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Abstract: Child maltreatment can have severe developmental impacts. Home
visiting programs aim to prevent child maltreatment, but a review of several evaluations
demonstrates inconsistent results regarding child maltreatment prevention. One approach to
understanding this variation is to investigate outcome-dosage (amount of service)
relationships through process evaluations. In a number of eva... read moreluations, dosage primarily
refers to the home visit; however, the second Massachusetts Healthy Families Evaluation
(MHFE-2), of which this thesis is a part, has expanded the definition of utilization to
include non-home visit, or secondary, activities. This thesis is MHFE-2's pilot study
exploring secondary activity utilization. Findings indicate that while age, education and
employment status are largely unrelated to secondary activity utilization, community
context, defined in this thesis by percent minority, poverty level, and density, does plays
a role in secondary activity utilization. This understanding can contribute to further
MHFE-2 utilization studies.
Thesis (M.A.)--Tufts University, 2011.
Submitted to the Dept. of Child Development.
Advisor: Francine Jacobs.
Committee: Barbara Parmenter, and Sarita Rogers.
Keywords: Individual & Family Studies, and Social
Research.read less
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