We are updating the design of this site. Learn more.
Show more
ClinicalTrials.gov
ClinicalTrials.gov Menu

Evaluation of the Healthy Families Alaska Program

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00216710
First Posted: September 22, 2005
Last Update Posted: August 30, 2017
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborator:
State of Alaska Department of Health and Social Services
Information provided by:
Johns Hopkins University
September 16, 2005
September 22, 2005
August 30, 2017
July 1999
February 21, 2004   (Final data collection date for primary outcome measure)
  • Child Abuse and Neglect [ Time Frame: From child's birth (baseline) to 24 months of age ]
    Substantiated and unsubstantiated reports of abuse; maternal self-report of harsh discipline
  • Child Development [ Time Frame: 24 months ]
    Child cognitive, motor and psychosocial development
  • All outcome measures were collected when child turned 2 years old.
  • Child Abuse and Neglect
  • Child Health
  • Child Development
  • Family Functioning
  • - Use of Community Resources
  • - Maternal Life Course
  • - Social Support
  • - Partner Violence
  • - Mental Health
  • - Substance Use
  • Parenting
  • - Knowledge of Infant Development
  • - Use of Physical Punishment
  • - Parenting Self-Efficacy
  • - Parenting Satisfaction
  • - Parent/Child Interaction
  • - Quality of the Home Environment
  • - Parenting Attitudes
Complete list of historical versions of study NCT00216710 on ClinicalTrials.gov Archive Site
  • Child Health [ Time Frame: From child's birth (baseline) to 24 months of age ]
    Hospitalizations, ED use, injuries requiring medical care, adequate well child care, immunizations
  • Maternal Life Course [ Time Frame: At time of study follow-up (child 24 months of age) ]
    Educational attainment, employment, social support, rapid repeat birth
  • Maternal Psychosocial Functioning [ Time Frame: At time of study follow-up (child 24 months of age) ]
    Mental health, substance use, intimate partner violence
  • Parenting Knowledge [ Time Frame: At time of study follow-up (child 24 months of age) ]
    Knowledge of child development; recognition of child delay
  • Parenting Attitudes [ Time Frame: At time of study follow-up (child 24 months of age) ]
    Use of corporal punishment, infant caregiving, expectations of children, empathy towards child's needs
  • Parenting Behavior [ Time Frame: At time of study follow-up (child 24 months of age) ]
    Observational measures of parent/child interaction and quality of the home environment, use of corporal punishment, use of nonviolent discipline
Not Provided
Not Provided
Not Provided
 
Evaluation of the Healthy Families Alaska Program
Evaluation of the Healthy Families Alaska Program

This study will assess the effectiveness of early home visitation by a professional in preventing child maltreatment, promoting healthy family functioning, and promoting child health and development.

The investigators will test the following hypotheses regarding the effectiveness of early paraprofessional home visiting for at-risk families

  • Actual home visiting services adhere to HFAK standards.
  • HFAK promotes healthy family functioning, promotes child health and development, and prevents child abuse and neglect.
  • Adherence to HFAK process standards is positively associated with achievement of outcomes.

Healthy Families Alaska (HFAK) is a well-established child abuse prevention program targeted to at-risk families. HFAK is based on the Healthy Families America initiative promoted by Prevent Child Abuse America. The State Department of Health and Social Services (DHSS) administers the HFAK program.

In 1998, the Alaska State Legislature requested a controlled study of HFAK to determine its effectiveness in preventing child maltreatment, promoting healthy family functioning, and promoting child health and development. DHSS awarded the Johns Hopkins University School of Medicine a contract to conduct the study from July 1999 through June 2004.

The study is a randomized trial of six HFAK sites throughout Alaska. It aims to compare services actually provided to HFAK standards, assess program success in achieving intended outcomes, and relate program impact to service delivery.

Families are enrolled over 21 months beginning in January 2000. Families are randomized to either the HFAk group or the control group. Baseline data on family attributes are collected from HFAK files and maternal interviews. HFAK service data are collected from the program's management information system, record reviews, surveys of staff, and staff focus groups. Outcome data are collected when the children were two years old through maternal interview, home-based observations, child developmental testing, review of medical records, and review of OCS child welfare records.

Interventional
Not Provided
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Child Abuse
Behavioral: Home Visiting
  • Experimental: Home Visited Mothers
    Mothers randomized to the home visited group received AK State-funded home visiting services. Frequency of home visits was determined by home visiting staff based on mothers' needs. Mothers could receive home visiting services until their child turned 3 years old
    Intervention: Behavioral: Home Visiting
  • No Intervention: Control Mothers
    Mothers randomized to the control group did not receive home visiting services, but were offered referrals to other community-based services, as was usual protocol with home visiting agencies were operating at capacity.
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
380
January 21, 2005
February 21, 2004   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Family resides in a community served by one of six HFAK programs participating in the study
  • Family identified as at-risk by HFAK staff following the usual HFAK protocol

Exclusion Criteria:

  • Family was previously enrolled in HFAK
  • Mother unable to speak English well enough to complete study activities.
  • Family unwilling to enroll in the HFAK program.
Sexes Eligible for Study: Female
Child, Adult, Senior
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
 
NCT00216710
99-0155
Contract Number 067727
Not Provided
Not Provided
Not Provided
Not Provided
Johns Hopkins University
State of Alaska Department of Health and Social Services
Principal Investigator: Anne K Duggan, ScD Johns Hopkins University
Johns Hopkins University
August 2017

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP