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Home Instruction for Parents of Preschool Youngsters

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Evidence rating: 2+
Cost rating: 3

Home Instruction for Parents of Preschool Youngsters (HIPPY) is a home-visiting programme for parents with a child between the ages of three and five living in disadvantaged communities.

HIPPY helps parents prepare their child for school by improving the home-literacy environment, increasing the quality of parent-child verbal interaction and teaching parents specific skills for scaffolding their child’s learning. HIPPY is delivered by para-professionals trained and supervised in the HIPPY model.                      

The programme consists of 30 sessions that take place over two years (a three-year curriculum is also available), spanning the transition from preschool to primary school. During each 30 to 60-minute visit, parents learn how to use the books and activity packets with their children through role play exercises. Parents also attend group meetings with other parents. During these meetings, a HIPPY paraprofessional introduces the weekly activity packet and parents share questions and concerns with each other and the HIPPY para-professional. Parents are expected to practise HIPPY activities with their child for at least 15 minutes a day.

EIF Programme Assessment

Evidence rating: 2+
Level 2 indicates that the programme has evidence of improving a child outcome from a study involving at least 20 participants, representing 60% of the sample, using validated instruments. This programme does not receive a rating of 3 as its best evidence is not from a rigorously conducted RCT or QED evaluation
Cost rating: 3
A rating of 3 indicates that a programme has a medium cost to set up and deliver, compared with other interventions reviewed by EIF. This is equivalent to an estimated unit cost of €600 – €1199. This figure is based on an analysis of UK costs and a conversion rate of 1.19.

What does the plus mean?

The plus rating indicates that a programme’s best available evidence is based on an evaluation that is more rigorous than a level 2 standard but does not meet the criteria for level 3.

Child outcomes

This programme can affect outcomes for children in Active and healthy, physical and mental wellbeing.

According to the best available evidence for this programme's impact, it can achieve the following positive outcomes for children:

Enhancing school achievement & employment

Improved cognitive skills

based on study 1

Improved classroom adaption

based on study 1

Improved school readiness

based on study 1

Improved achievement

based on study 1

Improved maths achievement

based on study 2

Improved expressive language skills

based on study 3

This programme also has evidence of supporting positive outcomes for couples, parents or families that may be relevant to a commissioning decision. Please see About the evidence for more detail.

Who is it for?

The best available evidence for this programme relates to the following age-groups:

Preschool

How is it delivered?

The best available evidence for this programme relates to implementation through these delivery models:

  • Home visiting

Where is it delivered?

The best available evidence for this programme relates to its implementation in these settings:

  • Home

How is it targeted?

The best available evidence for this programme relates to its implementation as:

  • Targeted selective

Where has it been implemented?

  • Argentina
  • Australia
  • Austria
  • Canada
  • Germany
  • Israel
  • Liberia
  • New Zealand
  • United States

Ireland provision

This programme has not been implemented in Ireland.

Ireland evaluation

This programme’s best evidence does not include evaluation conducted in Ireland.

About the programme

What happens during the delivery?

How is it delivered?

HIPPY has two components – one which is delivered to individual families by home visitors, and another which is delivered to groups of approximately 20 families (though this will vary). Each component has 15 sessions – with individual component sessions lasting 1.5 hours, and group component sessions lasting between two and three hours.

The home visiting component is delivered by one home visitor para-professional; the supplementary group component is delivered by one programme coordinator.


What happens during the intervention?

  • The core component of the intervention consists of bimonthly visits by a home visitor to individual families.
  • The practitioner uses role play with the parents to demonstrate how to create a more effective home learning environment. The practitioner uses the books and activity packets to teach techniques to teach children more effectively.
  • The parent then implements the techniques with the child at home using the same materials.
  • Home visiting is supplemented by group meetings held every other week led by the programme coordinator. At these meetings, parents are introduced to next weeks’ activities and have an opportunity to raise particular concerns and issues. Various other activities also take place in response to the particular needs of the parents.


What are the implementation requirements?

Who can deliver it?

