A Mixed Methods Evaluation of Early Childhood Abuse Prevention Within Evidence-Based Home Visiting Programs

Matone, Meredith; Kellom, Katherine; Griffis, Heather; Quarshie, William; Faerber, Jennifer; Gierlach, P.; Whittaker, Jennifer; Rubin, David M.; Cronholm, Peter F.

doi:10.1007/s10995-018-2530-1

Cited by 19 publications

(16 citation statements)

References 26 publications

(24 reference statements)

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“…The parental advisors, however, do not generally perceive any difficulty in establishing good contact once the initial acceptance is achieved. Neither is the mandatory reporting duty perceived as a hindrance, contrary to what was found in a study of child abuse prevention in home visiting ( Matone et al, 2018 ). The high levels of participation as well as very high levels of satisfaction shown in surveys with parents from the program ( Burstrom et al, 2017 ) seem to reinforce the perceptions that a positive relationship is created.…”

Section: Discussioncontrasting

confidence: 61%

Contributions of Preventive Social Services in Early Childhood Home Visiting in a Disadvantaged Area of Sweden: The Practice of the Parental Advisor

et al. 2021

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Early childhood home visiting to improve health and development is commonly delivered by child health care (CHC) whereas home visitors from the social services are rare. We applied a constructivist grounded theory approach to explore the practice and contributions of parental advisors from the preventive social services in a home visiting collaboration with CHC in a socioeconomically disadvantaged area of Sweden. The analysis rendered a conceptual model of a situation-based practice, built on interactive encounters between parents and professionals. It includes strengthening of positive parenting, connecting parents to additional services, early detection of needs and provision of psychosocial support in accordance with each family’s specific situation. Rooted in the training and experience in social work, the practice can be seen as contributory to the delivery of complex support to families through home visiting and could provide input to efforts of improving training of home visitors in different contexts.

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Section: Discussioncontrasting

confidence: 61%

Contributions of Preventive Social Services in Early Childhood Home Visiting in a Disadvantaged Area of Sweden: The Practice of the Parental Advisor

et al. 2021

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“…A 2018 evaluation of the NFP in Pennsylvania, USA, used propensity score matching to compare NFP and control families in rates of use of hospital-based health care for injuries. 81 Although a higher rate of attendance was found among NFP families, these were mostly due to differences in minor injuries; no difference between groups for more serious injuries was observed. Matone et al 81 point to the need for high-quality implementation to replicate beneficial trial findings.…”

Section: Discussionmentioning

confidence: 82%

“…81 Although a higher rate of attendance was found among NFP families, these were mostly due to differences in minor injuries; no difference between groups for more serious injuries was observed. Matone et al 81 point to the need for high-quality implementation to replicate beneficial trial findings. Olds' original trial 9 provides the most rigorous long-term evidence of programme impact when implemented as intended by the developer and when combining data sources to understand maltreatment outcomes.…”

Section: Discussionmentioning

confidence: 82%

The Family Nurse Partnership to reduce maltreatment and improve child health and development in young children: the BB:2–6 routine data-linkage follow-up to earlier RCT

et al. 2021

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Background The short-term effectiveness (to 24 months post partum) of a preventative home-visiting intervention, the Family Nurse Partnership, was previously assessed in the Building Blocks trial (BB:0–2). Objectives The objectives were to establish the medium-term effectiveness of the Family Nurse Partnership in reducing maltreatment and improving maternal health (second pregnancies) and child health, developmental and educational outcomes (e.g. early educational attendance, school readiness); to explore effect moderators and mediators; and to describe the costs of enhancing usually provided health and social care with the Family Nurse Partnership. Design Children and their mothers from an existing trial cohort were followed up using routine data until the child was 7 years of age. Setting This study was set in 18 partnerships between local authorities and health-care organisations in England. Participants The participants were mothers [and their firstborn child(ren)] recruited as pregnant women aged ≤ 19 years, in local authority Family Nurse Partnership catchment areas, at < 25 weeks’ gestation, able to provide consent and able to converse in English. Participants mandatorily withdrawn (e.g. owing to miscarriage) from the BB:0–2 trial were excluded. Interventions The intervention comprised up to a maximum of 64 home visits by specially trained family nurses from early pregnancy until the firstborn child was 2 years of age, plus usually provided health and social care support. The comparator was usual care alone. Main outcome measures The primary outcome measure was child-in-need status recorded at any time during follow-up. The secondary outcomes were as follows: (1) referral to social services, child protection registration (plan), child-in-need categorisation, looked-after status, recorded injuries and ingestions at any time during follow-up; (2) early child care and educational attendance, school readiness (Early Years Foundation Stage Profile score) and attainment at Key Stage 1; and (3) health-care costs. Data sources The following data sources were used: maternally reported baseline and follow-up data (BB:0–2), Hospital Episode Statistics data (NHS Digital), social care and educational data (National Pupil Database) and abortions data (Department of Health and Social Care). Results There were no differences between study arms in the rates of referral to social services, being registered as a child in need, receiving child protection plans, entering care or timing of first referral for children subsequently assessed as in need. There were no differences between study arms in rates of hospital emergency attendance, admission for injuries or ingestions, or in duration of stay for admitted children. Children in the Family Nurse Partnership arm were more likely to achieve a good level of development at reception age (school readiness), an effect strengthened when adjusting for birth month. Differences at Key Stage 1 were not statistically different, but, after adjusting for birth month, children in the Family Nurse Partnership arm were more likely to reach the expected standard in reading. Programme effects were greater for boys (Key Stage 1: writing); children of younger mothers (Key Stage 1: writing, Key Stage 1: mathematics); and children of mothers not in employment, education or training at study baseline (Key Stage 1: writing). There were no differences between families who were part of the Family Nurse Partnership and those who were not for any other outcome. The differences between study arms in resource use and costs were negligible. Limitations The outcomes are constrained to those available from routine sources. Conclusions There is no observable benefit of the programme for maltreatment or maternal outcomes, but it does generate advantages in school readiness and attainment at Key Stage 1. Future work The trajectory of longer-term programme benefits should be mapped using routine and participant-reported measures. Funding This project was funded by the National Institute for Health Research (NIHR) Public Health Research programme and will be published in full in Public Health Research; Vol. 9, No. 2. See the NIHR Journals Library website for further project information.

