Health Access Nurturing Development Services (HANDS) Program

Model effectiveness research report last updated: 2024

Effects shown in research

Maternal health

Findings rated moderate

Williams, C. M., Asaolu, I., English, B., Jewell, T., Smith, K., & Robl, J. (2014). Maternal and child health improvement by HANDS home visiting program in the Bluegrass area development district (Unpublished manuscript). University of Kentucky Department of Obstetrics and Gynecology, Lexington, KY.

Health Access Nurturing Development Services (HANDS) Program

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Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance	Notes
Adequate prenatal care	FavorableUnfavorable or ambiguousNo Effect	Birth	Kentucky 2011-2012 matched, Bluegrass	898 mother/child dyads	Unadjusted mean = 0.77	Unadjusted mean = 0.50	OR = 4.23	HomVEE calculated = 0.87	Statistically significant, p = 0.00
Pregnancy-induced hypertension	FavorableUnfavorable or ambiguousNo Effect	Birth	Kentucky 2011-2012 matched, Bluegrass	898 mother/child dyads	Unadjusted mean = 0.11	Unadjusted mean = 0.20	OR = 0.49	HomVEE calculated = -0.43	Statistically significant, p = 0.00	Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable.

Williams, C. M., Asaolu, I., English, B., Jewell, T., Smith, K., & Robl, J. (2014). Maternal and child health improvement by HANDS home visiting program in the KIPDA area development district, Kentucky (Unpublished manuscript). University of Kentucky Department of Obstetrics and Gynecology, Lexington, KY.

Health Access Nurturing Development Services (HANDS) Program

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Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance	Notes
Adequate prenatal care	FavorableUnfavorable or ambiguousNo Effect	Birth	Kentucky 2011-2012 matched, KIPDA	376 mother/child dyads	Unadjusted mean = 0.65	Unadjusted mean = 0.72	OR = 0.78	HomVEE calculated = -0.15	Not statistically significant, p = 0.17
Pregnancy-induced hypertension	FavorableUnfavorable or ambiguousNo Effect	Birth	Kentucky 2011-2012 matched, KIPDA	376 mother/child dyads	Unadjusted mean = 0.11	Unadjusted mean = 0.20	OR = 0.56	HomVEE calculated = -0.35	Statistically significant, p = 0.02	Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable.

Williams, C. M., Asaolu, I., English, B., Jewell, T., Smith, K., & Robl, J. (2014). Maternal health improvement by HANDS home visiting program (Unpublished manuscript). University of Kentucky Department of Obstetrics and Gynecology, Lexington, KY.

Health Access Nurturing Development Services (HANDS) Program

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Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance	Notes
Adequate prenatal care (proportion)	FavorableUnfavorable or ambiguousNo Effect	Birth	Kentucky 2011-2012 matched	4506 mothers	Unadjusted mean = 0.74	Unadjusted mean = 0.71	OR = 1.14	HomVEE calculated = 0.08	Statistically significant, p = 0.05
Maternal complications during delivery (proportion)	FavorableUnfavorable or ambiguousNo Effect	Birth	Kentucky 2011-2012 matched	4506 mothers	Unadjusted mean = 0.02	Unadjusted mean = 0.03	OR = 0.60	HomVEE calculated = -0.31	Statistically significant, p = 0.01	Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable.
Maternal weight gain during pregnancy (pounds)	FavorableUnfavorable or ambiguousNo Effect	Birth	Kentucky 2011-2012 matched	4506 mothers	Not reported	Not reported	Mean difference = -1.20	Not available	Statistically significant, p = 0.05
Pregnancy-induced hypertension (proportion)	FavorableUnfavorable or ambiguousNo Effect	Birth	Kentucky 2011-2012 matched	4506 mothers	Unadjusted mean = 0.09	Unadjusted mean = 0.18	OR = 0.51	HomVEE calculated = -0.41	Statistically significant, p = 0.00	Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable.

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