Evidence map›Paper›PMID 29558714›Full record

Observational studyChild abuse & neglect2018

Preventing child maltreatment: Examination of an established statewide home-visiting program.

Barbara H Chaiyachati, Julie R Gaither, Marcia Hughes, Karen Foley-Schain, John M Leventhal

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Child abuse & neglect, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06562439 (Early Identification and Intervention Of Developmental Delay Among Infants And Toddlers With Sickle Cell Disease Using the Sickle Cell Caregiver Collaboration for Child Development), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
6.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06562439 nawithdrawnnot on this mapstarted 2025, after this paper: background citation

Early Identification and Intervention Of Developmental Delay Among Infants And Toddlers With Sickle Cell Disease Using the Sickle Cell Caregiver Collaboration for Child Development (SCCCD) Intervention

TypeinterventionalSponsorWashington University School of MedicineRan2025 to 2028Enrolled0ConditionsSickle Cell DiseaseArmsSickle Cell Collaboration for Child Development
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. Review
  3. Impact of Intimate Partner Violence on Children.Pediatric clinics of North America · 2025
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Encountering Child Abuse and Neglect in Home Visiting: a Qualitative Study of Visitor and Supervisor Experiences.Prevention science : the official journal of the Society for Prevention Research · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Barbara H ChaiyachatiDepartment of Pediatrics, Yale School of Medicine, United States; Children's Hospital of Philadelphia, University of Pennsylvania, United States. Electronic address: chaiyachab@email.chop.edu.
Julie R GaitherDepartment of Pediatrics, Yale School of Medicine, United States.
Marcia HughesCenter for Social Research, University of Hartford, United States.
Karen Foley-SchainKaren Foley-Schain, MA, MEd, LLC.
John M LeventhalDepartment of Pediatrics, Yale School of Medicine, United States.
Yale University · USFoley Hoag (United States) · USUniversity of Hartford · USUniversity of Pennsylvania · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Chronic Opioid Therapy and Patient Safety in HIV Infected and Uninfected VeteransF31DA035567 · NIDA · YALE UNIVERSITY · PI GAITHER, JULIE ROZELLE · 2013 to 2014
$85k
NCATS NIH HHS UL1 TR001863NIDA NIH HHS F31 DA035567
6 · The paper itself

Abstract

Although home visiting has been used in many populations in prevention efforts, the impact of scaled-up home-visiting programs on abuse and neglect remains unclear. The objective of this study was to assess the impact of voluntary participation in an established statewide home-visiting program for socially high-risk families on child maltreatment as identified by Child Protective Services (CPS). Propensity score matching was used to compare socially high-risk families with a child born between January 1, 2008 and December 31, 2011 who participated in Connecticut's home-visiting program for first-time mothers and a comparison cohort of families who were eligible for the home-visiting program but did not participate. The main outcomes were child maltreatment investigations, substantiations, and out-of-home placements by CPS between January 1, 2008 and December 31, 2013. In the unmatched sample, families who participated in home-visiting had significantly higher median risk scores (P < .001). After matching families on measured confounders, the percentages of families with CPS investigations (21.1% vs. 20.9%, P = .86) were similar between the two groups. However, there was a 22% decreased likelihood of CPS substantiations (hazard ratio [HR] 0.78, 95% confidence interval [CI] 0.64-0.95) for families receiving home visiting. First substantiations also occurred later in the child's life among home-visited families. There was a trend toward decreased out-of-home placement (HR 0.73, 95% CI 0.53-1.02, P = .06). These results from a scaled-up statewide program highlight the potential of home visiting as an important approach to preventing child abuse and neglect.

Indexed as

ChildChild AbuseChild, PreschoolChild Protective ServicesChild WelfareConnecticutFemaleHouse CallsHumansInfantLongitudinal StudiesMaleMothersPhysical ExaminationRetrospective StudiesChild maltreatment preventionHome-visiting

Identifiers

PMID29558714
PMCPMC5894115
OpenAlexW2793732195

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.