Project HOME

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Project HOME

• 3-year grant funded by the Office of Head Start,
  Administration for Children and Families
• Project Team
• Lise Youngblade, PhD, Karen Barrett, PhD,
  co-Project Directors
• Collaborators
• Francisco Palermo, PhD, Department of HDFS
• Jonna Pearson, PhD, Department of Journalism and
  Technical Communication
• Ann Bruce, PhD, CSU Extension
• Jennifer Anderson, PhD, Laura Bellows, PhD,
  Department of Food Science Human Nutrition
• Excellent Graduate Students (Laura Hahn, Jamie
  Wensink, Liz Zimmerman, Melanie Kelsea, April
  Thomas, Lydia Linke)
• Partners
• Head Start State Collaboration Office
• CO Department of Public Health Environment, CO
  Medical Home Initiative
• CO Department of Health Policy Financing
• Head Start programs in 3 Colorado areas

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Project HOME Goals

• Help Head Start parents help their children stay
  healthy
• Specifically, improve parents healthcare
  literacy in three areas
• What to do when their child is sick
• Understanding the healthcare system
• Focus on what a medical home is why it is
  important
• Promoting health through nutrition and physical
  activity
• These goals are very congruent with Colorados
  Early Childhood Education Framework

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What Project HOME seeks to do

• Partnership of state and local agencies related
  to Head Start and childrens health
• Demonstration sites in Weld County, Denver, and
  Ignacio
• Utilize train-the-trainers model to train Head
  Start family workers and other interested staff
  to provide this curriculum to parents
• Head Start Staff receive curriculum training
  materials
• Parents receive materials and a resource book

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What does Project HOME entail?

• 3-hour train-the-trainers workshop
• 2 sets of parent workshops
• Intervention
• Delayed Intervention
• Parents will complete surveys at 4 times
• Initial, 1 month, 3 month, 6 month
• Half will have training between Initial and 1
  month surveys
• Half will have training between 3 month and 6
  month surveys
• Parents offered various modalities to complete
  surveys
• Parents will earn Wal-Mart Gift Cards for
  participating (30 for parent workshop 15 for
  each survey 90 total)

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What does Project HOME entail?

• Classroom teachers complete brief 5-minute survey
  on participating children in their classrooms (at
  the 4 times of the parent survey)
• Teachers can earn 25 each time for completing
  these surveys
• Several focus groups through the fall and spring
  about barriers to accessing healthcare and
  opportunities/resources for families
• Goal is to integrate Head Start Medical Home
  systems

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A Project HOME Visual
Head Start Staff

• Project HOME Train the Trainers to teach parents
  
• Health Literacy skills
• What to do when a child is sick
• Medical Home how to establish one
• Wellness, nutrition, fitness
• Cultural appropriateness
• Preventive care

Increased knowledge of Health system What to do
when a child is sick Medical Home Wellness,
nutrition, fitness Preventive care
Reduced use of ER for non-emergencies
CSU Project HOME Core Team
Head Start Staff in Weld County, Denver, and
Tribal communities
Fewer days of work missed (parents)
Colorado Head Start State Collaboration Office
Fewer days of Head Start missed (children)
Increased Parent self-efficacy Decreased
Parenting Stress
Reduced Medicaid costs
Parents of Head Start Children in these sites
Colorado Medical Home Initiative Team
Increased sense of cultural appropriateness of
healthcare
Improvement in child health wellbeing
Integrate Head Start systems with the Colorado
Medical Home Initiative (CMHI) to help Head Start
families to have Medical homes
CSU Extension
Increased feeling that healthcare needs are being
met
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Training Materials Used

• What to do when your child gets sick
• English Spanish
• Medical Home Brochure
• English Spanish
• Medical Home Resource List
• Food and Activity Cards
• English Spanish

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First Year Progress

• Developed materials, IRB approval, hires, etc.
• Implemented in Weld County
• Changed the design due to start time for project
• Conducted train-the-trainer program in February
• Conducted parent-training programs for 11 Head
  Start sites in March-May
• Consents from 141 families who are participating
  in surveys (76 Spanish, 65 English)
• 79 have pre/post training data

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First Year Initial Results

• Pre/post knowledge tests at each parent meeting
• Medical Home (4 multiple-choice questions)
• What to do when your child is sick (11
  multiple-choice questions)
• Each question had 1 right answer
• Compared test average from pre-to-post
• Overall Results
• Parents improved from 63 correct to 68 correct
  on Medical Home test (trend level significance, p
  lt .08)
• Parents improved from 76 correct to 87 correct
  on What to Do When Your Child is Sick test
  (statistically significant at p lt .001)
• Compared by ethnicity, Hispanic and White parents
  showed the same pattern of results, although
  overall White parents had greater percentages of
  correct answers.

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First Year Challenges

• Trainer issues
• Some anxiety in presenting
• Lots of material to cover
• Wanted to combine English/Spanish challenges in
  presenting and also the way the What to Do
  curriculum is arranged
• Participant issues
• Challenging lives
• Recruitment issues
• Weather

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Upcoming Plans

• Weld County focus groups
• Implementation in Denver Great Kids program
  during this academic year
• Beginning discussions with Ignacio
• Collecting data and beginning analyses of Year 1
  site

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Questions?

• Contact Information
• Lise Youngblade, PhD 970-491-3581
• Lise.Youngblade_at_colostate.edu
• Karen Barrett, PhD 970-491-7382
• Karen.Barrett_at_colostate.edu
• Dept. of Human Development and Family Studies,
  Colorado State University
• Project is funded by the Administration for
  Children and Families, U.S. Department of Health
  and Human Services