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New Chance Demonstration
General Information
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Populations Studied
| Target Population |
Recipients/participants/clients
Applicants
Children
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| Subgroups Analyzed |
Pregnant/parenting teens
Single parent families
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| Sample Size and Unit |
2,322 welfare clients and persons at risk of going on welfare.
Sample selected according to eligibility criteria: 16-22 years old; first gave birth age 19 or younger; not pregnant at time of enrollment; high school dropout (94% of sample) or high school graduate/holder of GED with reading scores below ninth-grade level (6% of sample); receiving ADFC (95% of sample) or economically disadvantaged according to Job Training Partnership Act (5% of sample); ability to speak, read, and understand English.
Random sample of 1,553 (67% of sample) in program group (who were allowed to enroll in New Chance) and 769 (33% of sample) in control group (who did not have access to New Chance services but may find alternate services in their communities).
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Sites Studied
Chula Vista, California
Inglewood, California
San Jose, California
Denver, Colorado
Jacksonville, Florida
Chicago Heights, Illinois
Lexington, Kentucky
Detroit, Michigan
Minneapolis, Minnesota
Bronx, New York
Harlem, New York
Portland, Oregon
Salem, Oregon
Allentown, Pennsylvania
Philadelphia, Pennsylvania
Pittsburgh, Pennsylvania
Program Components, Policies, and Activities Evaluated
Employment activities
- Job skills training
- Job readiness activities
- Job search
- Job placement
- Job development
Educational activities
- Adult Basic Education (ABE) courses
- GED courses
- High school completion
Social/Support services
- Child care
- Health benefits
- Case management
- Life Skills and Opportunities Classes (LSO)
- Parenting classes/training
- Family planning education and services
Administration/Implementation
- Administration/Implementation - misc.
| Variation in program components across sites? |
Yes
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| Notes on program components |
Educational activities: Adult basic education (ABE), GED preparation.
Employment activities: Employability development, work internships, occupational skills training, job placement assistance.
Program operations: Operational issues related to New Chance will be investigated.
Social/Support services: Life Skills and Opportunities curriculum, health education and health services, family planning, adult survival skills training, parental education. Case manager acts as counselor and monitor.
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Outcomes Assessed
Education
- High school graduation/GED receipt
- Education - misc.
Employment
- Job readiness/training
- Job attainment
- Job retention
Family and relationship outcomes
- Births/pregnancies
- Parent-child interactions
- Family formation and stability/Living arrangements
Income security
Attitudes towards work, welfare, and program
- Attitudes towards work, welfare, and program - misc.
Service utilization
- Service utilization - misc.
Program implementation
- Program Implementation - misc.
Health/ physical well-being (including prenatal health)
- Health/ physical well-being - misc.
Financial costs and benefits/cost-effectiveness
- Financial costs and benefits/cost-effectiveness - misc.
Child Outcomes
- Child social/emotional/behavioral outcomes
- Child cognitive (attention, problem solving, memory, language, and vocabulary) outcomes
- Child mental/physical health outcomes
Types of Studies
| Type |
Impact Study (Controlled Experiment)
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| Aim |
To determine the effectiveness of the program in increasing educational attainment and employment, improving parenting and health practices, and reducing subsequent childbearing and welfare dependence.
To determine the effectiveness of the program in improving the cognitive, behavioral, and health status of participants children.
To discover whether women with particular characteristics especially benefit from New Chance.
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| Type |
Cost-Benefit Study
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| Aim |
To determine how the costs of the program compare with the benefits that accrue from participation.
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| Type |
Implementation/Process Study
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| Aim |
To study the operational characteristics of the program.
To determine the extent to which the program varies from site to site.
To identify the enrollees patterns of participation in the program (what services they receive, how long do they participate, and why they leave the program).
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| Type |
Descriptive/Analytical Study
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| Aim |
The New Chance Observational Study: A special study was taken, using videotaped observations of mother-child interaction among a subset of 290 families from the New Chance Demonstration, to observe parenting behavior in a context of a program focusing on outcomes for two generations.
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Data Sources
| Source |
Survey
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| Title |
Self-administered Test of Adult Basic Education
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| Sample Characteristics/Data Collection |
2,322 teen mothers.
Sample of all recruited eligibles.
Collected prior to random assignment and 18 months after assignment.
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| Sites |
All sites.
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| Response Rate/Attrition Notes |
Fielded sample number not reported.
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| Additional Execution Notes |
No notes reported.
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| Source |
Survey
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| Title |
In-person New Chance Enrollment Form, including information about prior education, training, and work experience; welfare history; family composition; living arrangements; and psychological well-being
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| Sample Characteristics/Data Collection |
2,322 teen mothers.
Sample of all recruited eligibles.
Collected prior to random assignment and 18 months after assignment.
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| Sites |
All sites.
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| Response Rate/Attrition Notes |
Fielded sample number not reported.
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| Additional Execution Notes |
No notes reported.
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| Source |
Survey
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| Title |
Self-administered staff survey
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| Sample Characteristics/Data Collection |
124 program staff members.
Sample of all program staff.
Collected approximately one year after initial program implementation.
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| Sites |
All sites.
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| Response Rate/Attrition Notes |
Reported response rate:
85%.
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| Additional Execution Notes |
No notes reported.
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| Source |
Field Research
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| Title |
Follow-up interviews/observations
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| Sample Characteristics/Data Collection |
738 program participants (follow-up for four months).
369 program participants from four month sample (follow-up for eight months). Sample of enrolled participants.
Collected during first four months and eight months after random assignment.
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| Sites |
All sites.
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| Response Rate/Attrition Notes |
All participants sampled. Response rate not reported.
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| Additional Execution Notes |
No notes reported.
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| Source |
Field Research
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| Title |
Observations and site visits
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| Sample Characteristics/Data Collection |
Site visits, observations, site documents, site memoranda obtained from all members of program group.
Data collected about every three months to a site.
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| Sites |
All sites.
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| Response Rate/Attrition Notes |
Fielded sample number not reported.
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| Additional Execution Notes |
No notes reported.
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| Source |
Survey
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| Title |
In-person 18-month survey
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| Sample Characteristics/Data Collection |
2,088 teen mothers.
Sample of all program and control group members (1,408 experimental, 680 control).
Collected 18 months after random assignment.
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| Sites |
All sites.
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| Response Rate/Attrition Notes |
Reported response rate:
91.4% program
89.3% control
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| Additional Execution Notes |
No notes reported.
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| Source |
Survey
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| Title |
In-person 42-month survey
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| Sample Characteristics/Data Collection |
2,079 teen mothers.
Sample of all program and control group members (1,401 experimental, 678 control).
Collected 42 months after random assignment.
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| Sites |
Chula Vista, California Inglewood, California
San Jose, California
Denver, Colorado
Jacksonville, Florida
Chicago Heights, Illinois
Lexington, Kentucky
Detroit, Michigan
Minneapolis, Minnesota
Bronx, New York
Harlem, New York
Portland, Oregon
Salem, Oregon
Allentown, Pennsylvania
Philadelphia, Pennsylvania
Pittsburgh, Pennsylvania
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| Response Rate/Attrition Notes |
Reported response rate:
91.4% program
89.2% control
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| Additional Execution Notes |
No notes reported.
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| Source |
Interview
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| Title |
Semi-structured wrap-up interviews
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| Sample Characteristics/Data Collection |
16 Program coordinators (1 per site).
Data collection schedule not reported.
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| Sites |
All sites.
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| Response Rate/Attrition Notes |
Reported response rate:
100%
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| Additional Execution Notes |
Person most interested in program was targeted.
All who were interviewed were judged to be the person most knowledgeable about the program.
Information included key issues involved in running the program and ways they would change the program model.
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| Source |
Direct observations of child interactions
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| Title |
Videotapes of mother-child interaction
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| Sample Characteristics/Data Collection |
290 families drawn from participants in New Chance Demonstration. Sample must have a "focal child" between 30 and 60 months old, be African American or white, be from selected study site during selected observation period, and have completed 18-month interview.
Collected 21 months after enrollment in the demonstration.
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| Sites |
The Bronx, New York
Detroit, Oregon
Harlem, New York
Lexington, Kentucky
Philadelphia, Pennsylvania
Pittsburgh, Pennsylvania
Portland, Oregon
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| Response Rate/Attrition Notes |
Reported response rate: 79%.
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| Additional Execution Notes |
No notes reported.
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Findings Available
Interim Implementation Findings
Final Implementation Findings
Interim Impact Findings
Final Impact Findings
Interim Cost-benefit Findings
Final Cost-benefit Findings
Findings
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09/01/94:
New Chance Demonstration: Interim Findings on a Comprehensive Program for Disadvantaged Young Mothers and Their Children
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Interim Implementation Findings:
"The 16 demonstration sites put in place all the Phase I components; with only a few exceptions, the sites were able to offer the required hours of each service that were prescribed by the program guidelines".
"The quality of child care at the on-site day care centers was generally congruent with child care experts guidelines; moreover, the care was of higher quality than that typically provided by child care centers serving primarily low-income families"(xxxi).
"Phase II activities proved more difficult to implement, and were less uniform across sites, than the Phase I components"(xxxi).
"The majority of enrollees (89%) took part in one or more Phase I activities. 65% of GED earners participated in skills training or a work internship, the principal Phase II activities, but only 25% of the non-GED earners did so"(xxxii).
"Women in the experimental group received more services than women in the control group during the 18 months of follow-up. However, a very high percentage of the control group had participated in various activities, especially education programs"(xxxii).
Interim Cost-Benefit Findings:
"Sponsor agencies spent an average of $5,073 per experimental, excluding child care costs, operating New Chance. Child care costs amounted to an additional $2,573 per experimental"(xxxi).
Interim Impact Findings:
"By the 18-month point, a higher percentage of women in the experimental group than in the control group had obtained a GED certificate, and a higher percentage had earned credits toward a college degree"(xxxiii).
"The experimental and control groups had similar average scores on a test of literacy administered at the 18-month interview"(xxxvi).
"Women in the experimental and control groups had comparably high rates of births during the follow-up period. However, the experimental group reported a higher rate of pregnancies and a higher rate of abortions"(xxxvi).
"Women in the experimental group were more likely than those in the control group to be living with a partner or husband at follow-up, while women in the control group were more likely than women in the experimental group to the living with a parent or grandparent"(xxxviii).
"The programs impact on subsequent pregnancy occurred only in conjunction with co-residence with a partner or husband at the time of the 18-month follow-up"(xxxviii).
"The programs impact on GED attainment was sustained even among those with a post-random assignment pregnancy"(xxxix).
"With respect to the measured health outcomes for the mothers, there were no program effects"(xxxix).
"Levels of depression and stress were comparable among the experimental and control group women at follow-up. However, experimental group women were at an advantage with respect to two indicators of social support"(xxix).
"The home environments of children of experimental and control group members were largely similar, but children of experimental group members were living in home environments that were more emotionally supportive. Mothers in the experimental group also reported less authoritarian child-rearing attitudes"(x1).
"Children of experimental group members were more likely than children on control group members to have been in a non-maternal child care arrangement after random assignment, and were especially more likely to have used center-based child care. Children of experimental group members were also more likely to have been in a regular child care arrangement prior to age 1"(x1).
"Childrens health outcome were mostly comparable in the two groups"(x1i).
"Control group women were more likely than experimental group women to have been employed in the first few months after random assignment, but employment rates for the two groups converged after time. More than 40 percent of each group had been employed at some point during the follow-up period" (x1i).
"Control group members average higher cumulative earnings than experimental group members over the 18 months of follow-up. Over 80% of the women in each of the research groups were on welfare throughout the 18 months of follow-up; there were no substantial program impacts on ADFC receipt"(x1iii).
"Experimental group members were more likely than control group members to have been involved in a "skill building" activity (defined as employment or being in school or training), but the two groups were equally likely to be in such an activity at the end of the follow-up period"(x1iii).
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12/01/91:
New Chance Demonstration: Implementing a Comprehensive Program for Disadvantaged Young Mothers and Their Children
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Interim Implementation Findings:
"All the New Chance sites were able to put all the early program components in place and, with only a few exceptions, to offer the required hours of each service required by program guidelines".
"As a rule, education and parenting instruction have been relatively easily implemented across the sites; employability development services and individual counseling regarding family planning have posed more difficulties"(xiii).
"The Life Skills and Opportunities (LSO) curriculum was also put in place with relative ease. Its format, featuring participant involvement and small-group activities, allowed the young women to discuss their own ideas and beliefs, and the component has been the impetus for changing the instructional approach in other program components"(xiv).
"Enrollees reported that the major factors attracting them to New Chance were the desire to move forward in their lives, the opportunity to get a GED certificate, and the fact that the program offers free child care, usually available on-site"(xiv).
"Competent and caring staff members who were supportive and demanding, and who are working under conditions where they can express both these qualities, are essential in program like New Chance that must engage the interest and commitment of disadvantaged participants over an extended period"(xiv).
"Recruiting participants required ongoing effort. Sites adopted various recruitment strategies, with welfare agencies and welfare employment programs being a key source of program referrals at many sites"(xv).
"Sites have succeeded in enrolling a group of young mothers with serious educational and other impediments to employment"(xv).
"Despite the overall high level of disadvantage, there is considerable variability among program enrollees"(xvi).
"The majority of New Chance participants received services in all the component areas"(xvi).
"As with other programs serving disadvantaged youth, absenteeism has been a common problem, and attendance has varied considerably among individuals and by site. Overall, 75% of all young women who participated in New Chance remained enrolled by the end of the fourth month after random assignment"(xvii).
"Because New Chance requires regular attendance over an extended period, participants varied problems come to light. Responding to these problems makes an already complex intervention even more complex"(xviii).
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04/01/98:
New Chance Demonstration: Parenting Behavior in a Sample of Young Mothers in Poverty: Results of the New Chance Observational Study
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Final Impact Findings:
Mothers in the New Chance Observational Study sample were at particularly high risk in terms of parenting behavior.
Despite their similar economic circumstances and backgrounds, the mothers in the New Chance Observational Study showed variation in their parenting behaviors, and parenting behaviors were meaningfully related to the mothers background characteristics.
The New Chance Program was able to bring about positive changes in parenting behavior, even in a population burdened by economic stress and other serious difficulties.
Positive program impacts were found across parenting measures obtained in several different ways and from different informants.
Parenting behavior was an important predictor of specific child outcomes in this sample, as were variables reflecting maternal psychological well-being and the families larger social context.
Modest improvements in parenting behavior, in this context, did not suffice to bring about positive program impacts on child outcomes.
Observational measures add to the understanding of parenting behavior within this sample in multiple ways.
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10/01/97:
New Chance Demonstration: Final Report on a Comprehensive Program for Young Mothers in Poverty and Their Children
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Final Impact Findings:
At the time of the 3½-year interview, the young women were, on average 22.4 years old, and most had children who were still toddlers. Contrary to the common stereotype of these young mothers as immobilized byor content withtheir circumstances, the evaluation found that over the 3½-year follow-up period the young women in the research sampleexperimental and control group members alikewere moving forward in many ways. At baseline (that is, random assignment), fewer than 10 percent of sample members had a high school diploma or a GED; by the 3½-year point, almost half the sample had earned one of these credentials. Sixty-three percent of sample members did not work at all during the year prior to random assignment; in contrast, over half were employed at some point during the 12 months before the 3½-year interviews, and the large majority of those who worked did so for 30 hours a week or more. These rates of employment are surprisingly high given the young age of the mothers and the fact that most had very young children. Over the follow-up period, the proportion of sample members receiving AFDC dropped considerably (although the majority were still on the rolls at the 3½-year interview), the proportion of women who used a reliable method of birth control rose steadily, and fewer women were at risk of depression. Nevertheless, the large majority remained poor and on welfare after 3½ years (3).
Although experimental group members received more varied services in greater quantity than did their control group counterparts and received them sooner, the differential was not large, especially with regard to education- and employment-related services. This is partly because during the period of the demonstration many education and training programs were available in the New Chance communities, and members of the control group participated in these in unexpectedly high numbers. At the same time, because of absenteeism and early departures from the program, members of the experimental group received on average a much lower intensity and duration of services than had been anticipated, and many never participated in skills training, work experience, or job searchthe activities in the program model most closely related to employment (3).
The New Chance evaluation is not, therefore, a test of extensive services compared with no services or minimal ones. Rather, the evaluation measures the effectiveness of a particular mix and level of services that were relatively easy for those in the experimental group to obtain against another mix and level of services that individuals in the control group could secure only if they displayed somewhat greater initiative (3).
The findings indicate that while experimental and control group members both advanced in many ways, experimental group members did not advance further than control group members in most respects. New Chance did boost participants' levels of GED receipt above those of the control group. The added services provided by the program, however, did not help participants secure skills training credentials, get and maintain employment, or reduce their rates of welfare receipt or subsequent childbearing relative to outcomes for control group members. The program did not improve their children's preschool readiness scores, and it had unexpected small but negative effects on participants' emotional well-being and their ratings of their children's behavior (3).
