Evaluation of the Healthy Families Alaska Program

2014-08-27 03:49:05 | BioPortfolio


This study will assess the effectiveness of early home visitation by a professional in preventing child maltreatment, promoting healthy family functioning, and promoting child health and development.

We will test the following hypotheses regarding the effectiveness of early paraprofessional home visiting for at-risk families

- Actual home visiting services adhere to HFAK standards.

- HFAK promotes healthy family functioning, promotes child health and development, and prevents child abuse and neglect.

- Adherence to HFAK process standards is positively associated with achievement of outcomes.


Healthy Families Alaska (HFAK) is a well-established child abuse prevention program targeted to at-risk families. HFAK is based on the Healthy Families America initiative promoted by Prevent Child Abuse America. The State Department of Health and Social Services (DHSS) administers the HFAK program.

In 1998, the Alaska State Legislature requested a controlled study of HFAK to determine its effectiveness in preventing child maltreatment, promoting healthy family functioning, and promoting child health and development. DHSS awarded the Johns Hopkins University School of Medicine a contract to conduct the study from July 1999 through June 2004.

The study is a randomized trial of six HFAK sites throughout Alaska. It aims to compare services actually provided to HFAK standards, assess program success in achieving intended outcomes, and relate program impact to service delivery.

Families are enrolled over 21 months beginning in January 2000. Families are randomized to either the HFAk group or the control group. Baseline data on family attributes are collected from HFAK files and maternal interviews. HFAK service data are collected from the program’s management information system, record reviews, surveys of staff, and staff focus groups. Outcome data are collected when the children were two years old through maternal interview, home-based observations, child developmental testing, review of medical records, and review of OCS child welfare records.

Study Design

Allocation: Randomized, Control: Active Control, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention


Child Abuse


Home Visiting


Johns Hopkins University
United States




Johns Hopkins University

Results (where available)

View Results


Published on BioPortfolio: 2014-08-27T03:49:05-0400

Clinical Trials [1125 Associated Clinical Trials listed on BioPortfolio]

Early Home Visitation Program to Promote Good Health and Development in Children at Risk for Abuse

This study will evaluate the effectiveness of Hawaii's Healthy Start Program (HSP), a home visitation program for families at risk for child abuse, in promoting the health and development ...

Evaluation of the Home Visiting Pilot Program on Early Childhood Outcomes:a Cluster-Randomized Trial in Fortaleza Brazil

This is a cluster-randomized study of a home visiting program targeting mothers of children 0 to 2.5 years of age with the objective of improving global child development. The program, Pro...

Home Visiting Programs to Improve Early Childhood Development and Maternal Mental Health

This study evaluates the efficacy and cost-effectiveness of two platforms for delivering home visiting programs in the poor urban setting of Sao Paulo's western region: a program delivered...

Age 12 Follow-up of Early Preventive Intervention (Memphis)

To examine the impact of prenatal and infancy home visiting by nurses from child age 2 through 12.

Evaluation of a Home Visiting Program for First Time Parents

The purpose of this research is to evaluate the Healthy Families Durham (HFD) program by comparing the traditional 3-year program to 18-months of Healthy Families Durham to Yearly Visits w...

PubMed Articles [4291 Associated PubMed Articles listed on BioPortfolio]

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

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 ...

Child abuse and neglect experts' determination of when a child being left home alone constitutes child neglect.

Only 14 states have laws or guidelines regarding the minimum age a child may be left home alone. These ages range from 6 to 14 years. Our objective was to identify factors that influence child neglec...


Home-visiting programs have become a key component of evidence-based services for pregnant women, new mothers, their infants, and their families. When Congress authorized the Maternal Infant and Early...

Understanding child protection decisions involving parents with mental illness and substance abuse.

Among children investigated for maltreatment, those with parents experiencing mental illness or substance abuse are more likely to be placed out-of-home; however, little is known about why these child...

Reasons for placement decisions in a case of suspected child abuse: The role of reasoning, work experience and attitudes in decision-making.

Child welfare and child protection workers regularly make placement decisions in child abuse cases, but how they reach these decisions is not well understood. This study focuses on workers' rationales...

Medical and Biotech [MESH] Definitions

Nursing care given to an individual in the home. The care may be provided by a family member or a friend. Home nursing as care by a non-professional is differentiated from HOME CARE SERVICES provided by professionals: visiting nurse, home health agencies, hospital, or other organized community group.

Persons who were child victims of violence and abuse including physical, sexual, or emotional maltreatment.

Community health and NURSING SERVICES providing coordinated multiple services to the patient at the patient's homes. These home-care services are provided by a visiting nurse, home health agencies, HOSPITALS, or organized community groups using professional staff for care delivery. It differs from HOME NURSING which is provided by non-professionals.

Abuse of children in a family, institutional, or other setting. (APA, Thesaurus of Psychological Index Terms, 1994)

Sexual maltreatment of the child or minor.

More From BioPortfolio on "Evaluation of the Healthy Families Alaska Program"

Quick Search


Relevant Topics

Pediatrics is the general medicine of childhood. Because of the developmental processes (psychological and physical) of childhood, the involvement of parents, and the social management of conditions at home and at school, pediatrics is a specialty. With ...

Within medicine, nutrition (the study of food and the effect of its components on the body) has many different roles. Appropriate nutrition can help prevent certain diseases, or treat others. In critically ill patients, artificial feeding by tubes need t...

Searches Linking to this Trial