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Variation in home visiting over the first three years of life: Links to family characteristics, aspects of home visits, and child outcomes

The question of uptake and continued participation in a home visiting program is examined in the Infant Health and Development Program (IHDP), a randomized multisite study of 985 low birth weight infants and their families. Home visiting and center-based education were provided to the treatment group during the first three years of life. Although variation in home visits did occur, 98% of the families received at least some home visits. At each home visit, a log recorded the duration of the visit and the nature of the caregiver-home visitor relationship. Using data over the first three years of life, the following three questions are examined. 1) What are the different patterns of home visits? Uptake patterns of home visiting frequency are examined over the entire duration of the program. 2) Which child, maternal, and family demographic characteristics and qualities of the home visit are associated with these home visitation patterns? Ten predictors are examined. 3) Since the IHDP is an early childhood educational intervention, whether higher frequency patterns of home visits are associated with greater positive treatment effects for children's cognitive and behavioral outcomes and mothers depression, social support, knowledge of child development and home environment is examined. (author abstract)
Resource Type:
Reports & Papers
United States
Arkansas; Connecticut; Florida; Massachusetts; New York; Pennsylvania; Texas; Washington

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