CClinicalTrials.gg
CompletedNCT00970853Updated Apr 15, 2014Results posted

MOM Program 8-Year Follow-up

A Phase 3 interventional study of MOM Program home visiting and Control in Child Development, sponsored by Children's Hospital of Philadelphia. Completed at 1 site in United States. Open to participants aged 94 Months to 98 Months. Per ClinicalTrials.gov, last updated 2014-04-15.

Sponsored by Children's Hospital of Philadelphia · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
187
Allocation
Randomized
Ages
94 Months to 98 Months
Sex
All
01

Study summary

Study measures will evaluate cognitive, academic, and behavioral outcomes for the children, school services received, and caregiver stress and depression. The main study outcome measures include cognitive status, school functioning, and behavior. Long-term outcomes will be studied in attempt to verify the 33 and 60 month significant differences found in school participation and behavior between the intervention and control groups.

Read the detailed description

This study examines 8-year follow-up results from The MOM Program, a randomized controlled trial (RCT) of a mixed professional home visiting program to promote positive developmental outcomes among children in poverty. The earlier study found significant differences in both school participation and behavior among the intervention group at ages 33 and 60 months of age. Families from the original MOM Program RCT that provide informed consent will be eligible for the study when the children are 8 years of age.

02

Conditions studied

  • Child Development

Keywords

  • Evaluate developmental outcomes
  • Evaluate child cognitive, academic, and behavioral outcomes
03

In context

Lead sponsor

Children's Hospital of Philadelphia is the lead sponsor of 480 studies on the registry; 85 are open to participants now.

Of its 28 completed or terminated interventional studies of FDA-regulated products, 22 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
94 Months to 98 Months
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Families from the original MOM RCT that participated in the 60 month evaluation
  • Able to return to Philadelphia area for testing
  • Parental/guardian informed consent and child assent

Exclusion criteria

Exclusion Criteria:

  • Children unable to complete testing due to sensory, physical, or other deficits, as determined by clinical review by study psychologist
  • Caregivers unwilling to authorize the release of school information
  • Non-English speaking
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
187 participants (actual)

Study arms

  • Active comparator
    Control

    Control group

    Other: Control

  • Experimental
    MOM Program home visiting

    Mixed professional support home visiting program.

    Behavioral: MOM Program home visiting

Interventions

  • BehavioralMOM Program home visiting

    Mixed professional home visiting program.

  • OtherControl

    Control group will receive same assessment batteries at follow-up but did not receive the home visiting program.

06

What researchers measure

Primary outcomes

  1. Woodcock-Johnson Cognitive Ability Test, 3rd Edition (WJR-III, Cog)

    The WJR-III, Cog measures intelligence and cognition in children and offers a recent standardization sample and updated item content. The WJR-III, Cog was selected because it includes verbal, nonverbal, and language scales and its recent standardization sample includes an appropriate proportion of children from ethnic minority, limited parent education, and Northeastern U.S. regional families.The mean test score is 100, with a standard deviation of 15. The test yields scores from 55 (worst score) to 145 (best score).

    Time frame: 8 years post original enrollment in study

Secondary outcomes

  1. Woodcock-Johnson Academic Ability Test, 3rd Edition (WJR-III, Ach), Broad Reading

    The WJR-III, Ach, Broad Reading measures reading achievement in children and offers a recent standardization sample and updated item content. The WJR-III, Ach, Broad Reading was selected because it includes indices of reading and a recent standardization sample that includes an appropriate proportion of children from ethnic minority, limited parent education, and Northeastern U.S. regional families.The mean test score is 100, with a standard deviation of 15. The test yields scores from 55 (worst score) to 145 (best score).

    Time frame: 8 years from study entry

  2. Woodcock-Johnson Academic Ability Test, 3rd Edition (WJR-III, Ach), Broad Math

    The WJR-III, Ach, Broad Math measures math academic achievement in children and offers a recent standardization sample and updated item content. The WJR-III, Ach, Math was selected because its recent standardization sample includes an appropriate proportion of children from ethnic minority, limited parent education, and Northeastern U.S. regional families. The mean test score is 100, with a standard deviation of 15. The test yields scores from 55 (worst score) to 145 (best score).

    Time frame: 8 years from study entry

  3. Child Behavior Checklist (CBCL), Internalizing

    The CBCL is part of The Achenbach System of Empirically Based Assessment (ASEBA)that measures a broad range of behavioral, emotional, and social behaviors. The CBCL is administered in interview format and respondents are asked to rate 112 problem items as 0 for "not true of the child," 1 for "somewhat or sometimes true of the child," and 2 for "very true or often true of the child", based on the past two months. The raw scores from the 112 items are then compared with age- and gender-matched controls from the standardization sample, and standard scores are then derived with a mean of 50 and a standard deviation of 10. Worst value is 80; best value is 30.

