Table 2 Precision Family Spirit implementation strategy participant assessment timepoints and variables to determine lesson pathways

First-time mother

Positive response (YES) to “Are you a first-time mom?”

x

Substance misuse (high risk)

Screen positive on the modified ASSIST for alcohol or other drug misuse

Screen positive on the ASSIST is:

Alcohol score of 11 or above

Illegal drugs score of 4 or above

Legal drugs (not as prescribed) score of 4 or above Injection drug use 1 or above

x

x

x

Positive response (YES) on the IHR 5Ps “Do any of your friends have a problem with alcohol or other drug use?”

OR

Positive response (YES) to “Does your partner or significant other have a problem with alcohol or other drug use?”

AND

Positive response (YES) to “Since our last visit, have you drunk any alcohol or used other drugs?”

AND

1 or more times in the last month they had 4 or more drinks

x

x

x

x

Substance misuse (medium risk)

Positive response (YES) on the IHR 5Ps “Do any of your friends have a problem with alcohol or other drug use?”

OR

Positive response (YES) to “Does your partner or significant other have a problem with alcohol or other drug use?”

AND

Positive response (YES) to “Since our last visit, have you drunk any alcohol or used other drugs?”

x

x

x

x

Early childhood obesity

Positive response (YES) to “Do you have concerns about your nutrition?”

x

Positive response (YES) to “Since the last time you had a visit for this program, have you worried about what and/or

how much you and/or your child is eating?”

x

x

x

Home visitor positive response (YES) to “Are you worried about what and/or how much this participant and/or her child is eating?”

x

Sexual/reproductive health

Positive response (YES) to “Since the last time you had a visit for this program, have you had concerns about your

own sexual or reproductive health?”

x

x

x

Home visitor positive response (YES) to “Do you have any concerns about this participant’s sexual or reproductive health?”

x