Healthy Families America (HFA)® Meets HHS Criteria

Model effectiveness research report last updated: 2024

Effects shown in research

Reductions in juvenile delinquency, family violence, and crime

Findings rated high

Healthy Families America (HFA)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Partner incident resulting in injury (CTS)
FavorableUnfavorable or ambiguousNo Effect
Year 1 Full sample, Hawaii trial 564 mothers % = 24.00 % = 26.00 = -2.00 HomVEE calculated = -0.06 Not statistically significant, p ≥ 0.05
Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Partner incident resulting in injury (CTS)
FavorableUnfavorable or ambiguousNo Effect
Year 2 Full sample, Hawaii trial 556 mothers % = 14.00 % = 20.00 = -6.00 HomVEE calculated = -0.26 Statistically significant, p < 0.05
Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Partner incident resulting in injury (CTS)
FavorableUnfavorable or ambiguousNo Effect
Year 3 Full sample, Hawaii trial 548 mothers % = 17.00 % = 18.00 = -1.00 HomVEE calculated = -0.04 Not statistically significant, p ≥ 0.05
Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Partner incident resulting in injury (CTS)
FavorableUnfavorable or ambiguousNo Effect
Years 1-3 Full sample, Hawaii trial 564 mothers % = 24.00 % = 26.00 OR = 0.81 Not available Not statistically significant, p ≥ 0.05
Partner physical abuse (CTS)
FavorableUnfavorable or ambiguousNo Effect
Year 1 Full sample, Hawaii trial 564 mothers % = 37.00 % = 42.00 = -5.00 HomVEE calculated = -0.13 Not statistically significant, p ≥ 0.05
Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Partner physical abuse (CTS)
FavorableUnfavorable or ambiguousNo Effect
Year 2 Full sample, Hawaii trial 556 mothers % = 26.00 % = 32.00 = -6.00 HomVEE calculated = -0.18 Statistically significant, p < 0.05
Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Partner physical abuse (CTS)
FavorableUnfavorable or ambiguousNo Effect
Year 3 Full sample, Hawaii trial 548 mothers % = 29.00 % = 30.00 = -1.00 HomVEE calculated = -0.03 Not statistically significant, p ≥ 0.05
Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Partner physical abuse (CTS)
FavorableUnfavorable or ambiguousNo Effect
Years 1-3 Full sample, Hawaii trial 564 mothers % = 37.00 % = 42.00 OR = 0.83 Not available Not statistically significant, p ≥ 0.05
Partner psychological abuse (CTS)
FavorableUnfavorable or ambiguousNo Effect
Year 1 Full sample, Hawaii trial 564 mothers % = 49.00 % = 49.00 = 0.00 HomVEE calculated = 0.00 Not statistically significant, p ≥ 0.05
Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Partner psychological abuse (CTS)
FavorableUnfavorable or ambiguousNo Effect
Year 2 Full sample, Hawaii trial 556 mothers % = 42.00 % = 42.00 = 0.00 HomVEE calculated = 0.00 Not statistically significant, p ≥ 0.05
Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Partner psychological abuse (CTS)
FavorableUnfavorable or ambiguousNo Effect
Year 3 Full sample, Hawaii trial 548 mothers % = 42.00 % = 38.00 = -4.00 HomVEE calculated = 0.10 Not statistically significant, p ≥ 0.05
Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Partner psychological abuse (CTS)
FavorableUnfavorable or ambiguousNo Effect
Years 1-3 Full sample, Hawaii trial 564 mothers % = 49.00 % = 49.00 OR = 1.05 Not available Not statistically significant, p ≥ 0.05
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Adjusted odds ratios are based on the average effect across all follow-up years.
Healthy Families America (HFA)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes

Received any domestic violence services

FavorableUnfavorable or ambiguousNo Effect

15 months old

HFA vs. Resource referral RCT (MIHOPE), 2012-2015, United States, full sample

1097 mothers Not reported Not reported Difference = -0.01 HomVEE calculated = -0.26

Not statistically significant, p ≥ 0.05

The statistical significance after adjusting for multiple comparisons is reported.

Received any services from a domestic violence shelter

FavorableUnfavorable or ambiguousNo Effect

15 months old

HFA vs. Resource referral RCT (MIHOPE), 2012-2015, United States, full sample

1096 mothers Not reported Not reported Difference = -0.02 HomVEE calculated = -0.49

Not statistically significant, p ≥ 0.05

The statistical significance after adjusting for multiple comparisons is reported. The study reported this finding was statistically significant (p = 0.046) prior to a multiple comparisons adjustment.

Revised Conflict Tactics Scale (CTS2), maternal experience with physical or sexual violence

FavorableUnfavorable or ambiguousNo Effect

15 months old

HFA vs. Resource referral RCT (MIHOPE), 2012-2015, United States, full sample

1095 mothers Not reported Not reported Difference = -0.03 HomVEE calculated = -0.47

Not statistically significant, p ≥ 0.05

Submitted by user on

Negative effect is favorable to the intervention.

The statistical significance after adjusting for multiple comparisons is reported. The study reported this finding was statistically significant (p = 0.01) prior to a multiple comparisons adjustment.

Revised Conflict Tactics Scale (CTS2), maternal perpetration of physical violence

FavorableUnfavorable or ambiguousNo Effect

15 months old

HFA vs. Resource referral RCT (MIHOPE), 2012-2015, United States, full sample

1096 mothers Not reported Not reported Difference = -0.02 HomVEE calculated = -0.13

Not statistically significant, p ≥ 0.05

Submitted by user on

Negative effect is favorable to the intervention.

