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Methods
Participants were 63 five-year-olds from low-income
families, half of whom were referred to parent-infant
home-visiting services during the first 18 months of life
due to concerns about the caretaking environment. Families
received between 0 and 18 months of weekly home visits based
on infant age at entry into the study. At age 5, children
were rated by teachers on the Preschool Behavior
Questionnaire for behavior problems in the classroom and by
parents both on the Simmons Behavior Checklist for behavior
problems at home and on the Achenbach Social Competence
Items for positive play behaviors with friends.
Results
With initial family risk status and child gender controlled,
teacher-rated hostile behavior problems decreased in
dose-response relation to the duration of early
home-visiting services, which accounted for 15% of the
variance in child hostile behavior.
Conclusion
Parents' reports of positive play behaviors were positively
related to the program’s duration. However, parents' reports
of behavior problems were less likely to be associated with
the program’s length than teacher reports. Researchers
concluded that early home-visiting services reduced the
incidence of aggressive behavior problems among socially
at-risk children for up to 3.5 years after the end of
services
Authors:
Lyons-Ruth K, Melnick S.
Department of Psychiatry, Harvard Medical School at the
Cambridge Hospital, Cambridge, MA 02139, USA. klruth@hms.harvard.edu
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