    Time frame: 8 years from study entry

  4. Child Behavior Checklist (CBCL), Externalizing

    The CBCL is part of The Achenbach System of Empirically Based Assessment (ASEBA)that measures a broad range of behavioral, emotional, and social behaviors. The CBCL is administered in interview format and respondents are asked to rate 112 problem items as 0 for "not true of the child," 1 for "somewhat or sometimes true of the child," and 2 for "very true or often true of the child", based on the past two months. The raw scores from the 112 items are then compared with age- and gender-matched controls from the standardization sample, and standard scores are derived with a mean of 50 and a standard deviation of 10. The worst possible score is 80 and the best possible score is 30.

    Time frame: 8 years from study entry

  5. Child Behavior Checklist (CBCL),Total Problems

    The CBCL is part of The Achenbach System of Empirically Based Assessment (ASEBA)that measures a broad range of behavioral, emotional, and social behaviors. The CBCL is administered in interview format and respondents are asked to rate 112 problem items as 0 for "not true of the child," 1 for "somewhat or sometimes true of the child," and 2 for "very true or often true of the child", based on the past two months. The raw scores from the 112 items are then compared with age- and gender-matched controls from the standardization sample, and standard scores are derived with a mean of 50 and a standard deviation of 10. Worst score is 80; best score is 30.

    Time frame: 8 years from study entry

  6. Teacher Rating Form (TRF), Internalizing

    The TRF is the companion to the CBCL and is completed by the child's teacher. The TRF measures a broad range of behavioral, emotional, and social functioning. The TRF asks teachers to rate problem behaviors and questions about receipt of educational services. Respondents are asked to rate 112 problem items as 0 for "not true of the child," 1 for "somewhat or sometimes true of the child," and 2 for "very true or often true of the child", based on the past two months. The raw scores from the 112 items are then compared with scores from age- and gender-matched controls from the standardization sample, and standard scores are derived with a mean of 50 and a standard deviation of 10. value is 80; best value is 30.

    Time frame: 8 years from study entry

  7. Teacher Rating Form (TRF), Externalizing

    The TRF is the companion to the CBCL and is completed by the child's teacher. The TRF measures a broad range of behavioral, emotional, and social functioning. The TRF asks teachers to rate problem behaviors and questions about receipt of educational services. Respondents are asked to rate 112 problem items as 0 for "not true of the child," 1 for "somewhat or sometimes true of the child," and 2 for "very true or often true of the child", based on the past two months. The raw scores from the 112 items are then compared with age- and gender-matched controls from the standardization sample, and standard scores are derived with a mean of 50 and a standard deviation of 10. Best score is 30; worst score is 80.

    Time frame: 8 years from study entry

  8. Teacher Rating Form (TRF), Total Problems

    The TRF is the companion to the CBCL and is completed by the child's teacher. The TRF measures a broad range of behavioral, emotional, and social functioning. The TRF asks teachers to rate problem behaviors and questions about receipt of educational services. Respondents are asked to rate 112 problem items as 0 for "not true of the child," 1 for "somewhat or sometimes true of the child," and 2 for "very true or often true of the child", based on the past two months. The raw scores from the 112 items are then compared with age- and gender-matched controls from the standardization sample, and standard scores are derived with a mean of 50 and a standard deviation of 10. Best score is 30; worst score is 80.

    Time frame: 8 years from study entry

07

Results

Posted Mar 21, 2014

Participant flow

Mothers from high poverty areas with singleton healthy infants weighing at least 2500g with no genetic or developmental disorders were recruited from post-partum unit of an academic hospital. At child age 8-years mothers were contacted for an in office follow-up visit. 187 of 253 eligible mothers participated.

Participant flow — Overall Study
MilestoneControlMOM Program Home Visiting
Started8998
Completed8998
Not completed00

Outcome measures

PrimaryWoodcock-Johnson Cognitive Ability Test, 3rd Edition (WJR-III, Cog)

The WJR-III, Cog measures intelligence and cognition in children and offers a recent standardization sample and updated item content. The WJR-III, Cog was selected because it includes verbal, nonverbal, and language scales and its recent standardization sample includes an appropriate proportion of children from ethnic minority, limited parent education, and Northeastern U.S. regional families.The mean test score is 100, with a standard deviation of 15. The test yields scores from 55 (worst score) to 145 (best score).