The statistical significance after adjusting for multiple comparisons is reported.

Women's Experience with Battering (WEB) Scale

FavorableUnfavorable or ambiguousNo Effect

15 months old

HFA vs. Resource referral RCT (MIHOPE), 2012-2015, United States, full sample

1088 mothers Not reported Not reported Difference = -0.04 HomVEE calculated = -0.48

Not statistically significant, p ≥ 0.05

Submitted by user on

Negative effect is favorable to the intervention.

The statistical significance after adjusting for multiple comparisons is reported. The study reported this finding was statistically significant (p = 0.01) prior to a multiple comparisons adjustment.

Healthy Families America (HFA)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Family court
FavorableUnfavorable or ambiguousNo Effect
Year 1 Full sample, San Diego trial 422 families % = 11.00 % = 10.00 = 1.00 HomVEE calculated = 0.06 Not statistically significant, p ≥ 0.05
Family court
FavorableUnfavorable or ambiguousNo Effect
Year 3 Full sample, San Diego trial 382 families % = 10.00 % = 7.00 = 3.00 HomVEE calculated = 0.24 Not statistically significant, p ≥ 0.05
Incident of physical assault, frequency (CTS)
FavorableUnfavorable or ambiguousNo Effect
Year 1 Full sample, San Diego trial 422 families Mean = 24.70 Mean = 2.20 Mean difference = -0.20 HomVEE calculated = -0.04 Not statistically significant, p ≥ 0.05
Incident of physical assault, frequency (CTS)
FavorableUnfavorable or ambiguousNo Effect
Year 3 Full sample, San Diego trial 382 families Mean = 0.93 Mean = 0.87 Mean difference = 0.06 HomVEE calculated = 0.02 Not statistically significant, p ≥ 0.05
Incident of physical assault, prevalence (CTS)
FavorableUnfavorable or ambiguousNo Effect
Year 1 Full sample, San Diego trial 422 families % = 36.00 % = 39.00 = -3.00 HomVEE calculated = -0.08 Not statistically significant, p ≥ 0.05
Incident of physical assault, prevalence (CTS)
FavorableUnfavorable or ambiguousNo Effect
Year 3 Full sample, San Diego trial 382 families % = 18.00 % = 17.00 = 1.00 HomVEE calculated = 0.04 Not statistically significant, p ≥ 0.05
Partner violence resulting in injury (CTS)
FavorableUnfavorable or ambiguousNo Effect
Year 1 Full sample, San Diego trial 422 families % = 15.00 % = 15.00 = 1.00 HomVEE calculated = 0.00 Not statistically significant, p ≥ 0.05
Partner violence resulting in injury (CTS)
FavorableUnfavorable or ambiguousNo Effect
Year 3 Full sample, San Diego trial 382 families % = 8.00 % = 6.00 = 2.00 HomVEE calculated = 0.19 Not statistically significant, p ≥ 0.05
Restraining order
FavorableUnfavorable or ambiguousNo Effect
Year 1 Full sample, San Diego trial 422 families % = 7.00 % = 7.00 = 0.00 HomVEE calculated = 0.00 Not statistically significant, p ≥ 0.05
Restraining order
FavorableUnfavorable or ambiguousNo Effect
Year 3 Full sample, San Diego trial 382 families % = 6.00 % = 4.00 = 2.00 HomVEE calculated = 0.26 Not statistically significant, p ≥ 0.05
Healthy Families America (HFA)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Maternal perpetration (CTS)
FavorableUnfavorable or ambiguousNo Effect
Average across 3 years of program Full sample, Hawaii trial 640 mothers Mean = 5.08 Mean = 7.72 IRR = 0.83 Not available Statistically significant,
p < 0.05
Submitted by user on
Actual p-value was not reported by the authors.
Maternal perpetration (CTS)
FavorableUnfavorable or ambiguousNo Effect
Average when child was 7-9 years old Full sample, Hawaii trial 640 mothers Mean = 2.45 Mean = 2.51 IRR = 0.98 Not available Not statistically significant, p ≥ 0.05
Maternal victimization (CTS)
FavorableUnfavorable or ambiguousNo Effect
Average across 3 years of program Full sample, Hawaii trial 640 mothers Mean = 7.50 Mean = 9.55 IRR = 0.86 Not available Not statistically significant, p ≥ 0.05
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Incidence rate ratio is calculated using imputed data and adjusted for baseline covariates.
Maternal victimization (CTS)
FavorableUnfavorable or ambiguousNo Effect
Average when child was 7-9 years old Full sample, Hawaii trial 640 mothers Mean = 3.35 Mean = 4.01 IRR = 0.95 Not available Not statistically significant, p ≥ 0.05

Findings rated moderate

Healthy Families America (HFA)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Maternally reported father violence
FavorableUnfavorable or ambiguousNo Effect
Years 1-3 All families 600 families Not available Not available OR = 0.78 HomVEE calculated = -0.15 Not statistically significant, p = 0.12
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Negative effect is favorable to the intervention.

Healthy Families America (HFA)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Family violence
FavorableUnfavorable or ambiguousNo Effect
12 months Arizona sample 168 mothers Mean = 0.43 Mean = 0.52 Mean difference = -0.09 HomVEE calculated = -1.12 Not statistically significant, p =0.37
Family violence
FavorableUnfavorable or ambiguousNo Effect
6 months Arizona sample 180 mothers Mean = 0.51 Mean = 0.43 Mean difference = 0.08 HomVEE calculated = 1.87 Not statistically significant, p =0.15
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