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    Risk status and home intervention among children with failure-to- thrive: Follow-up at age 4

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    Author
    Hutcheson, J.J.
    Black, M.M.
    Talley, M.
    Dubowitz, H.
    Howard, J.B.
    Starr, R.H., Jr.
    Thompson, B.S.
    Date
    1997
    Journal
    Journal of Pediatric Psychology
    Publisher
    Oxford University Press
    Type
    Article
    
    Metadata
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    See at
    https://doi.org/10.1093/jpepsy/22.5.651
    Abstract
    Examined the moderating effects of risk status on the impact of home intervention in a follow-up study of children with failure-to-thrive (FTT). Two types of risk (demographic and maternal negative affectivity) and two levels of intervention were examined. In this randomized clinical trial, all children received services in a multidisciplinary growth and nutrition clinic, and half the children also received home visits from a lay home visitor for 1 year. There were no effects of demographic risk, maternal negative affectivity, or intervention status on child outcome at the close of the home intervention. However, at age 4, more than 1 year after the home intervention ended, there were effects of the home intervention on motor development among all children and on cognitive development and behavior during play among children of mothers who reported low levels of negative affectivity. Results highlight the importance of conducting follow-up assessments in the evaluation of home intervention services, and suggest that among low-SES families of children with FTT, home intervention may be most useful among mothers with low negative affectivity.
    Sponsors
    Support for this research was provided by Grants MCJ-240568 and MCI-240621 from the Maternal and Child Health Program (Title V, Social Security Act) and Grant 90CA1401 from the National Center on Child Abuse and Neglect, Health Resources and Services Administration, Department of Health and Human Services.
    Keyword
    Child development
    Early intervention
    Failure-to-thrive
    Home visiting
    Maternal psychological functioning
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-0030729532&doi=10.1093%2fjpepsy%2f22.5.651&partnerID=40&md5=ba91fff39f7d91d09e38cca84b1db12c; http://hdl.handle.net/10713/11929
    ae974a485f413a2113503eed53cd6c53
    10.1093/jpepsy/22.5.651
    Scopus Count
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    Dr. Howard Dubowitz

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