Evidence map›Paper›PMID 31432381›Full record

ArticlePrevention science : the official journal of the Society for Prevention Research2019

Informing Precision Home Visiting: Identifying Meaningful Subgroups of Families Who Benefit Most from Family Spirit.

E E Haroz, A Ingalls, C Kee, N Goklish, N Neault, M Begay, A Barlow

Registry-linked trialAbstract read
In one paragraph

Article in Prevention science : the official journal of the Society for Prevention Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00373750 (In-home Prevention of SA Risks for Native Teen Families), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT00373750 nacompletednot on this map

In-home Prevention of SA Risks for Native Teen Families

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2006 to 2010Enrolled322ConditionsSubstance Abuse, Post-partum Depression, DepressionArmsFamily Spirit Intervention
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Community-Engaged Research in Early Home Visiting: A Scoping Review of Peer-Reviewed Literature.Prevention science : the official journal of the Society for Prevention Research · 2025
    Article
  8. An Integrated Review of Findings from the Early Head Start University Partnerships Buffering Toxic Stress Consortium.Prevention science : the official journal of the Society for Prevention Research · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Stress and Cardiometabolic Disease Risk for Indigenous Populations throughout the Lifespan.International journal of environmental research and public health · 2021
    Article
  14. Article
  15. Article
  16. Commentary on Scaling-Up Evidence-Based Interventions in Public Systems.Prevention science : the official journal of the Society for Prevention Research · 2019
    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

7 authors.

E E HarozCenter for American Indian Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. eharoz1@jhu.edu.
A IngallsCenter for American Indian Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
C KeeCenter for American Indian Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
N GoklishCenter for American Indian Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
N NeaultCenter for American Indian Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
M BegayCenter for American Indian Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
A BarlowCenter for American Indian Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Funding

SuSt-AInS: Sustainment of suicide prevention programs in American Indian SettingsK01MH116335 · NIMH · JOHNS HOPKINS UNIVERSITY · PI HAROZ, EMILY · 2018 to 2022
$733k
NIMH NIH HHS K01 MH116335
6 · The paper itself

Abstract

The Maternal, Infant, and Early Childhood Home Visiting Program was reauthorized February 8, 2018, and invests $2 billion over 5 years to improve mothers' and children's outcomes across the life course. Along with this investment, the home-visiting field is striving for implementation innovations to deliver the greatest impact to the most families at the most efficient cost through a focus on precision home visiting. Consistent with the precision home-visiting approach to identify meaningful subgroups to guide content tailoring, the purpose of this paper is to answer (1) how and to what degree an evidence-based home-visiting model benefits mothers and children with substance use or depression and (2) what baseline characteristics indicate who can benefit most. We completed a secondary data analysis of the most recently completed randomized controlled trial (RCT) of Family Spirit (N = 322), a federally endorsed home-visiting intervention designed for young Native American mothers and their children. We examined how baseline differences in mothers' substance use, depression, and demographic characteristics (household mobility, education, parity, and premature birth) moderated mothers' and children's intervention-related outcomes. Children born to mothers with past substance use histories benefited more from the intervention than children born to abstinent mothers (p < 0.01). Unstable housing, parity, and low educational attainment emerged as moderators of intervention effectiveness. Results from this investigation will serve as a basis for designing and evaluating a precision approach to Family Spirit and may provide lessons for other models to explore tailoring variables for optimal impact and efficiency. Trial Registry: NCT00373750.

Indexed as

Child AbuseChild, PreschoolCommunity Health NursingDepression, PostpartumFemaleHouse CallsHumansIndians, North AmericanInfantMaternal BehaviorMothersOutcome Assessment, Health CarePilot ProjectsPostnatal CareSubstance-Related DisordersHome visitingModeration analysisPrecision prevention science

Identifiers

PMID31432381
PMCPMC7082862

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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.