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Related Experiment Videos

Evaluation of Hawaii's Healthy Start Program.

A K Duggan1, E C McFarlane, A M Windham

  • 1Johns Hopkins University School of Medicine, School of Hygiene and Public Health, Department of Health Policy and Management, Baltimore, MD, USA.

The Future of Children
|July 22, 1999
PubMed
Summary

Hawaii's Healthy Start Program (HSP) shows success in improving parenting skills and reducing violence for at-risk families. However, overall impacts on child development and healthcare access require further investigation.

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Area of Science:

  • Child development
  • Public health
  • Social work

Background:

  • Hawaii's Healthy Start Program (HSP) aims to prevent child abuse and neglect.
  • It targets newborns from families at risk for adverse child outcomes.
  • HSP has influenced similar programs nationally and internationally.

Purpose of the Study:

  • To describe the HSP model.
  • To present findings from an ongoing evaluation study.
  • To assess program impact after two years of service.

Main Methods:

  • Longitudinal evaluation of families participating in HSP.
  • Data collection after two years of program service and follow-up.
  • Analysis of program implementation across three administering agencies.

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Main Results:

  • HSP successfully linked families to pediatric care, improved maternal parenting efficacy, and reduced parenting stress and partner violence.
  • No significant overall improvements were found in child development, healthcare use for illness, or child maltreatment.
  • Agency-specific positive effects were noted in parent-child interaction, child development, and partner violence reduction.

Conclusions:

  • Home visiting programs require monitoring for fidelity to the model.
  • Utilizing comparison groups is crucial for determining program impact.
  • Variations in program implementation influenced family engagement and outcomes.