This study evaluated the effectiveness of the Healthy Start Home Visiting Program—School-Based Model (HSS), using a cluster randomized controlled trial design.
Methods:
Participants included 224 parents from 20 preschools randomized into intervention and wait-list control groups at the preschool level. Furthermore, 105 parents from the participating preschools were trained as parent ambassadors to assist in program delivery. They were randomized into intervention and control groups at the preschool level. Outcome measures included parent and teacher reports on children’s learning, parent report on children’s behavior and health, their own parenting, and direct assessment of children. Parent ambassadors completed measures on parenting and their children’s behavior before training and after program delivery.
Results:
There was significant improvement at postintervention in parenting, children’s behavior, and learning and health in the intervention group, compared with the control group.
Conclusions:
The results provided evidence on the effectiveness of the HSS program.
AbidinR. R. (1990). Parenting Stress Index—Short form test manual. Charlottesville, VA: Pediatric Psychology Press.
2.
BarlowJ.SmailagicN.HubandN.RoloffV.BennettC. (2012). Group-based parent training programmes for improving parental psychosocial health. Campbell Systematic Reviews, 15. doi:10.4073/csr.2012.15
3.
BroadheadW. E.GehlbachS. H.de GruyF. V.KaplanB. H. (1988). The Duke-UNC functional social support questionnaire: Measurement of social support in family medicine patients. Medical Care, 26, 709–723.
4.
CampbellF. A.RameyC. T.PungelloE.SparlingJ.Miller-JohnsonS. (2002). Early childhood education: Young adult outcomes from the Abecedarian project. Applied Developmental Science, 6, 42–57.
5.
CampbellM. K.MollisonJ.SteenN.GrimshawJ. M.EcclesM. (2000). Analysis of cluster randomized trials in primary care. Family Practice, 17, 192–196. doi:10.1093/fampra/17.2.192
6.
ChuC. H.HoP. L.LoE. C. M. (2012). Oral health status and behaviours of preschool children in Hong Kong. BMC Public Health, 12, 767. doi:10.1186/1471-2458-12-767
7.
CohenJ. (1992). A power primer. Psychological Bulletin, 112, 155–159.
8.
Department of Health, Hong Kong SAR Government. (2012). A survey of infant and young child feeding in Hong Kong: Parental perceptions and practices. Hong Kong, China: Author. Retrieved fromhttp://www.fhs.gov.hk/english/archive/
9.
DrenowatzC.EisenmannC.PfeifferK. A.WelkG.HeelanK.GentileD.WalshD. (2010). Influence of socio-economic status on habitual physical activity and sedentary behavior in 8- to 11-year old children. BMC Public Health, 10, 214.
10.
EngleP. L.BlackM. M.BehrmanJ. R.Cabral de MelloM.GertlerP. J.KapiririL., & International Child Development Steering Group. (2007). Child development in developing countries 3: Strategies to avoid the loss of developmental potential in more than 200 million children in the developing world. The Lancet, 369, 229–242.
11.
EybergS. M.RossA. W. (1978). Assessment of child behaviour problems: The validation of a new inventory. Journal of Clinical Psychology, 16, 113–116.
12.
FlouriE.MidouhasE.JoshiH. J. (2014). Family poverty and trajectories of children’s emotional and behavioural problems: The moderating roles of self-regulation and verbal cognitive ability. Journal of Abnormal Child Psychology, 42, 1043–1056. doi:10.1007/s10802-013-9848-3
13.
Fuchs-BeauchampK. (1996). Preschoolers’ inferred self-esteem: The behaviour rating scale of presented self-esteem in young children. The Journal of Genetic Psychology, 157, 204–210. doi:10.1080/00221325.1996.9914858
14.
GardnerF.BurtonJ.KlimesI. (2006). Randomized controlled trial of a parenting intervention in the voluntary sector for reducing child conduct problems: Outcomes and mechanisms of change. Journal of Child Psychology and Psychiatry, 47, 1123–1132.
15.
GrossD.GradyJ. (2002). Group-based parent training for preventing mental health disorders in children. Issues in Mental Health Nursing, 23, 367–384.
16.
GumpelT. (1999). The use of item response theory to develop a measure of first grade readiness. Psychology in the Schools, 36, 285–293.
17.
HeckmanJ. J. (2000). Invest in the very young. Chicago, IL: Ounce of Prevention Fund and the University of Chicago Harris School of Public Policy Studies.
18.
HoD.LeungC.LoS. K. (2013). Validation of the Gumpel readiness inventory for preschool children in Hong Kong. Research in Developmental Disabilities, 34, 3066–3076.
19.
HurlburtM. S.NguyenK.ReidJ.Webster-StrattonC.ZhangJ. (2013). Efficacy of the incredible years group parent program with families in head start who self-reported a history of child maltreatment. Child Abuse & Neglect, 37, 531–543.
20.
IpP.LiS. L.RaoN.NgS. S. N.LauW. W. S.ChowC. B. (2013). Validation study of the Chinese Early Development Instrument (CEDI). BMC Pediatrics, 13, 146.
21.
KelishadiR.JariM.QorbaniM.MotlaghM. E.DjalaliniaS.SafiriS.…HeshmatR. (2016). Association of socio-economic status with injuries in children and adolescents: The CASPIAN-IV Study. International Journal of Pediatrics, 4, 1715–1724.
