Healthy Steps (National Evaluation 1996 Protocol)
This report focuses on Healthy Steps as implemented in the 1996 evaluation. HHS has determined that home visiting is not the primary service delivery strategy and the model does not meet current requirements for MIECHV program implementation.
Model effectiveness research report last updated: 2011
Effects shown in research
Maternal health
Findings rated high
159
Healthy Steps - PrePare supplement relative to Healthy Steps only subgroup
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| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
|---|---|---|---|---|---|---|---|---|---|
| Mother resumed smoking | FavorableUnfavorable or ambiguousNo Effect |
2-4 months | The 6 RCT national evaluation sites | 1987 mothers | Not reported | Not reported | OR = 1.20 | HomVEE calculated = -0.02 | Not statistically significant, p ≥ 0.05 |
269
Healthy Steps - PrePare supplement relative to Healthy Steps only subgroup
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| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
|---|---|---|---|---|---|---|---|---|---|
| CES-D scale | FavorableUnfavorable or ambiguousNo Effect |
30 months | Healthy Steps sample | 239 mothers | Mean = 4.74 | Mean = 3.80 | Mean difference = 0.55 | Not available | Statistically significant, p < 0.05 |
| Any illicit drug use in past year | FavorableUnfavorable or ambiguousNo Effect |
30 months | Healthy Steps sample | 239 mothers | Mean = 0.07 | Mean = 0.05 | OR = 1.02 | HomVEE calculated = 0.01 | Not statistically significant, p ≥ 0.05 |
| Clinically significant depressive symptoms | FavorableUnfavorable or ambiguousNo Effect |
30 months | Healthy Steps sample | 239 mothers | Mean = 0.10 | Mean = 0.07 | OR = 0.93 | HomVEE calculated = -0.04 | Not statistically significant, p ≥ 0.05 |
269
Healthy Steps - PrePare supplement relative to Healthy Steps only subgroup
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| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
|---|---|---|---|---|---|---|---|---|---|
| CES-D score above clinical cutoff | FavorableUnfavorable or ambiguousNo Effect |
3 months | Healthy Steps sample | 275 mothers | Mean = 0.06 | Mean = 0.07 | OR = 0.65 | HomVEE calculated = -0.26 | Not statistically significant, p ≥ 0.05 |
| Any CES-D mental health symptoms | FavorableUnfavorable or ambiguousNo Effect |
3 months | Healthy Steps sample | 275 mothers | Mean = 0.14 | Mean = 0.01 | OR = 0.95 | HomVEE calculated = -0.03 | Not statistically significant, p ≥ 0.05 |
| Household drug/alcohol concern | FavorableUnfavorable or ambiguousNo Effect |
3 months | Healthy Steps sample | 275 mothers | Mean = 0.10 | Mean = 0.05 | OR = 1.62 | HomVEE calculated = 0.29 | Not statistically significant, p ≥ 0.05 |
| Modified CES-D scale | FavorableUnfavorable or ambiguousNo Effect |
3 months | Healthy Steps sample | 275 mothers | Mean = 4.18 | Mean = 3.56 | Mean difference = 0.33 | Not available | Not statistically significant, p ≥ 0.05 |
| Psychosocial profile (Daily Hassles) score | FavorableUnfavorable or ambiguousNo Effect |
3 months | Healthy Steps sample | 275 mothers | Mean = 15.85 | Mean = 15.21 | Mean difference = 0.38 | Not available | Not statistically significant, p ≥ 0.05 |
| Support Behavior Inventory – Family | FavorableUnfavorable or ambiguousNo Effect |
3 months | Healthy Steps sample | 275 mothers | Mean = 60.38 | Mean = 60.43 | Mean difference = 0.30 | Not available | Not statistically significant, p ≥ 0.05 |
| Support Behavior Inventory – Partner | FavorableUnfavorable or ambiguousNo Effect |
3 months | Healthy Steps sample | 275 mothers | Mean = 58.71 | Mean = 60.25 | Mean difference = 0.30 | Not available | Not statistically significant, p ≥ 0.05 |