Study Results
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Basic Information
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COMPLETED
NA
341 participants
INTERVENTIONAL
2023-02-17
2025-08-07
Brief Summary
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Detailed Description
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Rigorous program evaluations of Navy and Marine Corps NPSP home visiting services are lacking. In fact, only one published study evaluating Navy NPSP could be located (Kelley et al., 2006). While the results of Kelley et al.'s (2006) study were generally positive, it was a single-group retrospective design that did not assess implementation outcomes or program outcomes related to child maltreatment. Thus, that study's ability to inform NPSP home visiting services is limited. Further, findings from past analyses of Army NPSP offered no evidence that NPSP services directly prevent child abuse and neglect (Kaye, Faber, Schiavone, \& Perkins, 2016). Among the general U.S. population, research findings are mixed with regard to the effectiveness of home visiting programs for preventing child maltreatment (Howard \& Brooks-Gunn, 2009; Kaminski, Valle, Filene, \& Boyle, 2008). However, the available evidence does indicate that these programs can positively alter parenting practices.
Without a rigorous, experimental evaluation, it is difficult to assess whether the Navy's and Marine Corps' NPSP service as usual (SAU) is having the intended impacts on participating families. Further, the both Services are interested in exploring the utility of delivering the Take Root Home Visitation (TRHV) program. TRHV is a newly developed, evidence-informed, secondary, home-visiting prevention program developed by researchers at the Clearinghouse for Military Family Readiness at Penn State in collaboration with the Office of the Deputy Assistant Secretary of Defense for Military Community and Family Policy. TRHV has not been evaluated within the context of the Navy or Marine Corps. TRHV has been implemented with the Army as part of the Clearinghouse's three-phase evaluation of Army NPSP. Though the final report is still forthcoming, a preliminary report on program implementation showed that home visitors found TRHV to be acceptable and were able to implement the program with fidelity (Kaye et al., 2021). Moreover, parents receiving TRHV reported high levels of satisfaction with the program and stayed in NPSP services longer than parents receiving SAU (Kaye et al., 2021).
The extent to which the Army TRHV implementation findings generalize to the Navy and Marine Corps is unclear. Additionally, it is unclear to what extent TRHV will impact program outcomes, especially when compared to SAU. This study is designed to help bring clarity to these issues.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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Take Root Home Visitation (TRHV)
TRHV is an evidence-informed, manualized home-visiting curriculum.
Take Root Home Visitation (TRHV)
TRHV is a home-visiting, standardized program that home visitors can use to structure their time spent with families during home visits.
Services as Usual (SAU)
SAU involves the current standard of care implemented at the participating Navy and Marine Corps installations.
Services as Usual (SAU)
SAU includes an installation's current NPSP home visiting practice, which may vary across the installations participating in this study.
Interventions
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Take Root Home Visitation (TRHV)
TRHV is a home-visiting, standardized program that home visitors can use to structure their time spent with families during home visits.
Services as Usual (SAU)
SAU includes an installation's current NPSP home visiting practice, which may vary across the installations participating in this study.
Eligibility Criteria
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Inclusion Criteria
* Stationed at one of the participating military installations
* Active duty, retired, National Guard or Reserves service member or spouse/partner
* Pregnant or have a child 0-3-years-old
* Eligible to receive NPSP home-visiting services
* Speak and understand English proficiently
* 18+ years old
* Working at one of the participating military installations as a NPSP home visitor
* Speak and understand English proficiently
* Children of active duty, retired, National Guard or Reserves service member or spouse/partner receiving NPSP home-visiting services
* 0-3-years-old
Exclusion Criteria
* Not stationed at one of the participating military installations
* Not an active duty, retired, National Guard or Reserves service member or spouse/partner
* Not currently pregnant or the parent of a child 0-3-years-old
* Not eligible for NPSP home-visiting services
* Does not speak or understand English proficiently
* Younger than 18 years of age
* Not employed at one of the participating military installations as a NPSP home visitor
* Does not speak or understand English proficiently
* Not the child of an active duty, retired, National Guard or Reserves service member or spouse/partner receiving NPSP home-visiting services
* Older than 3 years of age
18 Years
ALL
Yes
Sponsors
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United States Department of Agriculture (USDA)
FED
Penn State University
OTHER
Responsible Party
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Ryan Chesnut
Assistant Research Professor
Principal Investigators
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Ryan P Chesnut, PhD
Role: PRINCIPAL_INVESTIGATOR
The Pennsylvania State University
Daniel F Perkins, PhD
Role: PRINCIPAL_INVESTIGATOR
The Pennsylvania State University
Locations
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The Pennsylvania State University
University Park, Pennsylvania, United States
Countries
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References
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Kelley, M. L., Schwerin, M. J., Farrar, K. L., & Lane, M. E. (2006). A participant evaluation of the U.S. Navy parent support program. Journal of Family Violence, 21, 301-310. https://doi.org/10.1007/s10896-006-9031-5
Kaye, M. P., Faber, A., Schiavone, W., & Perkins, D. F. (2016). New Parent Support Program Engagement Phase II Final Report. University Park, PA: Clearinghouse for Military Family Readiness at Penn State.
Kaye, M. P., Ferrara, A. M., Abram-Erby, G., Kotch, R., Gernon, S., & Perkins, D. F. (2021, April). Take Root Home Visitation implementation: Army New Parent Support Program (NPSP) EIII. University Park, PA: Clearinghouse for Military Family Readiness at Penn State.
Kaminski JW, Valle LA, Filene JH, Boyle CL. A meta-analytic review of components associated with parent training program effectiveness. J Abnorm Child Psychol. 2008 May;36(4):567-89. doi: 10.1007/s10802-007-9201-9. Epub 2008 Jan 19.
Howard KS, Brooks-Gunn J. The role of home-visiting programs in preventing child abuse and neglect. Future Child. 2009 Fall;19(2):119-46. doi: 10.1353/foc.0.0032.
Curran GM, Bauer M, Mittman B, Pyne JM, Stetler C. Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. Med Care. 2012 Mar;50(3):217-26. doi: 10.1097/MLR.0b013e3182408812.
Other Identifiers
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STUDY00019356
Identifier Type: -
Identifier Source: org_study_id
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