Improving Adolescent Parenting: Results From a Randomized Controlled Trial of a Home Visiting Program for Young Families.

Objectives. Our aim was to estimate the effects of Healthy Families Massachusetts, a statewide home visiting program serving first-time adolescent parents, on parenting, child development, educational attainment, family planning, and maternal health and well-being. Methods. We used a randomized cont...

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Published in:American Journal of Public Health Vol. 106; no. 2; pp. 342 - 350
Main Authors: Jacobs, Francine, Easterbrooks, Ann, Goldberg, Jessica, Mistry, Jayanthi, Bumgarner, Erin, Raskin, Maryna, Fosse, Nathan, Fauth, Rebecca
Format: Article
Published: American Public Health Association Feb2016
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Feb2016
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      pub: American Public Health Association
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        10.2105/AJPH.2015.302919
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        atl: Improving Adolescent Parenting: Results From a Randomized Controlled Trial of a Home Visiting Program for Young Families.
      aug:
        au:
          Jacobs, Francine
          Easterbrooks, Ann
          Goldberg, Jessica
          Mistry, Jayanthi
          Bumgarner, Erin
          Raskin, Maryna
          Fosse, Nathan
          Fauth, Rebecca
        affil:
          Eliot-Pearson Department of Child Study and Human Development, Tufts University, Medford, MA
          Department of Urban and Environmental Policy and Planning, Tufts University
          Abt Associates, Cambridge, MA
      su:
        Massachusetts
        Teenage parents
        Home care services
        Prevention of psychological stress
        Teenage pregnancy
        Intimate partner violence
        Parenting
        Parent attitudes
        Family planning
        Parenting education
        Psychology
        Violence prevention
        Confidence intervals
        Data analysis software
        Descriptive statistics
        Odds ratio
      sug:
        subj:
          Teenage parents
          Home care services
          Prevention of psychological stress
          Teenage pregnancy
          Intimate partner violence
          Parenting
          Parent attitudes
          Family planning
          Parenting education
          Psychology
          Massachusetts
          Offices of All Other Miscellaneous Health Practitioners
          Home Health Care Services
          Services for the Elderly and Persons with Disabilities
          Offices of all other health practitioners
          Violence prevention
          Confidence intervals
          Data analysis software
          Descriptive statistics
          Odds ratio
      ab: Objectives. Our aim was to estimate the effects of Healthy Families Massachusetts, a statewide home visiting program serving first-time adolescent parents, on parenting, child development, educational attainment, family planning, and maternal health and well-being. Methods. We used a randomized controlled trial design to randomly assign the 704 participants to a group receiving home visiting services or a control group. Between 2008 and 2012, telephone and in-person interviews were conducted and administrative data obtained at 12 and 24months after enrollment. Intention-to-treat analyses compared group differences across 5 outcome domains: parenting, child health and development, educational and economic achievement, family planning, and parental health and well-being. Results. The home visiting program had a positive influence on parenting stress, college attendance, condom use, intimate partner violence, and engagement in risky behaviors. No negative findings were observed. Conclusions. A paraprofessional home visiting program specifically targeting young mothers appears effective in domains of particular salience to young parents and their infants and toddlers. Expanding participation in the program appears a worthy goal for program administrators and policymakers.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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