These results are puzzling, for MDRC observers judged all the sites to offer some high-quality services, and the large majority of young women in the experimental group said that they liked the program and benefited from it. It is likely that many factors, sometimes working in combination, account for the absence of impacts and for unanticipated impacts; different explanations may hold for different outcome areas. The possible factors include the slender differential in service receipt between experimental and control group members, the low absolute amount of services received by those in the experimental group, the possibility that some direct program effects produced unanticipated side-effects, and constraints on the magnitude of impacts imposed by larger social and environmental forces. It may also be that the program model itself was inappropriate for many young women (4).
These findings, unfortunately, are consistent with the results of other evaluations of programs serving young mothers on welfare who do not have a high school diploma or a GED, and the unsuccessful records of these programs highlight the importance of continuing to seek effective ways to assist these young women in improving their lives. But the impact results do not mean that the services New Chance provided (and that control group members received on their own) were of no value. Additional analyses were conducted to estimate the effects of service receipt for experimental and control group members together. While less definitive than the analyses under girding the impact estimates, the results suggest that young women who received more than 18 weeks of education were far more likely to earn GEDs than those who did not and that young women who received skills training and attended college earned higher wages than their counterparts who did not receive post-secondary education or training. These findings held true even after other differences between those who received more or fewer weeks of education, and those who attended training or college and those who did not, were controlled statistically (4).
Thus, the findings indicate that the combination and quantity of services that New Chance participants received, on average, did not result in improved outcomes vis-à-vis those achieved by control group members. But they also suggest that receiving adequate amounts of specific kinds of services can make a difference in the mothers' livesa finding of considerable importance to program operators and policy makers (4).
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06/01/98:
New Chance Demonstration: Promises to Keep: Assessing Affective and Behavioral Qualities of Mother-Child Relationships in the New Chance Observational Study
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Final Impact Findings:
The major impact of New Chance on observational measures of affective and behavioral qualities of mother-child relationships was that mothers assigned to the New Chance experimental group, in comparison with those in the control group, showed less coercive and punitive behavior toward their children during the Teaching Task session. This finding was true as an overall difference between the groups as well as within a wide range of baseline subgroups. It seems, therefore, that New Chance did reduce harsh treatment of children by their mothers(16).
There were no overall differences between the New Chance experimental group and the control group on more positive observational indices of interaction such as Mothers Supportive Presence or Quality of Relationship. We did see significant differences within some of the subgroups that may have been indices of lower risk at baseline, such as having only one child at the time of random assignment. Within these lower-risk subgroups, mothers in the experimental group were rated higher on Quality of Relationship than were control group mothers. Although this finding must be interpreted cautiously due to the lack of an overall New Chance impact, it does suggest that mothers who were at lower risk at baseline may have benefited from New Chance not only through the reduction of punitive and coercive parenting behaviors, but also through an increase in positive parenting behaviors(17).
One of the major goals of the comprehensive New Chance Program was to have a positive impact on the children. We did not, however, find any overall child impacts at the time of the observational session. In fact, baseline subgroup analyses suggest that for some dyads, particularly those where the mothers faced substantial interpersonal demands at baseline, children of mothers in the New Chance experimental group showed less compliance than children of mothers in the control group. Again, subgroup findings must be interpreted cautiously due to the lack of an overall impact of the New Chance program on Childs Compliance. This finding suggests that for some families the additional demands of the New Chance Program may have disrupted aspects of the mother-child relationship. Previous research has suggested that multiple maternal stressors may contribute to child behavior problems in the preschool years (Richman, Stevenson, and Graham, 1982) and in the elementary school years (Pianta, Egeland, & Sroufe, 1990). For a small group of families, it is possible that the intensive nature of the New Chance Program compounded the demands in their already stressful lives(17).
We found significant continuity of adaptation over time in the Observational Study sample, and within the New Chance experimental group in particular. Our analyses demonstrated that there is continuity of adaptation from the 21 month observation to the 42 month follow-up, with elements of the mother-child interaction predicting both later maternal reports of child behavior and teacher reports of child behavior. Our analyses also established that there is some evidence of significant continuity of adaptation within the New Chance experimental group but not within the control group. Because there are no actual intervention/control differences in child behavior at 42 months, we interpret this finding to indicate that what has changed is not child behavior, but the way in which mothers in the New Chance group perceive and report on their childrens behavior. This does not mean that the intervention effects on maternal report should be discounted as a methodological artifact. Changes in mothers perceptions of their childrens behavior may eventually lead to more sensitive interactions, and consequent changes in the relationships. This may be a small step toward improving mother-child relationships(18).