  • The home visiting component is delivered by one home visitor para-professional with NFQ-4 qualifications the group component is delivered by one programme coordinator with NFQ-7/8 qualifications.


What are the training requirements?

  • The practitioners have one week of pre-service training. Booster training of practitioners is recommended.

How are the practitioners supervised?

  • It is recommended that the programme is supervised by one host-agency supervisor providing skills and case-management supervision with NFQ-7/8 level qualifications and one week of pre-service training.


What are the systems for maintaining fidelity?

  • Training manual
  • Other printed material
  • Other online material
  • Face-to-face training
  • Supervision
  • Accreditation or certification process
  • Fidelity monitoring

Is there a licensing requirement?

There is a licence required to run this programme.



How does it work? (Theory of Change)

How does it work?

  • HIPPY is based on the assumption that parental engagement and active participation in learning is important for children’s early social, emotional and cognitive development.
  • Parents experiencing economic and social disadvantage may have more difficulty supporting their children’s early learning at home and at school
  • HIPPY teaches parents a variety of strategies for supporting their children’s early learning. 
  • In the short term parents are better able to support their children’s early learning.
  • In the long term, children will demonstrate greater school readiness and higher achievement in primary school.

Intended outcomes

  • Achieving in all areas of learning and development


Contact details

Dr. Miriam Westheimer
mwestheimer@hotmail.com
hippy-international.org


About the evidence

Home Instruction for Parents of Preschool Youngsters’ (HIPPY) most rigorous evidence comes from an RCT which was conducted in the US.   

This study identified statistically significant positive impact on a number of child and parent outcomes.

A programme receives the same rating as its most robust study, which in this case is the Baker et al., (1999) study, and so the programme receives a Level 2+ rating overall.

Study 1

Citation:Baker et al (1999)
Design:RCT (New York sample) and QED (Arkansas sample)
Country:United States
Sample:247 families (New York) and 226 families (Arkansas)
Timing:Post-test; 1-year follow-up
Child outcomes:
  • Improved cognitive skills
  • Improved classroom adaption
  • Improved school readiness
  • Improved achievement
Other outcomes:
    Study rating:2+

    Baker, A., Piotrkowski, C., & Brooks-Gunn, J. (1999). The Home Instruction Program for Preschool Youngsters (HIPPY). The Future of Children, 9, 116-133.

    Available at
    https://www.ncbi.nlm.nih.gov/pubmed/10414013

    Study design and sample

    The first study is an RCT.  

    This study involved random assignment of volunteer families to a HIPPY treatment group and a control group. 

    This study was conducted in the US in two different sites – New York and Arkansas. Both sites involved two cohorts. In the New York site, a sample 90 and 157 volunteer families were involved in cohorts 1 and 2, respectively. In the Arkansas site, a sample 113 volunteer families were involved in cohorts 1 and 2, respectively.

    Measures

    For the New York site, child cognitive skills were measured using the Cooperative Preschool Inventory (CPI) (direct assessment). Kindergarten and first-grade standardised achievement on Reading and Math were measured using scores on the Metropolitan Readiness Test in kindergarten (achievement test) and the Metropolitan Achievement Test in first grade (achievement test). Child classroom adaptation was measured using the Child Classroom Adaptation Index (CCAI) (teacher report).

    For the Arkansas site, child cognitive skills were measured using the Cooperative Preschool Inventory (CPI) (direct assessment). Child classroom adaptation was measured using the Child Classroom Adaptation Index (CCAI) (teacher report). Standardised achievement scores were measured using the Stanford Early Achievement Test (achievement test).

    Findings

    This study identified statistically significant positive impact on a number of child outcomes.

    This includes:

    • Improved cognitive skills
    • Improved classroom adaption
    • Improved school readiness
    • Improved achievement

    The conclusions that can be drawn from this study are limited by methodological issues pertaining to a lack of intention-to-treat analysis and a lack of clarity in terms of attrition, hence why a higher rating is not achieved.

