Evidence map›Paper›PMID 36151535›Full record

Trial reportBMC pregnancy and childbirth2022

Towards precision home visiting: results at six months postpartum from a randomized pilot implementation trial to assess the feasibility of a precision approach to Family Spirit.

Allison Ingalls, Paul Rebman, Lisa Martin, Elizabeth Kushman, Amanda Leonard, Aimee Cisler, Ingrid Gschwind, Amanda Brayak, Ann Marie Amsler, Emily E Haroz

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03975530 (Piloting a Precision Approach to Home Visiting), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

NCT03975530 nacompletednot on this map

Piloting a Precision Approach to Home Visiting

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2019 to 2020Enrolled66ConditionsParenting, Mother-Child Relations, Child DevelopmentArmsPrecision Family Spirit, Standard Family Spirit
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Allison IngallsJohns Hopkins University, Bloomberg School of Public Health, International Health Department, Center for American Indian Health, Allison Ingalls, 415 N. Washington St., 4th Floor Room 439, Baltimore, MD, 21231, USA. aingalls@jhu.edu.
Paul RebmanJohns Hopkins University, Bloomberg School of Public Health, International Health Department, Center for American Indian Health, Allison Ingalls, 415 N. Washington St., 4th Floor Room 439, Baltimore, MD, 21231, USA.
Lisa MartinInter-Tribal Council of Michigan, Inc, Sault Ste. Marie, MI, USA.
Elizabeth KushmanInter-Tribal Council of Michigan, Inc, Sault Ste. Marie, MI, USA.
Amanda LeonardInter-Tribal Council of Michigan, Inc, Sault Ste. Marie, MI, USA.
Aimee CislerAmerican Indian Health and Family Services, Detroit, MI, USA.
Ingrid GschwindTribal Communities in Michigan, MI, USA.
Amanda BrayakTribal Communities in Michigan, MI, USA.
Ann Marie AmslerTribal Communities in Michigan, MI, USA.
Emily E HarozJohns Hopkins University, Bloomberg School of Public Health, International Health Department, Center for American Indian Health, Allison Ingalls, 415 N. Washington St., 4th Floor Room 439, Baltimore, MD, 21231, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShared implementation challenges at scale in early childhood home visiting have led researchers to explore precision home visiting as a promising service delivery mechanism to better address families' unique needs and build greater program efficiencies. This randomized controlled pilot study aimed to assess the acceptability of a precision approach to one home visiting model, Family Spirit® and explore potential differences between Precision Family Spirit (PFS) and Standard Family Spirit (Standard FS) on participant-home visitor relationship and maternal outcomes.

methodsParticipants (N = 60) were at least 14 years old, pregnant or within 2 months postpartum, and enrolled in Family Spirit. Four sites in Michigan were randomized 1:1 to deliver PFS (up to 17 core lessons plus up to 13 additional lessons as needed) or Standard FS (home visiting services as usual). Primary (program acceptability, participant satisfaction, home visitor-participant relationship quality, retention, adherence) and secondary (knowledge, quality of life, difficulty with parenting problems, substance use, depression, stress) outcomes at 6 months postpartum are presented. PFS participants also self-reported on quality of life, difficulty with parenting problems, stress, substance use, and concerns with sexual and reproductive health and self and child's nutrition status at each home visit. This informed which lessons they should receive.

resultsMothers in both groups reported positive program acceptability, satisfaction, and home visitor-participant relationships at 6 months postpartum. However, open-ended feedback from Standard FS participants indicates that some lesson content may not be applicable to all participants. At 6 months, retention was 82.3% for PFS and 66.7% for Standard FS, and adherence was 30.1% for PFS and 20.6% for Standard FS.

conclusionsPreliminary findings indicate that precision home visiting may be acceptable and feasible. A definitive trial is needed to build on this pilot data, assess outcomes for mothers and children participating in a precision approach to home visiting as compared to standard home visiting, and ready this approach for scale.

trial registrationClinicalTrials.gov NCT03975530 (first posted on 05/06/2019).

Indexed as

House CallsSubstance-Related DisordersAdolescentChildChild, PreschoolFeasibility StudiesFemaleHumansMothersPilot ProjectsPostpartum PeriodPregnancyQuality of LifeHome visitingHybrid designImplementationPrecisionPrecision home visitingPrecision prevention science

Identifiers

PMID36151535
PMCPMC9502904

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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.