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Recommendations
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National Head Start Impact Study: Evaluating Head Start: A Recommended Framework for Studying the Impact of the Program (First Report to Congress) (10/01/99)
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"Programs may wish to make one or more staff members specifically responsible for following up with and helping to resolve problems confronting participants in off-site activities, including employment" (20).
"The unsuccessful record of New Chance and other demonstration programs in reducing rates of repeat pregnancy and childbearing among young women who are already mothers suggests that programs face a daunting challenge in achieving behavior change in this area. Programs would do well, however, to make available and encourage the use of longer-acting contraceptives, such as Norplant or Depo-Provera" (20).
"Program staff need to be aware of the high risk of depression in this population, of the debilitating effects of this mental health problem, and of the resources for treatment, including medication when appropriate. They also should be familiar with community resources for treating substance abuse, helping domestic violence victims, and dealing with other problems" (20).
"Frequent changes in child care arrangements are likely to have harmful effects on children. Program staff should help participants make child care arrangements that will be flexible enough to accommodate the mothers needs as they move through various phases of the program and into subsequent employment" (20).
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New Chance Demonstration: Parenting Behavior in a Sample of Young Mothers in Poverty: Results of the New Chance Observational Study (04/01/98)
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Researchers faced with choices about the measures and methods to employ in studying parenting and child outcomes require a framework for making decisions about study design. As discussed in Chapter 14 of the monograph, such a framework can encompass both methodological and substantive considerations. Methodological considerations include feasibility and data quality. Based on the New Chance Observational Study, as well as other work, we conclude that
developmentalists can draw on a methodological repertoire within a survey framework that includes maternal self-reports on parenting, interviewer ratings, cognitive assessments of children, interviews with children, and administration of observational protocols. The availability of such a broad range of measurement techniques means that researchers can assemble a "balanced portfolio" of measures that spread the measurement "risk" across methods having different strengths and vulnerabilities.
The overarching substantive consideration in asking whether to include observational work within this portfolio is the "value added" of the observational data. Such work could be undertaken as part of a freestanding study, in which all participants provide both self-reported data, perhaps enhanced by interviewer observations, and observational data. Or observational work could be embedded within a larger survey effort, as was the case in this study. In considering the embedded model, the "analytical leverage" provided by the observational data is a consideration. If the subsample participating in the observational component of the study is selected randomly, it is possible to generalize to the larger sample, and/or to the population from which it was drawn, through statistical weighting procedures. Other potential analytical strategies include using the richness of the observational measures to help in interpreting data from other sources, including assessing how much confidence to place in other measures that are potentially subject to different method effects. Finally, observational measures from a subsample may be used to augment quantitative survey findings.
Researchers, however, should not expect to find a single decision rule for determining when observational research within a survey model is warranted. Every study is different. Survey-based observational work makes sense when it serves well-articulated analytical objectives and is conceptualized as an integral part of an overall research design. If resources are available and the potential added value of observational measures is clear for a particular study, the observational method is a valuable adjunct to more conventional survey approaches.
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New Chance Demonstration: Promises to Keep: Assessing Affective and Behavioral Qualities of Mother-Child Relationships in the New Chance Observational Study (06/01/98)
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The findings of positive impacts on mother-child relationships in New Chance are impressive, if modest in magnitude. Accompanying these positive impacts, however, are some cautionary notes about intervening with young mothers on welfare. Although mothers and interviewers perceived that intervention mothers were more warm and supportive than control mothers, the observational coding did not find overall differences on more positive indices of parenting. Subgroup analyses on the observational coding revealed that lower-risk subgroups may have made some gains on positive relationship indicators through New Chance. Subgroup analyses also indicated, however, that higher-risk subgroups may have been overwhelmed by New Chance, and some disruption in mother-child relationships may have ensued. The intensive nature of the New Chance Program may have had different impacts across families depending on the particular strengths and burdens of the families at baseline. If we wish to maximize the effectiveness of programs, we need to investigate how family characteristics determine who benefits from particular types of intervention(18).
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Existing Publications
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