PMID- 32638144
OWN - NLM
STAT- MEDLINE
DCOM- 20210512
LR  - 20240329
IS  - 1573-6628 (Electronic)
IS  - 1092-7875 (Print)
IS  - 1092-7875 (Linking)
VI  - 24
IP  - Suppl 2
DP  - 2020 Sep
TI  - Impacts of a Home Visiting Program Enhanced with Content on Healthy Birth 
      Spacing.
PG  - 105-118
LID - 10.1007/s10995-020-02968-6 [doi]
AB  - OBJECTIVES: This study sought to determine the impact of Healthy Families Healthy 
      Futures (HFHF) enhanced with Steps to Success (STS). HFHF is a structured home 
      visiting program for teen parents in Houston that focuses on improving parenting 
      skills and preventing child abuse. HFHF enhanced with STS includes content and 
      activities aimed to reduce repeat pregnancies within 24 months after the first 
      child's birth. METHODS: The study team recruited 248 young mothers for the study, 
      primarily through local health clinics and schools, and then randomly 
      assigned them to either a treatment group that was eligible to participate in 
      HFHF enhanced with STS or to a control group. The control group was not offered 
      any other program through the study. Outcomes were measured by a survey 
      administered 12 months after program intake, in five domains aligned with the 
      program's logic model: (1) exposure to information related to program content, 
      (2) contraception knowledge, (3) contraception use, (4) enhanced family 
      functioning, and (5) child health and development. To estimate program impacts, 
      we used ordinary least squares regression, controlling for demographics and 
      baseline measures of the outcome variables, if available. We use both frequentist 
      approaches (calculations of statistical significance) and Bayesian posterior 
      probabilities to interpret the findings. RESULTS: HFHF enhanced with STS 
      significantly (p < .05) impacted exposure to information on parenting and birth 
      control, with effects of 20.8 and 15.4 percentage points, respectively. Using 
      Bayesian posterior probabilities, there is an 85% chance that the program had a 
      favorable effect on these outcomes. We also calculate a probability of 77% that 
      the program had a favorable impact on long-acting reversible contraceptive (LARC) 
      use, but a probability of 89% that the program reduced knowledge of birth control 
      pills; these two results were not statistically significant (p = .17 and .10, 
      respectively). CONCLUSIONS FOR PRACTICE: These findings are primarily favorable 
      and consistent with the program content and goals. Smaller than anticipated 
      sample sizes due to recruitment challenges increased the chances for random error 
      to affect the ability to detect statistically significant differences on many of 
      our other outcomes; Bayesian posterior probabilities can therefore aid in 
      interpreting the impact estimates. More research of this promising model is 
      warranted.
FAU - Zief, Susan
AU  - Zief S
AUID- ORCID: 0000-0002-9897-414X
AD  - Mathematica, P.O. Box 2393, Princeton, NJ, 08543, USA. szief@mathematica-mpr.com.
FAU - Deke, John
AU  - Deke J
AD  - Mathematica, P.O. Box 2393, Princeton, NJ, 08543, USA.
FAU - Burkander, Paul
AU  - Burkander P
AD  - Mathematica, P.O. Box 2393, Princeton, NJ, 08543, USA.
FAU - Langan, Andrew
AU  - Langan A
AD  - Mathematica, P.O. Box 2393, Princeton, NJ, 08543, USA.
FAU - Asheer, Subuhi
AU  - Asheer S
AD  - Mathematica, P.O. Box 2393, Princeton, NJ, 08543, USA.
LA  - eng
GR  - HHSP233201450026A/Office of the Assistant Secretary for Health/
PT  - Journal Article
PL  - United States
TA  - Matern Child Health J
JT  - Maternal and child health journal
JID - 9715672
SB  - IM
MH  - Adolescent
MH  - Bayes Theorem
MH  - *Birth Intervals
MH  - Female
MH  - Health Promotion/*methods/trends
MH  - Home Care Services/*standards/trends
MH  - Humans
MH  - Young Adult
PMC - PMC7497386
OTO - NOTNLM
OT  - Contraception
OT  - Expectant and parenting youth
OT  - Home visiting
OT  - LARC
OT  - Parenting
OT  - Teen parent
COIS- The authors declare that they have no conflict of interest.
EDAT- 2020/07/09 06:00
MHDA- 2021/05/13 06:00
PMCR- 2020/07/07
CRDT- 2020/07/09 06:00
PHST- 2020/07/09 06:00 [pubmed]
PHST- 2021/05/13 06:00 [medline]
PHST- 2020/07/09 06:00 [entrez]
PHST- 2020/07/07 00:00 [pmc-release]
AID - 10.1007/s10995-020-02968-6 [pii]
AID - 2968 [pii]
AID - 10.1007/s10995-020-02968-6 [doi]
PST - ppublish
SO  - Matern Child Health J. 2020 Sep;24(Suppl 2):105-118. doi: 
      10.1007/s10995-020-02968-6.