Purpose: The study's goals were to understand what changes in management practices would most improve the jobs of frontline workers from the perspective of workers themselves and to analyze differences across settings. Design and Methods: The baseline survey of direct care workers (N = 3,468) conducted as part of the National Study of the Better…

Aims: The human immunodeficiency virus (HIV) potentially causes a significant encephalopathy and resultant developmental delay in infected children. The aim of this study was to determine whether a home-based intervention programme could have an impact on the neurodevelopmental status of children infected with HIV. Method: A longitudinal,…

Children (5 and 6 years old, n = 30) at familial risk of dyslexia received a home-based intervention that focused on phoneme awareness and letter knowledge in the year prior to formal reading instruction. The children were compared to a no-training at-risk control group (n = 27), which was selected a year earlier. After training, we found a small…

Objective: Data are presented from a pilot research program initiated to develop, refine, and test the outcomes of problem-solving therapy that targets the needs of older adults with minor depression in home care settings. Method: A pilot randomized clinical trial compares the impact of problem-solving therapy for home care to treatment as usual…

Purpose: The authors examine differences in reports of residual disability and unmet need by type of long-term care arrangement (assistive technology or personal care).Design and Methods: This study compares three specific dimensions of residual difficulty (pain, fatigue, and time intensity) and reports of unmet need across care arrangements.…

Effects of the Mother-Child Home Program (MCHP) were evaluated with a broad range of measures on cognition, social behavior, and emotion. Findings indicated that children in Bermuda scored above U.S. norms on cognitive tests and were functioning well in the preschool period. The MCHP had few demonstrable effects on any segment of the sample. (RH)

The economic efficiency of alternative types of intervention was investigated with language-impaired preschool children. Forty children were assigned to one of four groups: home-based intervention, center-based intervention, both center- and home-based intervention, and no treatment. The home-based program was more economically efficient based on…

This two-year project demonstrated a model for preventing the removal of children from their homes, with the aim of reducing both the number of children entering foster care and the number of families recycled through the child protective services system. The project was a joint effort by the Texas Department of Human Services (DHS) Region 11…

This paper provides a summary of a Home Start Followup Study (HSFS) which was initiated in 1976. An attempt was made to examine the durability of gains made as the result of families' (parents and their 3- to 5-year-old children) participation in the program. In addition, the study was designed to determine whether program duration (one versus two…

This study is about the impact on students and their families when students used computers in a "summer camp" setting and when computers were introduced into the homes of students who normally could not afford to buy them. The computer camp project involved minority group students 8 to 10 years of age, in 2-hour sessions, 5 days a week…

Since 1981, five Kursushuis ("course house") programs for delinquent youth have been established in the Netherlands. Although similar in many ways to Achievement Place (AP) programs, Kursushuis programs differ from AP programs in that they place fewer children in a course house and use a social competence model that allows task-specific…

This Home Start followup study was designed to determine the long-term impact of Home Start on program participants in sixteen states within the USA. Home Start was a three-year demonstration program which provided Head Start-type comprehensive services to young children (3- to 5-year-olds) and their families in their homes. In Chapter 1…

Early Head Start services are typically offered through home- or center-based delivery models. A formative evaluation of an example of each service delivery model was conducted. The purpose was to examine the issues involved in the implementation of these two service delivery models relative to the content of services, intensity of services,…

This document provides a bilingual (English and French) report on the Turkish Early Enrichment Project, a four-year longitudinal study of the impact of educational day care combined with mother training on child development. This comprehensive approach was compared with custodial day care and home care, both with and without home intervention. The…

The results of an evaluation of an educational home visiting (EHV) program in Scotland that utilized home visitors (attached to nursery schools) to promote parents' involvement in their children's educational development are presented in this report. Two assessment strategies were employed. One strategy (S1) was used to investigate the practical…