Please select the outcome measures that correspond to the clinical trial below.
Title: Piloting a Precision Approach to Home Visiting
Brief Summary: The proposed study will be a randomized pilot study. Family Spirit home-visiting sites from the Inter-Tribal Council of Michigan (ITC of MI) will be selected based on comparability and randomized to provide either standard Family Spirit or precision Family Spirit to their clients. Sites in both groups will use an electronic platform to support implementation. The investigators will select four sites and randomize two of them to standard Family Spirit and two to precision Family Spirit. Sites will be matched based on annual volume of clients served and geographic similarity (i.e. urban vs. rural). All participating sites will be trained in the electronic implementation support platform. The two sites randomized to provide the precision approach will receive additional training on how to provide it.

In each site, all new clients who are prenatal or up to 2-months postpartum will be offered participation in the study. The study will then follow them until 12 months postpartum and measure outcomes during this time (see measurement table below). Qualitative interviews with precision participants will be done at 6 and 12 months postpartum. Focus group discussions with home visitors will also be completed during regular study team meetings. Analysis of study instruments (basic psychometrics based on baseline and end line data) and preliminary differences between the sites on Aim 3 and 4 outcomes will be done in December 2019 assuming the investigators have achieved their estimated sample size with enough retention for 6-months post enrollment. Dissemination of results will be done upon completion of the analysis.


Options:
A: Acceptability of the home-visiting program from the perspective of mothers enrolled (Baseline, 2-months postpartum, 6-months postpartum, 12-months postpartum); Retention in the home-visiting programs (2-months postpartum, 6-months postpartum, 12-months postpartum); Participant satisfaction (6-months postpartum, 12-months postpartum); Adherence (Study enrollment through study completion, an average of 1 year); Home visitor-participant relationship (2-months postpartum, 6-months postpartum, 12-months postpartum)
B: Evaluation of Decayed, Missing, and Filled Tooth Surfaces (Dmfs) at Baseline (Baseline); Evaluation of Decayed, Missing, and Filled Tooth Surfaces (Dmfs) at Year 1 (1 Year); Evaluation of Decayed, Missing, and Filled Tooth Surfaces (Dmfs) at Year 2 (2 Years); Evaluation of Decayed, Missing, and Filled Tooth Surfaces (Dmfs) at Year 3 (3 Years)
C: Increase in parent knowledge, measured at baseline, 2 weeks post-partum, 6 months post-partum and 12 months post-partum; Increase in parent skills, measured at baseline, 2 weeks post-partum, 6 months post-partum and 12 months post-partum; Decrease in parental high-risk behaviors, measured at baseline, 2 weeks post-partum, 6 months post-partum and 12 months post-partum; Increase in parental-child involvement, measured at baseline, 2 weeks post-partum, 6 months post-partum and 12 months post-partum
D: Decayed,missing, and filled tooth surfaces (dmfs) (Over 3 years)

Answer: A