Strengthening Families With First-Born Children: Exploratory Story of the Outcomes of a Home Visiting Intervention
Abstract
Objective: Using a theory of change framework, this study examines outcome measures of a home visitation program that provided services to first-born children and their parents living in southwestern New Mexico. Method: Home visitation workers conducted pretest and posttest assessments for prenatal and postpartum periods for 109 families receiving services in the First-Born Program. Families were assessed using the Revised North Carolina Family Assessment Scale. Paired sample t tests were used to assess effect. Results: Clients participating in the First-Born Program displayed significantly higher posttest scores on measures of family resiliency. Specifically, clients demonstrated improved scores in operationalized measures of resilience: social support, caregiver characteristics, family interaction measures, and a reduction in personal problems affecting parenting. Conclusion: The results are promising as participants were observed to make positive improvements in specific areas related to family resiliency.
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Cites
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,588 · see citing works
Statistical Power Analysis for the Behavioral Sciences (2nd ed.).
Lachenbruch, P. A., & Cohen, J. (1989) · Journal of the American Statistical Association · doi:10.2307/2290095 · Cited by 37,385 · see citing works
The Ecology of Human Development: Experiments by Nature and Design
Bronfenbrenner, U. (1979) · Harvard University Press eBooks · doi:10.4159/9780674028845 · Cited by 26,084 · see citing works
The ecology of human development : experiments by nature and design
Bronfenbrenner, U. (1979) · Cited by 12,580 · see citing works
From dissertation abstracts international
(1974) · ACM SIGGRAPH Computer Graphics · doi:10.1145/988616.988619 · Cited by 12,207 · see citing works
The Ecology of Human Development
Bronfenbrenner, U. (1981) · Harvard University Press eBooks · doi:10.2307/j.ctv26071r6 · Cited by 8,064 · see citing works
Psychosocial resilience and protective mechanisms.
Rutter, M. (1987) · American Journal of Orthopsychiatry · doi:10.1111/j.1939-0025.1987.tb03541.x · Cited by 5,831 · see citing works
GPOWER: A general power analysis program
Erdfelder, E., Faul, F., & Buchner, A. (1996) · Behavior Research Methods, Instruments, & Computers · doi:10.3758/bf03203630 · Cited by 4,864 · see citing works
Resilience in the Face of Adversity
Rutter, M. (1985) · British Journal of Psychiatry · doi:10.1192/bjp.147.6.598 · Cited by 3,616 · see citing works
Resilience and development: Contributions from the study of children who overcome adversity
Masten, A. S., Best, K. M., & Garmezy, N. (1990) · Development and Psychopathology · doi:10.1017/s0954579400005812 · Cited by 3,397 · see citing works
Overcoming the Odds: High Risk Children from Birth to Adulthood.
Werner, E., & Smith, R. S. (1992) · Cornell University Press eBooks · doi:10.7591/9781501711992 · Cited by 3,035 · see citing works
Economic Deprivation and Early Childhood Development
Duncan, G. J., Brooks‐Gunn, J., & Klebanov, P. K. (1994) · Child Development · doi:10.1111/j.1467-8624.1994.tb00752.x · Cited by 1,888 · see citing works
Do Neighborhoods Influence Child and Adolescent Development?
Jeanne Brooks-gunn, B., Duncan, G. J., Klebanov, P. K., & Sealand, N. (1993) · American Journal of Sociology · doi:10.1086/230268 · Cited by 1,687 · see citing works
The Study of Stress and Competence in Children: A Building Block for Developmental Psychopathology
Garmezy, N., Masten, A. S., & Tellegen, A. (1984) · Child Development · doi:10.2307/1129837 · Cited by 1,640 · see citing works
Economic Deprivation and Early Childhood Development
Duncan, G. J., Brooks‐Gunn, J., & Klebanov, P. K. (1994) · Child Development · doi:10.2307/1131385 · Cited by 1,231 · see citing works
Resilience in Children's Adaptation to Negative Life Events and Stressed Environments
Garmezy, N. (1991) · Pediatric Annals · doi:10.3928/0090-4481-19910901-05 · Cited by 771 · see citing works
Rosnow, R. L., & Rosenthal, R. (1996) · Psychological Methods · doi:10.1037/1082-989x.1.4.331 · Cited by 761 · see citing works
Community Level Factors and Child Maltreatment Rates
Coulton, C. J., Korbin, J. E., Su, M., & Chow, J. C. (1995) · Child Development · doi:10.1111/j.1467-8624.1995.tb00934.x · Cited by 634 · see citing works
The Changing Family Life Cycle: A Framework for Family Therapy
Carter, E. A., & McGoldrick, M. (1989) · Medical Entomology and Zoology · Cited by 606 · see citing works
Home Visiting: Recent Program Evaluations: Analysis and Recommendations
Gomby, D. S., Culross, P. L., & Behrman, R. E. (1999) · The Future of Children · doi:10.2307/1602719 · Cited by 583 · see citing works
High-Risk Neighborhoods and High-Risk Families: The Human Ecology of Child Maltreatment
Garbarino, J., & Sherman, D. (1980) · Child Development · doi:10.2307/1129606 · Cited by 576 · see citing works
Measuring Program Outcomes: Using Retrospective Pretest Methodology
Pratt, C. C., McGuigan, W. M., & Katzev, A. R. (2000) · American Journal of Evaluation · doi:10.1177/109821400002100305 · Cited by 554 · see citing works
Toward a Definition of Family Resilience: Integrating Life‐Span and Family Perspectives
Hawley, D. R., & DeHaan, L. G. (1996) · Family Process · doi:10.1111/j.1545-5300.1996.00283.x · Cited by 520 · see citing works
Community Level Factors and Child Maltreatment Rates
Coulton, C. J., Korbin, J. E., Su, M., et al. (1995) · Child Development · doi:10.2307/1131646 · Cited by 427 · see citing works
Prenatal and Infancy Home Visitation by Nurses: Recent Findings
Olds, D. L., Henderson, C. R., Kitzman, H. J., Eckenrode, J. J., Cole, R. E., & Tatelbaum, R. C. (1999) · The Future of Children · doi:10.2307/1602721 · Cited by 411 · see citing works
Preventing Child Abuse and Neglect With a Program of Nurse Home Visitation
Eckenrode, J. J., Ganzel, B. L., Henderson, C. R., Smith, E. G., Olds, D. L., Powers, J. L., Cole, R., Kitzman, H. J., & Sidora, K. (2000) · JAMA · doi:10.1001/jama.284.11.1385 · Cited by 397 · see citing works
MacLeod, J., & Nelson, G. B. (2000) · Child Abuse & Neglect · doi:10.1016/s0145-2134(00)00178-2 · Cited by 394 · see citing works
Review of Research on Home Visiting for Pregnant Women and Parents of Young Children
Olds, D. L., & Kitzman, H. J. (1993) · The Future of Children · doi:10.2307/1602543 · Cited by 370 · see citing works
Stress, Coping, and Resilience in Children and Youth
Smith, C. A., & Carlson, B. E. (1997) · Social Service Review · doi:10.1086/604249 · Cited by 329 · see citing works
A cognitive approach to child abuse prevention.
Bugental, D., Ellerson, P. C., Lin, E. K., Rainey, B., Kokotovic, A. M., & O'Hara, N. (2002) · Journal of family psychology · doi:10.1037/0893-3200.16.3.243 · Cited by 328 · see citing works
The children of adolescent mothers: Physical, academic, and psychological outcomes
Jeanne Brooks-gunn, B., & Furstenberg, F. F. (1986) · Developmental Review · doi:10.1016/0273-2297(86)90013-4 · Cited by 291 · see citing works
A cognitive approach to child abuse prevention.
Bugental, D. B., Ellerson, P. C., Lin, E. K., Rainey, B., Kokotovic, A. M., & O'Hara, N. (2002) · Journal of Family Psychology · doi:10.1037//0893-3200.16.3.243 · Cited by 261 · see citing works
Geographic Concentration of Poverty and Risk to Children in Urban Neighborhoods
Coulton, C. J., & Pandey, S. (1992) · American Behavioral Scientist · doi:10.1177/0002764292035003004 · Cited by 175 · see citing works
The fifteenth mental measurements yearbook
Plake, B. S., Impara, J. C., Spies, R. A., & Murphy, L. L. (2003) · Medical Entomology and Zoology · Cited by 174 · see citing works
Indicators of children's well-being
(1998) · Choice Reviews Online · doi:10.5860/choice.35-5947 · Cited by 152 · see citing works
Cognitive readiness and adolescent parenting.
Sommer, K., Whitman, T. L., Borkowski, J. G., Schellenbach, C. J., Maxwell, S. E., & Keogh, D. A. (1993) · Developmental Psychology · doi:10.1037/0012-1649.29.2.389 · Cited by 141 · see citing works
Eckenrode, J. J., ZIELINSKI, D., Smith, E. G., Marcynyszyn, L. A., HENDERSON, C. R., Kitzman, H. J., COLE, R., Powers, J. L., & Olds, D. L. (2001) · Development and Psychopathology · doi:10.1017/s0954579401004072 · Cited by 139 · see citing works
Koniak‐Griffin, D., Anderson, N., Verzemnieks, I. L., & Brecht, M. (2000) · Nursing Research · doi:10.1097/00006199-200005000-00003 · Cited by 121 · see citing works
Two-Generation Programs: Design, Cost, and Short-Term Effectiveness
Pierre, R. G. S., Layzer, J. I., & Barnes, H. V. (1995) · The Future of Children · doi:10.2307/1602368 · Cited by 115 · see citing works
Culture, Ethnicity, and the Family: Critical Factors in Childhood Chronic Illnesses and Disabilities
McCubbin, H. I., Thompson, E. A., Thompson, A. I., McCubbin, M. A., & Kaston, A. J. (1993) · PEDIATRICS · doi:10.1542/peds.91.5.1063 · Cited by 108 · see citing works
Resiliency: A shift in our perception?
