Risk Reduction Behavior Clinical Trial
Official title:
Age 9 Follow-up of Preventive Intervention
To examine the impact of prenatal and infancy home visiting by paraprofessionals and by nurses from child age 2 through 9.
This project supports a 9-year follow-up of 650 children and their families who were
enrolled in a randomized trial of prenatal and infancy home visiting by paraprofessionals
and by nurses; participating families were assigned to control, paraprofessional-, or
nurse-visited conditions. Earlier phases of assessment found significant benefits for nurse-
and paraprofessional-visited families and children, although the nurse effects tended to be
larger. The current phase of follow-up is designed to determine whether the effects of the
nurse and paraprofessional programs endure and grow through the child age 9.5.
The project is organized around seven questions:
1. Do the programs of nurse and paraprofessional home-visiting produce enduring effects
on: a) mothers' life-course; b) qualities of care parents provide to their children; c)
children's early-onset behavior problems; d) children's incoherence and
aggression/destruction in response to story stems; e) children's executive, language,
and intellectual functioning and school achievement?
2. To what extent are the beneficial effects of the programs on parental care-giving and
children's development concentrated on those born to mothers with few psychological
resources?
3. To what extent are the benefits of the programs on mothers and children equivalent for
Mexican- Americans and European-Americans?
4. To what extent are the effects of the programs on antisocial behavior concentrated on
boys? 5. To what extent are program effects moderated by school and neighborhood
contexts?
6. To what extent are the effects of the programs on children's development explained by
impacts of the programs on women's prenatal smoking, maternal life-course, qualities of
parental caregiving, and children's earlier language development, executive functioning, and
emotional regulation? 7. To what extent are the initial costs of the programs recovered in
reduced expenditures for other government services during the first nine years of the first
child's life?
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Outcomes Assessor), Primary Purpose: Prevention
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