22.
KnudsenE. I.HeckmanJ. J.CameronJ. L.ShonkoffJ. P. (2006). Economic, neurobiological, and behavioral perspectives on building America’s future workforce. Proceedings of the National Academy of Sciences, 103, 10155–10162.
23.
LamD. (1999). Parenting stress and anger: The Hong Kong experience. Child and Family Social Work, 4, 337–346.
24.
LamS. F.Chow-YeungK.WongB. P. H.LauK. K.TseS. I. (2013). Involving parents in paired reading with preschoolers: Results from a randomized controlled trial. Contemporary Educational Psychology, 38, 126–135.
25.
LeeD. K. (2016). Alternatives to P value: Confidence interval and effect size. Korean Journal of Anesthesiology, 69, 555–562.
26.
LeungC.LoS. K. (2013). Validation of a questionnaire to measure mastery motivation among Chinese preschool children. Research in Developmental Disabilities, 34, 234–245. doi:10.1016/j.ridd.2012.07.023
27.
LeungC.LoS. K.LeungS. S. L. (2012). Validation of a questionnaire on academic competence behaviour among Chinese preschool children. Research in Developmental Disabilities, 33, 1581–1593.
28.
LeungC.MakR.LauV.CheungJ.LamC. (2013). The validation of a scale to measure cognitive development in Chinese preschool children. Research in Developmental Disabilities, 34, 2257–2267. doi:10.1016/j.ridd.2013.04.003
29.
LeungC.TsangS.DeanS. (2011). Outcome Evaluation of the Hands-On Parent Empowerment (HOPE) Program. Research on Social Work Practice, 21, 549–561.
30.
LeungC.TsangS.HeungK. (2015). The effectiveness of healthy start home visit program: Cluster randomized controlled trial. Research on Social Work Practice, 25, 322–333.
31.
LeungC.TsangS.LoC. (2017). Evaluation of Parent and Child Enhancement (PACE) program: Randomized controlled trial. Research on Social Work Practice, 27, 19–35.
32.
LeungC. M.ChanS. C. M.PangR. C. Y.ChengW. K. C. (2003). Validation of the Chinese version of the Eyberg Child Behaviour Inventory for use in Hong Kong. Unpublished manuscript, Education Bureau, Hong Kong, China.
33.
MagnusonK.ShagerH. (2010). Early education: Progress and promise for children from low-income families. Children and Youth Services Review, 32, 1186–1198.
34.
MarmotM. (2010). Fair societies, healthy lives: The Marmot review. England: The Marmot review.
35.
MasseL. N.BarnettW. S. (2002). A cost benefit analysis of the Abecedarian early childhood intervention. New Jersey, NJ: National Institute for Early Education Research.
36.
McInerneyD. M.AliJ. (2006). Multidimensional and hierarchical assessment of school motivation: Cross-cultural validation. Educational Psychology, 26, 717–734. doi:10.1080/01443410500342559
37.
MerskyJ. P.TopitzesJ.ReynoldsA. J. (2011). Maltreatment prevention through early childhood intervention: A confirmatory evaluation of the Chicago child–parent center preschool program. Children and Youth Services Review, 33, 1454–1463.
38.
OldsD. L. (1988). The prenatal/early infancy project. In PriceR. H.CowenE. L.LorionR. P.Ramos-McKayJ. (Eds.), 14 ounces of prevention: A casebook for practitioners (pp. 9–23). Washington, DC: American Psychological Association.
39.
PiqueroA. R.FarringtonD. P.WelshB. C.TremblayR.JenningsW. G. (2008). Effects of early parent/family training programs on antisocial behaviour and delinquency. Campbell Systematic Reviews, 11. doi:10.4073/csr.2008.11
40.
RäsänenM.NiinikoskiH.KeskinenS.HeleniusH.TalviaS.RönnemaaT.…SimellO. (2003). Parental nutrition knowledge and nutrient intake in an atherosclerosis prevention project: The impact of child-targeted nutrition counselling. Appetite, 41, 69–77.
41.
RogersJ. G. (2011). Evidence-based oral health promotion resource. Melbourne, Australia: Prevention and Population Health Branch, Government of Victoria, Department of Health.
42.
SchefferJ. (2002). Dealing with missing data. Research Letters in the Information and Mathematical Sciences, 3, 153–160.
43.
ShriverM. D.AllenK. D. (2008). Working with parents of noncompliant children: A guide to evidence-based parent training for practitioners and students. Washington, DC: American Psychological Association.
44.
SchwarzerR. (1993). Measurement of perceived self-efficacy: Psychometric scales for cross-cultural research. Berlin, Germany: Freie Universität Berlin.
45.
SchweinhartL. J.WeikartD. B. (1990). The high/scope Perry preschool study: Implications for early childhood care and education. In LorionR. P. (Ed.), Protecting the children: strategies for optimizing emotional and behavioural development (pp. 109–132). New York, NY: The Haworth Press.
46.
Van GinkelJ. R.KroonenbergP. M. (2014). Analysis of variance of multiply imputed data. Multivariate Behavioral Research, 49, 78–91.
ZhangJ. X.SchwarzerR. (1995). Measuring optimistic self-beliefs: A Chinese adaptation of the General Self-Efficacy Scale. Psychologia, 38, 174–181.
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