Barnard, C. P. (1994) · American Journal of Family Therapy · doi:10.1080/01926189408251307 · Cited by 108 · see citing works
How do mothers benefit from early intervention programs?
BENASICH, A. A., Brooks‐Gunn, J., & Clewell, B. C. (1992) · Journal of Applied Developmental Psychology · doi:10.1016/0193-3973(92)90035-g · Cited by 106 · see citing works
Home Visits: Necessary but Not Sufficient
Weiss, H. B. (1993) · The Future of Children · doi:10.2307/1602545 · Cited by 100 · see citing works
The Relation of Family and Partner Support to the Adjustment of Adolescent Mothers
Unger, D. G., & Wandersman, L. P. (1988) · Child Development · doi:10.1111/j.1467-8624.1988.tb03257.x · Cited by 98 · see citing works
Ernst, C. C., Grant, T. M., Streissguth, A. P., & Sampson, P. D. (1999) · Journal of Community Psychology · doi:10.1002/(sici)1520-6629(199901)27:1 · Cited by 94 · see citing works
Caldwell, C. H., Antonucci, T. C., & Jackson, J. S. (1998) · Family Relations · doi:10.2307/585270 · Cited by 86 · see citing works
Staffing Issues for Home Visiting Programs
Wasik, B. H. (1993) · The Future of Children · doi:10.2307/1602547 · Cited by 85 · see citing works
Home Visiting: Analysis and Recommendations
Gomby, D. S., Larson, C. S., Lewit, E. M., & Behrman, R. E. (1993) · The Future of Children · doi:10.2307/1602540 · Cited by 83 · see citing works
Prenatal maternal predictors of cognitive and emotional delays in children of adolescent mothers.
Sommer, K., Whitman, T. L., Borkowski, J. G., Gondoli, D. M., Burke, J., Maxwell, S. E., & weed, K. W. (2000) · PubMed · Cited by 79 · see citing works
The Reliability and Validity of the North Carolina Family Assessment Scale
Reed-Ashcraft, K. B., Kirk, R. S., & Fräser, M. W. (2001) · Research on Social Work Practice · doi:10.1177/104973150101100406 · Cited by 75 · see citing works
The Relation of Family and Partner Support to the Adjustment of Adolescent Mothers
Unger, D. G., & Wandersman, L. P. (1988) · Child Development · doi:10.2307/1130271 · Cited by 74 · see citing works
Promise and Limitations of Home Visitation
Gomby, D. S. (2000) · JAMA · doi:10.1001/jama.284.11.1430 · Cited by 47 · see citing works
Evaluating Child-Related Outcomes of Teenage Parenting Programs
Clewell, B. C., Brooks‐Gunn, J., & BENASICH, A. A. (1989) · Family Relations · doi:10.2307/583676 · Cited by 46 · see citing works
Constantino, J. N., Hashemi, N., Solis, E., Alon, T., Haley, S., McClure, S. M., Nordlicht, N., Constantino, M. A., Elmen, J. D., & Carlson, V. (2001) · Child Abuse & Neglect · doi:10.1016/s0145-2134(01)00292-7 · Cited by 40 · see citing works
A Comparison of Teenage and Older Mothers with Preschool Age Children
Roosa, M. W., & Vaughan, L. A. (1984) · Family Relations · doi:10.2307/583792 · Cited by 38 · see citing works
A review of programs to promote family wellness and prevent the maltreatment of children.
Nelson, G. B., Laurendeau, M., & Chamberland, C. (2001) · Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement · doi:10.1037/h0087123 · Cited by 37 · see citing works
Can Home Visitation Enhance Maternal Social Support?
McCurdy, K. (2001) · American Journal of Community Psychology · doi:10.1023/a:1005201530070 · Cited by 33 · see citing works
Knowledge gained by mothers enrolled in a home visitation program.