Time frame:
8 years post original enrollment in study
Reported as:
Mean · units on a scale
Woodcock-Johnson Cognitive Ability Test, 3rd Edition (WJR-III, Cog)
units on a scaleControlMOM Program Home Visiting
Woodcock-Johnson Cognitive Ability Test, 3rd Edition (WJR-III, Cog)89.32 ± 12.3287.62 ± 14.08
Statistical analysis
  • Control vs MOM Program Home Visiting · t-test, 2 sided · p = 0.39 (non-adjusted for multiple comparisons)
SecondaryWoodcock-Johnson Academic Ability Test, 3rd Edition (WJR-III, Ach), Broad Reading

The WJR-III, Ach, Broad Reading measures reading achievement in children and offers a recent standardization sample and updated item content. The WJR-III, Ach, Broad Reading was selected because it includes indices of reading and a recent standardization sample that includes an appropriate proportion of children from ethnic minority, limited parent education, and Northeastern U.S. regional families.The mean test score is 100, with a standard deviation of 15. The test yields scores from 55 (worst score) to 145 (best score).

Time frame:
8 years from study entry
Reported as:
Mean · units on a scale
Woodcock-Johnson Academic Ability Test, 3rd Edition (WJR-III, Ach), Broad Reading
units on a scaleControlMOM Program Home Visiting
Woodcock-Johnson Academic Ability Test, 3rd Edition (WJR-III, Ach), Broad Reading90.92 ± 17.1990.94 ± 16.33
Statistical analysis
  • Control vs MOM Program Home Visiting · t-test, 2 sided · p = .99
SecondaryWoodcock-Johnson Academic Ability Test, 3rd Edition (WJR-III, Ach), Broad Math

The WJR-III, Ach, Broad Math measures math academic achievement in children and offers a recent standardization sample and updated item content. The WJR-III, Ach, Math was selected because its recent standardization sample includes an appropriate proportion of children from ethnic minority, limited parent education, and Northeastern U.S. regional families. The mean test score is 100, with a standard deviation of 15. The test yields scores from 55 (worst score) to 145 (best score).

Time frame:
8 years from study entry
Reported as:
Mean · units on a scale
Woodcock-Johnson Academic Ability Test, 3rd Edition (WJR-III, Ach), Broad Math
units on a scaleControlMOM Program Home Visiting
Woodcock-Johnson Academic Ability Test, 3rd Edition (WJR-III, Ach), Broad Math94.30 ± 16.3790.80 ± 16.83
Statistical analysis
  • Control vs MOM Program Home Visiting · t-test, 2 sided · p = 0.16
SecondaryChild Behavior Checklist (CBCL), Internalizing

The CBCL is part of The Achenbach System of Empirically Based Assessment (ASEBA)that measures a broad range of behavioral, emotional, and social behaviors. The CBCL is administered in interview format and respondents are asked to rate 112 problem items as 0 for "not true of the child," 1 for "somewhat or sometimes true of the child," and 2 for "very true or often true of the child", based on the past two months. The raw scores from the 112 items are then compared with age- and gender-matched controls from the standardization sample, and standard scores are then derived with a mean of 50 and a standard deviation of 10. Worst value is 80; best value is 30.

Time frame:
8 years from study entry
Reported as:
Mean · units on a scale
Child Behavior Checklist (CBCL), Internalizing
units on a scaleControlMOM Program Home Visiting
Child Behavior Checklist (CBCL), Internalizing50.30 ± 8.8549.16 ± 9.61
Statistical analysis
  • Control vs MOM Program Home Visiting · t-test, 2 sided · p = .40
SecondaryChild Behavior Checklist (CBCL), Externalizing

The CBCL is part of The Achenbach System of Empirically Based Assessment (ASEBA)that measures a broad range of behavioral, emotional, and social behaviors. The CBCL is administered in interview format and respondents are asked to rate 112 problem items as 0 for "not true of the child," 1 for "somewhat or sometimes true of the child," and 2 for "very true or often true of the child", based on the past two months. The raw scores from the 112 items are then compared with age- and gender-matched controls from the standardization sample, and standard scores are derived with a mean of 50 and a standard deviation of 10. The worst possible score is 80 and the best possible score is 30.

Time frame:
8 years from study entry
Reported as:
Mean · units on a scale
Child Behavior Checklist (CBCL), Externalizing
units on a scaleControlMOM Program Home Visiting
Child Behavior Checklist (CBCL), Externalizing54.02 ± 10.7653.12 ± 10.34
Statistical analysis
  • Control vs MOM Program Home Visiting · t-test, 2 sided · p = .56
SecondaryChild Behavior Checklist (CBCL),Total Problems

The CBCL is part of The Achenbach System of Empirically Based Assessment (ASEBA)that measures a broad range of behavioral, emotional, and social behaviors. The CBCL is administered in interview format and respondents are asked to rate 112 problem items as 0 for "not true of the child," 1 for "somewhat or sometimes true of the child," and 2 for "very true or often true of the child", based on the past two months. The raw scores from the 112 items are then compared with age- and gender-matched controls from the standardization sample, and standard scores are derived with a mean of 50 and a standard deviation of 10. Worst score is 80; best score is 30.

