Participation in Home Visitation is Associated with Higher Utilization of Early Intervention.
<italic>Objectives</italic> To determine whether participation in a home visiting program increases and expedites utilization of early intervention services for suspected developmental delays. <italic>Methods</italic> Children participating in Every Child Succeeds (ECS), a large home visiting (HV) p...
| Publicado en: | Maternal & Child Health Journal Vol. 22; no. 4; pp. 494 - 501 |
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| Autores principales: | , , , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128548722&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128548722 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Apr2018 vid: 22 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 128548722 128548722 128548722 10.1007/s10995-017-2415-8 128548722 ppf: 494 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Participation in Home Visitation is Associated with Higher Utilization of Early Intervention. aug: au: Bowers, Katherine Folger, Alonzo T. Zhang, Nanhua Sa, Ting Ehrhardt, Jennifer Meinzen-Derr, Jareen Goyal, Neera K. Van Ginkel, Judith B. Ammerman, Robert T. affil: Division of Biostatistics and Epidemiology, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Ave, 45229, Cincinnati, OH, USA sug: subj: Home Visits Early Childhood Intervention Maternal-Child Health Human Descriptive Statistics Data Analysis Software Chi Square Test Log-Rank Test Cox Proportional Hazards Model Odds Ratio Confidence Intervals Retrospective Design Prospective Studies ab: <italic>Objectives</italic> To determine whether participation in a home visiting program increases and expedites utilization of early intervention services for suspected developmental delays. <italic>Methods</italic> Children participating in Every Child Succeeds (ECS), a large home visiting (HV) program serving greater Cincinnati, between 2006 and 2012, were propensity score matched to a sample of children identified from birth records who did not receive services from ECS. Data were linked to early intervention (EI) data acquired from the Ohio Department of Health. Descriptive statistics were employed to evaluate success of the matching. Chi square and log-rank tests evaluated whether the proportion of children accessing EI and the time to EI services differed for families participating in HV compared to eligible children not participating. Logistic regression and Cox proportional hazards regression modeled the associations. <italic>Results</italic> Among 3574 HV and 3574 comparison participants, there was no difference in the time to EI service utilization; however a higher percentage of HV participants accessed services. Overall, 6% of the HV group and 4.3% of the comparison group accessed services (p = 0.001). Modeling revealed an odd ratio = 1.43 [95% confidence interval (CI) 1.16-1.78, p value = 0.001] and hazard ratio = 1.42 [95% CI 1.15-1.75, p value = 0.001]. Differences in utilization were greatest directly after birth and between approximately 2 and 3 years. <italic>Conclusions for Practise</italic> Participation in home visiting was associated with greater utilization of EI services during two important developmental time points, demonstrating that home visiting may serve as an important resource for facilitating access to early intervention services. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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