school readiness and school progress and attainment. Hypothesis 6. Randomization to CHI SJC will be associated with reductions in juvenile delinquency, family violence, and crime. The study will collect outcome data in the same way and, at the same time, from treatment and control group members. Data collection will primarily be comprised of a set of self-report questionnaires and a review of administrative records that target the outcome domains described earlier. Study group members will be assessed at baseline, 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.

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 data supports the effectiveness of the treatment Home Visiting for child development and parenting?

Research shows that home visiting programs are effective in improving parent skills, child-caregiver relationships, and children's language development, especially when they start during pregnancy and last over a year. These programs are particularly beneficial for vulnerable families, helping to support early childhood development and caregiver mental health.12345

Is home visiting for child development and parenting safe?

Home visiting programs are generally considered safe and are supported by organizations like the American Academy of Pediatrics. They provide social support, health education, and developmental guidance to families, which can help improve child health and development outcomes.26789

How does the home visiting treatment for child development and parenting differ from other treatments?

Home visiting is unique because it involves professionals visiting families at home to provide parenting education, social support, and connections to community services, which can help improve child development and health outcomes. This approach is different from other treatments that might not offer the same level of personalized, in-home support and integration with community resources.6891011

Research Team

PG

Paul Guerin, PhD

Principal Investigator

University of New Mexico

Eligibility Criteria

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

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
My child is 3 months old or younger.

Exclusion Criteria

Children who are not the first-born child of one of the parents
My child is older than 3 months.

Timeline

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

Treatment Details

Interventions

  • Home Visiting
Trial OverviewThe 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.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: Home Visiting GroupExperimental Treatment1 Intervention
The home visiting group receives the program interventions which comprises home visits.
Group II: Business as Usual GroupActive Control1 Intervention
The control group is business as usual and does not receive the program intervention.

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of New Mexico

Lead Sponsor

Trials
393
Recruited
3,526,000+

Findings from Research

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

References

[The characteristics, effectiveness and challenges of home visiting in early intervention programmes]. [2019]
Observing home-visit quality with the home visit rating scales: Introduction to the special section. [2019]
Do home visiting programmes improve children's language development? A systematic review. [2021]
Effect of home visit training program on growth and development of preterm infants: a double blind randomized controlled trial. [2022]
Editorial: Home-Visiting Interventions and Caregiver Mental Health. [2020]
The role of preschool home-visiting programs in improving children's developmental and health outcomes. [2009]
Implementation and randomized controlled trial evaluation of universal postnatal nurse home visiting. [2022]
A theory of maternal engagement with public health nurses and family visitors. [2006]
Home visiting the newborn baby as a basis for developmental surveillance at child welfare centres. [2019]
10.United Statespubmed.ncbi.nlm.nih.gov
Home visiting and outcomes of preterm infants: a systematic review. [2022]
11.United Statespubmed.ncbi.nlm.nih.gov
Sustained health home visiting can improve families' social support and community connectedness. [2017]