Hammond-Ratzlaff, A., & Fulton, A. (2001) · PubMed · Cited by 30 · see citing works
Coping With Daily Strain Among Pregnant and Parenting Adolescents
Barth, R. P., & Schinke, S. P. (1983) · Journal of Social Service Research · doi:10.1300/j079v07n02_04 · Cited by 30 · see citing works
Home Visitation Practice: Models, Documentation, and Evaluation
Drummond, J. E., Weir, A. E., & Kysela, G. M. (2002) · Public Health Nursing · doi:10.1046/j.1525-1446.2002.19004.x · Cited by 30 · see citing works
Lopez, F. G., Watkins, C. E., Jr., Manus, M., & Hunton-Shoup, J. (1992) · Journal of Counseling Psychology · doi:10.1037//0022-0167.39.3.375 · Cited by 25 · see citing works
Enhancing the Social Supports of Teenage Mothers
Barth, R. P., & Schinke, S. P. (1984) · Social Casework · doi:10.1177/104438948406500902 · Cited by 24 · see citing works
Differences between adolescent mothers and nonmothers: an interview study.
Garrett, S. C., & Tidwell, R. (1999) · PubMed · Cited by 22 · see citing works
Reconceptualizing Social Support and Its Relationship to Child Neglect
Beeman, S. K. (1997) · Social Service Review · doi:10.1086/604264 · Cited by 22 · see citing works
Dalla, R. L., & Gamble, W. C. (1997) · Family Relations · doi:10.2307/585035 · Cited by 20 · see citing works
Cerny, J. E., & Inouye, J. (2001) · Journal of Community Health Nursing · doi:10.1207/s15327655jchn1804_01 · Cited by 20 · see citing works
Can Paraprofessional Home Visitation Enhance Early Intervention Service Delivery?
VOGLER, S. D., Davidson, A. J., Crane, L. A., Steiner, J. F., & Brown, J. (2002) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/00004703-200208000-00003 · Cited by 19 · see citing works
MULSOW, M. H., & Murry, V. M. (1996) · Journal of Family Issues · doi:10.1177/019251396017005007 · Cited by 18 · see citing works
Lopez, F. G., Watkins, C. E., Jr., Manus, M., et al. (1992) · Journal of Counseling Psychology · doi:10.1037/0022-0167.39.3.375 · Cited by 17 · see citing works
A Controlled Evaluation of Comprehensive Social Services Provided to Teenage Mothers Receiving AFDC
Lie, G.-Y., & Moroney, R. M. (1992) · Research on Social Work Practice · doi:10.1177/104973159200200401 · Cited by 15 · see citing works
Experiences of Pregnant African American Adolescents: Meanings, Perception, Appraisal, and Coping
Oxley, G. M., & Weekes, D. P. (1997) · Journal of Family Nursing · doi:10.1177/107484079700300205 · Cited by 14 · see citing works
Children, Families and the Cycle of Disadvantage
Schorr, L. B. (1991) · The Canadian Journal of Psychiatry · doi:10.1177/070674379103600610 · Cited by 11 · see citing works
Effective services for young children : report of a workshop
Schorr, L. B., Both, D., & Copple, C. E. (1991) · Cited by 11 · see citing works
Early Head Start Research and Evaluation Project
Raikes, H. H., & Tarullo, L. B. (1999) · PsycEXTRA Dataset · doi:10.1037/e555942006-016 · Cited by 10 · see citing works
Self‐Concept of Pregnant Adolescents: A Case Study
ELKES, B. H., & CROCITTO, J. A. (1987) · The Journal of Humanistic Education and Development · doi:10.1002/j.2164-4683.1987.tb00304.x · Cited by 8 · see citing works
Keim, A. L. (1999) · Medical Entomology and Zoology · Cited by 6 · see citing works
Harrington, M. E., Perez‐Johnson, I., Meckstroth, A., & Love, J. M. (2003) · NHSA Dialog · doi:10.1207/s19309325nhsa0602_8 · Cited by 2 · see citing works
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LeCroy, C. W., & Krysik, J. (2010) · Children and Youth Services Review · doi:10.1016/j.childyouth.2010.05.005 · Cited by 10 · see citing works
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- Authors
- de la Rosa, I. A., Perry, J., Dalton, L. E., & Johnson, V.
- Affiliations
- New Mexico State University (US)
- First-Born Program
- Venue
- Research on Social Work Practice
- Publisher
- SAGE Publications
- Published
- 2005-09
- Volume
- 15
- Issue
- 5
- Pages
- 323-338
- ISSN
- 1049-7315 (ISSN-L)
- 1552-7581
- OpenAlex
- W2111743756
- Cited by
- 16
- References
- 73
- Citations by year
- 2026: 1 · 2023: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 1 · 2012: 1
- FWCI
- 0.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Research on Social Work Practice (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- home visits, firstborn children, family resilience, parenting, social support, caregiver characteristics, family interaction, prenatal and postpartum care, theory of change, southwestern New Mexico
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