Early Head Start—Home-based option Meets HHS Criteria

Model effectiveness research report last updated: 2024

Effects shown in research

Reductions in child maltreatment

Findings rated high

Early Head Start Home-based option
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes

Any substantiated maltreatment report

FavorableUnfavorable or ambiguousNo Effect

15-month follow-up

EHS-HBO vs. Resource referral RCT (MIHOPE); 2012-2014, full sample

544 mothers Not reported Not reported Difference = 0.01 Study reported = 0.08

Not statistically significant, p ≥ 0.05

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Negative effect is favorable to the intervention.

The statistical significance after the author's adjustment for multiple comparisons is reported.

Loss of custody

FavorableUnfavorable or ambiguousNo Effect

15-month follow-up

EHS-HBO vs. Resource referral RCT (MIHOPE); 2012-2014, full sample

416 mothers Not reported Not reported Difference = 0.01 Study reported = 0.17

Not statistically significant, p ≥ 0.05

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Negative effect is favorable to the intervention.

The statistical significance after the author's adjustment for multiple comparisons is reported.

Early Head Start Home-based option
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Number of emergency room visits for injuries
FavorableUnfavorable or ambiguousNo Effect
28 months after assignment EHS-HBO impact study 941 mothers Adjusted mean = 0.30 Adjusted mean = 0.30 Mean difference = 0.00 HomVEE calculated = 0.00 Not statistically significant, p ≥ 0.05
Early Head Start Home-based option
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance

Any Medicaid-paid health care encounter for injury or ingestion, % (fixed effect random slope analysis)

FavorableUnfavorable or ambiguousNo Effect

15 months old

EHS-HBO vs. Resource referral RCT (MIHOPE), 2012-2014, United States, full sample

442 children Not reported Not reported Difference = -0.03 Not available

Not statistically significant, p= 0.61

Any Medicaid-paid health care encounter for injury or ingestion, % (restricted maximum likelihood analysis)

FavorableUnfavorable or ambiguousNo Effect

15 months old

EHS-HBO vs. Resource referral RCT (MIHOPE), 2012-2014, United States, full sample

442 children Not reported Not reported Difference = -0.01 Not available

Not statistically significant, p= 0.89

Any Medicaid-paid health care encounter for injury or ingestion, % (split-sample analysis)

FavorableUnfavorable or ambiguousNo Effect

15 months old

EHS-HBO vs. Resource referral RCT (MIHOPE), 2012-2014, United States, full sample

442 children Not reported Not reported Difference = 0.00 HomVEE calculated = 0.00

Not statistically significant, p= 0.98

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