Time frame:
8 years from study entry
Reported as:
Mean · units on a scale
Child Behavior Checklist (CBCL),Total Problems
units on a scaleControlMOM Program Home Visiting
Child Behavior Checklist (CBCL),Total Problems53.22 ± 10.2051.81 ± 10.00
Statistical analysis
  • Control vs MOM Program Home Visiting · t-test, 2 sided · p = .34
SecondaryTeacher Rating Form (TRF), Internalizing

The TRF is the companion to the CBCL and is completed by the child's teacher. The TRF measures a broad range of behavioral, emotional, and social functioning. The TRF asks teachers to rate problem behaviors and questions about receipt of educational services. Respondents are asked to rate 112 problem items as 0 for "not true of the child," 1 for "somewhat or sometimes true of the child," and 2 for "very true or often true of the child", based on the past two months. The raw scores from the 112 items are then compared with scores from age- and gender-matched controls from the standardization sample, and standard scores are derived with a mean of 50 and a standard deviation of 10. value is 80; best value is 30.

Time frame:
8 years from study entry
Reported as:
Mean · units on a scale
Teacher Rating Form (TRF), Internalizing
units on a scaleControlMOM Program Home Visiting
Teacher Rating Form (TRF), Internalizing48.85 ± 9.6349.21 ± 11.45
Statistical analysis
  • Control vs MOM Program Home Visiting · t-test, 2 sided · p = .85
SecondaryTeacher Rating Form (TRF), Externalizing

The TRF is the companion to the CBCL and is completed by the child's teacher. The TRF measures a broad range of behavioral, emotional, and social functioning. The TRF asks teachers to rate problem behaviors and questions about receipt of educational services. Respondents are asked to rate 112 problem items as 0 for "not true of the child," 1 for "somewhat or sometimes true of the child," and 2 for "very true or often true of the child", based on the past two months. The raw scores from the 112 items are then compared with age- and gender-matched controls from the standardization sample, and standard scores are derived with a mean of 50 and a standard deviation of 10. Best score is 30; worst score is 80.

Time frame:
8 years from study entry
Reported as:
Mean · units on a scale
Teacher Rating Form (TRF), Externalizing
units on a scaleControlMOM Program Home Visiting
Teacher Rating Form (TRF), Externalizing55.75 ± 9.8654.78 ± 11.73
Statistical analysis
  • Control vs MOM Program Home Visiting · t-test, 2 sided · p = .61
SecondaryTeacher Rating Form (TRF), Total Problems

The TRF is the companion to the CBCL and is completed by the child's teacher. The TRF measures a broad range of behavioral, emotional, and social functioning. The TRF asks teachers to rate problem behaviors and questions about receipt of educational services. Respondents are asked to rate 112 problem items as 0 for "not true of the child," 1 for "somewhat or sometimes true of the child," and 2 for "very true or often true of the child", based on the past two months. The raw scores from the 112 items are then compared with age- and gender-matched controls from the standardization sample, and standard scores are derived with a mean of 50 and a standard deviation of 10. Best score is 30; worst score is 80.

Time frame:
8 years from study entry
Reported as:
Mean · units on a scale
Teacher Rating Form (TRF), Total Problems
units on a scaleControlMOM Program Home Visiting
Teacher Rating Form (TRF), Total Problems53.80 ± 10.1752.94 ± 12.69
Statistical analysis
  • Control vs MOM Program Home Visiting · t-test, 2 sided · p = .67

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Control—0/89 (0%)0/89 (0%)
MOM Program Home Visiting—0/98 (0%)0/98 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)ControlMOM Program Home VisitingTotal
<=18 years8998187
Between 18 and 65 years000
>=65 years000
Age, Continuous
Age, Continuous(years)ControlMOM Program Home VisitingTotal
Mean7.96 ± .127.95 ± .137.95 ± .12
Sex: Female, Male
Sex: Female, Male(Participants)ControlMOM Program Home VisitingTotal
Female514798
Male385189
Region of Enrollment
Region of Enrollment(participants)ControlMOM Program Home VisitingTotal
United States8998187
08

Study locations

1 site
  • Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania 19104, United States
09

References and documents

Publications

  • Radcliffe J, Schwarz D, Zhao H; MOM Program. The MOM Program: home visiting in partnership with pediatric care. Pediatrics. 2013 Nov;132 Suppl 2:S153-9. doi: 10.1542/peds.2013-1021O. PubMed 24187118 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 15, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00970853
Lead sponsor
Children's Hospital of Philadelphia
Collaborators
William Penn Foundation
Responsible party
Jerilynn Radcliffe (PI, Children's Hospital of Philadelphia) — Principal investigator
First posted
Sep 3, 2009
Start date
Mar 2009
Primary completion
May 2011
Completion
May 2011
Results posted
Mar 21, 2014
Last update
Apr 15, 2014

Study contacts

Jerilynn Radcliffe, PhD
principal investigator · Children's Hospital of Philadelphia

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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