HomVEE calculated the effect size based on the study-reported odds ratio.
Maternal Early Childhood Sustained Home-Visiting Program (MECSH)
Model effectiveness research report last updated: 2023
Effects shown in research
Maternal health
Findings rated high
Show findings details
Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance | Notes |
---|---|---|---|---|---|---|---|---|---|---|
Depression Anxiety Stress Scales (DASS): Anxiety Scale (dichotomized, reverse coded) |
FavorableUnfavorable or ambiguousNo Effect |
3 years old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
488 mothers | Adjusted proportion = 0.85 | Adjusted proportion = 0.78 | Odds ratio = 1.38 | Study reported = 0.20 | Not statistically significant, p= 0.12 |
|
Depression Anxiety Stress Scales (DASS): Anxiety Scale (reverse coded) |
FavorableUnfavorable or ambiguousNo Effect |
3 years old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
488 mothers | Adjusted mean = 18.98 | Adjusted mean = 18.36 | Mean difference = 0.62 | Study reported = 0.17 | Statistically significant, p= 0.01 |
|
Depression Anxiety Stress Scales (DASS): Depression Scale (dichotomized, reverse coded) |
FavorableUnfavorable or ambiguousNo Effect |
3 years old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
488 mothers | Adjusted proportion = 0.88 | Adjusted proportion = 0.83 | Odds ratio = 1.68 | Study reported = 0.31 | Statistically significant, p= 0.02 |
HomVEE calculated the effect size based on the study-reported odds ratio. |
Depression Anxiety Stress Scales (DASS): Depression Scale (reverse coded) |
FavorableUnfavorable or ambiguousNo Effect |
3 years old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
488 mothers | Adjusted mean = 18.52 | Adjusted mean = 17.88 | Mean difference = 0.64 | Study reported = 0.20 | Statistically significant, p= <.01 |
|
Depression Anxiety Stress Scales (DASS): Total Score (reverse coded) |
FavorableUnfavorable or ambiguousNo Effect |
3 years old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
487 mothers | Adjusted mean = 54.15 | Adjusted mean = 51.77 | Mean difference = 2.38 | Study reported = 0.25 | Statistically significant, p= <.01 |
Show findings details
Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance | Notes |
---|---|---|---|---|---|---|---|---|---|---|
Assessment of Quality of Life (AQoL) |
FavorableUnfavorable or ambiguousNo Effect |
24 months old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
571 mothers | Unadjusted mean = 0.73 | Unadjusted mean = 0.73 | Mean difference = 0.00 | Study reported = -0.03 | Not statistically significant, p= 0.78 |
|
Depression, Anxiety, and Stress Scale (DASS), Anxiety (reverse coded) |
FavorableUnfavorable or ambiguousNo Effect |
24 months old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
574 mothers | Unadjusted mean = 19.10 | Unadjusted mean = 18.92 | Mean difference = 0.18 | Study reported = 0.07 | Not statistically significant, p= 0.34 |
|
Depression, Anxiety, and Stress Scale (DASS), Depression (reverse coded) |
FavorableUnfavorable or ambiguousNo Effect |
24 months old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
573 mothers | Unadjusted mean = 18.71 | Unadjusted mean = 18.86 | Mean difference = -0.15 | Study reported = -0.04 | Not statistically significant, p= 0.55 |
|
Depression, Anxiety, and Stress Scale (DASS), Overall (reverse coded) |
FavorableUnfavorable or ambiguousNo Effect |
24 months old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
571 mothers | Unadjusted mean = 54.53 | Unadjusted mean = 54.20 | Mean difference = 0.33 | Study reported = 0.05 | Not statistically significant, p= 0.52 |
|
Depression, Anxiety, and Stress Scale (DASS), Stress (reverse coded) |
FavorableUnfavorable or ambiguousNo Effect |
24 months old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
573 mothers | Unadjusted mean = 16.74 | Unadjusted mean = 16.44 | Mean difference = 0.30 | Study reported = 0.10 | Not statistically significant, p= 0.26 |
