Skip to main content

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

From: Towards precision home visiting: results at six months postpartum from a randomized pilot implementation trial to assess the feasibility of a precision approach to Family Spirit

Assigned lesson pathway Trigger for lesson pathways Baseline 2-month assessment 6-month assessment Session summary forma
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
  1. a The session summary form is an in-visit form used to collect routine visit data for all study participants. For Precision Family Spirit participants only, they also completed self-report on these specified outcomes to inform systematic tailoring of the curriculum content