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A Computer-based Intervention to Augment Home Visitation Services: The E-Parenting Project

Centers for Disease Control and Prevention (CDC) logo

Centers for Disease Control and Prevention (CDC)

Status

Completed

Conditions

Child Maltreatment

Treatments

Behavioral: Computer Assisted Healthy Families America Home Visitation
Behavioral: Healthy Families America Home Visitation

Study type

Interventional

Funder types

Other U.S. Federal agency

Identifiers

NCT01304719
092506B3F

Details and patient eligibility

About

The current protocol aims to examine the effects of a computer-based intervention used in conjunction with existing Healthy Families America (HFA) home visitation programs on the challenges related to participant enrollment, retention, and motivation as well as parent and child outcomes.

Full description

The present study aims to determine whether a computer-based intervention can provide augmentation of home visiting services to decrease the risk of child maltreatment. The computer-based software includes modules on motivation, Cognitive Retraining, and elements of the ecobehavioral SafeCare approach. A total of 420 mother-infant dyads from four Healthy Families America (HFA) sites will be randomly assigned to either treatment as usual, software-supplemented home visitation, or community control conditions. For families in the software-supplemented condition, home visitors will present the software to parents via a Tablet PC during regular home visits. All parents will be followed-up at 6, 12, and 18 months by independent and blinded research assistants. Parents are evaluated for maltreatment and maltreatment risks as measured by self-report, home visitor report, blinded independent observers, and statewide CPS data. If validated, the proposed intervention can provide augmentation of home visiting services with unprecedented ease of dissemination, at negligible additional cost, and with limitless potential for further development.

Enrollment

413 patients

Sex

Female

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

Pregnant or post-partum mothers who are eligible (i.e., score 25 or greater on the Kempe Family Stress Checklist and are not involved in CPS open case investigation at the time of HFA participation) and willing to participate in the HFA program are eligible to participate in the current study, with the following restrictions:

  1. Mothers must be 18 years or older and able to complete the baseline assessment within 4 weeks of delivery.
  2. Mothers have not completed any prior post-partum treatment plan.
  3. Participants must have functional cognitive abilities.
  4. Premature infants have to be released from hospital care within 6 weeks of birth.
  5. Participants must be able to communicate in English.

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

413 participants in 3 patient groups

Computer Assisted home visitation
Experimental group
Description:
Home visitation with computer modules added
Treatment:
Behavioral: Computer Assisted Healthy Families America Home Visitation
Home Visitation TAU
Experimental group
Description:
Home Visitation Treatment as Usual
Treatment:
Behavioral: Healthy Families America Home Visitation
Community Referral
No Intervention group
Description:
Community Referral

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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