    Study 2

    Citation:Nievar et al (2011)
    Design:QED
    Country:United States
    Sample:108 families in urban southwestern USA
    Timing:Post-test; 5-year follow-up
    Child outcomes:
    • Improved maths achievement
    Other outcomes:
    • Improved parental involvement and efficacy
    • Improved home environment
    Study rating:2+

    Nievar, M., Jacobson, A., Q., Chen, Johnson, U., & Dier, S. (2011).  Impact of HIPPY on home learning environments of Latino families. Early Childhood Research Quarterly, 26, 268-277.

    Available at
    http://www.sciencedirect.com/science/article/pii/S0885200611000044

    Study design and sample

    The second study is a QED.  

    The first investigation involved mothers and children living in an urban area in the south-western US.  HIPPY pupils were randomly selected from a larger group of children and compared to a randomly selected group of demographically similar wait-list children. 

    The second study compared the third-grade achievement test scores of a group of randomly selected low-income Latino HIPPY participants to a randomly selected group of demographically similar non-HIPPY participants.

    This study was conducted in the US, with a sample of 108 children in cohort 1 and 262 children in cohort 2. In cohort 1, the average age of the children was 3 years and 11 months. All children were of Latino origin and close to a third (29.7%) of the families had a household income of less than $15,000. In cohort 2, all children were third-graders, of Latino origin, and qualified for free or reduced lunch.

    Measures

    Child math and reading achievement were measured using the State Achievement Test (achievement test).

    Parenting stress and stressors were measured using the Parenting Stress Index (parent report). Parental depression was measured using the Centre for Epidemiological studies depression scale (parent report). Parental involvement and efficacy were measured using the Parental Involvement and Efficacy scale (parent report). Home environment (Learning materials, academic stimulation, modelling, variety, warmth, acceptance, learning simulation, physical environment) was measured using the Home Observation Measurement of the Environment (HOME) (direct assessment).

    Findings

    This study identified statistically significant positive impact on a number of child and parent outcomes.

    This includes improved maths achievement.

    The conclusions that can be drawn from this study are limited by methodological issues pertaining to a lack of clarity around intention-to-treat analysis and a lack of clarity in terms of attrition, hence why a higher rating is not achieved.

    Study 3

    Citation:Necoechea, 2007
    Design:RCT
    Country:United States
    Sample:51 families, with children between 3 and 4 years old. All families in the sample were low SES and recruited from a neighbourhood with 35% child poverty rate and high school dropout rate.
    Timing:Post-test (15 weeks)
    Child outcomes:
    • Improved expressive language skills
    Other outcomes:
      Study rating:2

      Necoechea, D. M. (2007). Children At-Risk for Poor School Readiness: The Effect of an Early Intervention Home Visiting Program on Children and Parents (Doctoral dissertation).

      Available at

      https://search.proquest.com/openview/0cc2dd8ee3e74980de32d676d7cbb5a8/1?pq-origsite=gscholar&cbl=18750&diss=y

      Study design and sample

      The third study is an RCT. 

      This study involved random assignment of children to a HIPPY treatment group and a no-treatment control group. 

      The study included 51 families, with children between 3 and 4 years old, where families were living in the lowest income community in inner-city San Diego. Most parents were immigrated from Mexico, and children’s primary language was mainly Spanish. The neighbourhood where families were recruited had a 35% child poverty rate, with 25% of students failing to graduate from high school. Researchers went from door to door to reach these families who are classified as “hard to reach”.

      Measures

      Children’s receptive language skills were measured using the Peabody Picture Vocabulary Test-Revised (expert observation of behaviour). Children’s expressive language skills were measured using the Expressive One-Word Picture Vocabulary Test-Revised (expert observation of behaviour). School readiness was measured using the Developing Skills Checklist (expert observation of behaviour).

      Parent involvement in the home was measured using the Parent-Home Survey (parent report). The level of parental participation in the HIPPY programme was measured using the Parent Participation Questionnaire (parent report).

      Findings

      This study identified statistically significant positive impact on one child outcome. This included improved expressive language skills.

      The conclusions that can be drawn from this study are limited by methodological issues pertaining to unequivalent groups, hence why a higher rating is not achieved.