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“…In this case, propensity score matching was necessary because we needed each comparison family to have a specific matched program family so that we could identify which CPS events occurred when the comparison child was in the same age range as the program child was during program involvement. A similar strategy was used by Matone et al (2018) to examine child abuse‐related injuries in three HV programs, which matched children in HV program data to similarly aged children in birth certificate data; the resulting dataset was linked with Medicaid data. Because unique identifiers were available, deterministic linkage was performed.…”

Section: Discussionmentioning

confidence: 99%

Using probabilistic record linkage and propensity‐score matching to identify a community‐based comparison population

Holland

Taylor

Condon

et al. 2022

Research in Nursing & Health

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In retrospective cohort studies of interventions disseminated to communities, it is challenging to find comparison groups with high-quality data for evaluation. We present one methodological approach as part of our study of birth outcomes of second-born children in a home visiting (HV) program targeting first-time mothers. We used probabilistic record linkage to link Connecticut's Nurturing Families Network (NFN) HV program and birth-certificate data for children born from 2005 to 2015. We identified two potential comparison groups: a propensity-score-matched group from the remaining birth certificate sample and eligible-but-unenrolled families. An analysis of interpregnancy interval (IPI) is presented to exemplify the approach. We identified the birth certificates of 4822 NFN families. The propensity-score-matched group had 14,219 families (3-to-1 matching) and we identified 1101 eligible-but-unenrolled families. Covariates were well balanced for the propensity-score-matched group, but poorly balanced for the eligible-but-unenrolled group. No program effect on IPI was found. By combining propensity-score matching and probabilistic record linkage, we were able to retrospectively identify relatively large comparison groups for quasiexperimental research. Using birth certificate data, we accessed outcomes for all of these individuals from a single data source. Multiple comparison groups allow us to confirm findings when each method has some limitations. Other researchers seeking community-based comparison groups could consider a similar approach.birth outcomes, home visiting, maternal-child health, quasi-experimental method Administrative datasets are created for purposes other than research but can have important advantages when utilized in research. These datasets include electronic medical records, insurance claims, state agency records, and community program data. While primary data collection can often be costly and burdensome, use of administrative datasets may allow for exploration of new research questions faster and at lower cost, as these datasets can provide a much larger sample size for a lower cost per participant (Jutte et al., 2011). Use of administrative datasets may also allow for evaluation of interventions after dissemination into the community, and the larger size of administrative datasets may be helpful for examining infrequent events or complex interactions such as the intersectionality of race and gender (Bauer et al., 2021). Developing strategies to effectively utilize administrative datasets, registries, and other existing datasets

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A Mixed Methods Evaluation of Early Childhood Abuse Prevention Within Evidence-Based Home Visiting Programs

Cited by 19 publications

References 26 publications

Contributions of Preventive Social Services in Early Childhood Home Visiting in a Disadvantaged Area of Sweden: The Practice of the Parental Advisor

Contributions of Preventive Social Services in Early Childhood Home Visiting in a Disadvantaged Area of Sweden: The Practice of the Parental Advisor

The Family Nurse Partnership to reduce maltreatment and improve child health and development in young children: the BB:2–6 routine data-linkage follow-up to earlier RCT

Using probabilistic record linkage and propensity‐score matching to identify a community‐based comparison population

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