The effects of a universal short-term home visiting program: Two-year impact on parenting behavior and parent mental health.
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2023-06
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Abstract
Background
At the time of childbirth, families face heightened levels of unmet need. These needs, if left unmet, can lead parents to engage in less positive parenting practices, which in turn, increase the risk of child maltreatment. Family Connects (FC) is a universal postnatal nurse home-visiting program designed to prevent child maltreatment by supporting all families in a community through one to three visits to improve parent mental health and parenting behaviors. A randomized controlled trial of FC demonstrated improving positive parenting and reducing postpartum depression through age 6 months.Objective
To determine sustained (2-year) impact of random assignment to FC on parenting behavior and parent mental health and identify heterogeneity of effects.Participants and setting
A representative subsample of 496 families that had been randomized to FC (255 treatment; 241 control) of infants born between July 1, 2009, and December 31, 2010, in Durham County, North Carolina.Methods
Demographic characteristics were collected through hospital discharge data. Treatment-blinded interviewers collected maternal reports of parenting behavior and mental health at infant age two years. Moderation and subgroup analyses were conducted to estimate heterogeneity in impact of FC.Results
Mothers assigned to FC engaged in more self-reported positive parenting relative to control mothers (B = 0.21; p < 0.05). Hispanic mothers assigned to FC reported greater sense of parenting competence (B = 1.28; p < 0.05). No significant main effect differences were identified for negative parenting, maternal depression, or father involvement.Conclusions
Assignment to FC was associated with improvements in population-level self-reported scores of positive parenting 2 years post-intervention.Type
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Baziyants, Gayane A, Kenneth A Dodge, Yu Bai, W Benjamin Goodman, Karen O'Donnell and Robert A Murphy (2023). The effects of a universal short-term home visiting program: Two-year impact on parenting behavior and parent mental health. Child abuse & neglect, 140. p. 106140. 10.1016/j.chiabu.2023.106140 Retrieved from https://hdl.handle.net/10161/27405.
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Scholars@Duke
Gayane Baziyants
Joint-Degree Ph.D. Candidate at the Sanford School of Public Policy and Psychology & Neuroscience
Gayane is a Joint-Degree Ph.D. Candidate of Public Policy and Psychology & Neuroscience. Her research focuses on identifying evidence-based policies and practices for supporting child development and family well-being. Gayane utilizes diverse research methods, such as randomized control trials, quasi-experimental methods, and implementation science to inform research on supporting families. Her research projects evaluate longitudinal impacts of a universal home visiting program and investigate effects of an unconditional cash transfer on rates of child maltreatment. Gayane is also conducting an implementation evaluation of a developmental monitoring tool across diverse sites that serve children and families.
Gayane received her Bachelor’s Degree in Education and International Studies from the University of North Carolina Chapel Hill in 2017. Before matriculating at Duke, she worked as a Research Analyst at Child Trends. In this role, she conducted national, state, and community level research analyzing the impact of various early childhood policies and programs.
Yu Bai
Ben Goodman
Ben Goodman is a research scientist at the Center for Child and Family Policy. His research interests focus broadly on the implementation and evaluation of population-based interventions to reduce child maltreatment and improve parent and child health and well-being, including the evidence-based Family Connects postpartum nurse home visiting program. His research also examines how sources of stress and support shape the quality of parent-child relationships, parents’ own well- being, and child development.
Research Interests:- Home Visiting
- Child Maltreatment
- Parenting
- Program Evaluation
- Ph.D. The Pennsylvania State University - 2009
Robert A. Murphy
Dr. Murphy is a licensed clinical psychologist focused on child traumatic stress, including its treatment and prevention and development and dissemination of evidence-based interventions. He is an Associate Professor in the Department of Psychiatry and Behavioral Sciences at Duke University School of Medicine. Dr. Murphy serves as Executive Director for the Center for Child & Family Health (CCFH), a community and three university partnership (Duke University, the University of North Carolina at Chapel Hill, and North Carolina Central University) dedicated to research, training, and intervention related to child trauma and maltreatment. Interests include treatment and prevention of child maltreatment and traumatic stress, dissemination of evidence based interventions, and improving mental health care for military families. In partnership with the Duke Sanford School of Public Policy Center for Child and Family Policy, he has been active in the development and evaluation, via two randomized controlled trials, of a brief, postnatal, universal nurse home visiting program (Family Connects) that has demonstrated improved parenting and parental distress, as well as reduced emergency medical care costs and lower rates of reported child maltreatment. Since 2003, CCFH has been a community treatment and services center within the National Child Traumatic Stress Network focused on improving access to evidence based mental health care for foster care youth and developing trauma informed child welfare systems.
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