|
Maternal stress (hair cortisol, pg/mg; logtransformed) |
FavorableUnfavorable or ambiguousNo Effect |
24 months old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
438 mothers | Unadjusted mean = 1.46 | Unadjusted mean = 1.42 | Mean difference = 0.04 | Study reported = -0.08 | Not statistically significant, p= 0.25 |
Negative effect is favorable to the intervention. |
Mother - Does not smoke |
FavorableUnfavorable or ambiguousNo Effect |
12 months old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
635 mothers | Unadjusted proportion = 0.62 | Unadjusted proportion = 0.61 | Odds ratio = 0.97 | Study reported = -0.02 | Not statistically significant, p= 0.86 |
HomVEE calculated the effect size based on the study-reported odds ratio. |
Mother - Does not smoke |
FavorableUnfavorable or ambiguousNo Effect |
24 months old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
587 mothers | Unadjusted proportion = 0.63 | Unadjusted proportion = 0.66 | Odds ratio = 0.82 | Study reported = -0.12 | Not statistically significant, p= 0.14 |
HomVEE calculated the effect size based on the study-reported odds ratio. |
Mother - High self-efficacy (item drawn from Longitudinal Study of Australian Children) |
FavorableUnfavorable or ambiguousNo Effect |
24 months old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
568 mothers | Unadjusted proportion = 0.75 | Unadjusted proportion = 0.76 | Odds ratio = 1.15 | Study reported = 0.08 | Not statistically significant, p= 0.25 |
HomVEE calculated the effect size based on the study-reported odds ratio. |
Personal Wellbeing Index (PWI) |
FavorableUnfavorable or ambiguousNo Effect |
24 months old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
559 mothers | Unadjusted mean = 60.01 | Unadjusted mean = 58.85 | Mean difference = 1.16 | Study reported = 0.04 | Not statistically significant, p= 0.46 |
Findings rated moderate
Show findings details
Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
---|---|---|---|---|---|---|---|---|---|
Assisted vaginal delivery | FavorableUnfavorable or ambiguousNo Effect |
Birth | Western Sydney | 199 mothers | Unadjusted % = 2.80 | Unadjusted % = 9.70 | Difference = -6.90 | Study reported = 0.30 | Not statistically significant, p ≥ 0.05 |
Caesarean section | FavorableUnfavorable or ambiguousNo Effect |
Birth | Western Sydney | 199 mothers | Unadjusted % = 17.00 | Unadjusted % = 21.50 | Difference = -4.50 | Study reported = 0.13 | Not statistically significant, p ≥ 0.05 |
Genitourinary infection in pregnancy | FavorableUnfavorable or ambiguousNo Effect |
Birth | Western Sydney | 203 mothers | Unadjusted % = 19.40 | Unadjusted % = 21.30 | Difference = -1.90 | Study reported = 0.05 | Not statistically significant, p ≥ 0.05 |
Gestational diabetes | FavorableUnfavorable or ambiguousNo Effect |
Birth | Western Sydney | 203 mothers | Unadjusted % = 6.50 | Unadjusted % = 12.60 | Difference = -6.10 | Study reported = 0.20 | Not statistically significant, p ≥ 0.05 |
Maternal general health, very good or excellent | FavorableUnfavorable or ambiguousNo Effect |
4-6 weeks | Western Sydney | 141 mothers | Unadjusted % = 51.30 | Unadjusted % = 35.40 | Difference = 15.90 | Study reported = 0.44 | Statistically significant, p = 0.03 |
Pregnancy-induced hypertension | FavorableUnfavorable or ambiguousNo Effect |
Birth | Western Sydney | 203 mothers | Unadjusted % = 0.00 | Unadjusted % = 4.20 | Difference = -4.20 | Study reported = 0.40 | Not statistically significant, p ≥ 0.05 |
Unassisted vaginal delivery | FavorableUnfavorable or ambiguousNo Effect |
Birth | Western Sydney | 199 mothers | Unadjusted % = 80.20 | Unadjusted % = 68.80 | Difference = 11.40 | Study reported = 0.25 | Not statistically significant, p ≥ 0.05 |
Show findings details
Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
---|---|---|---|---|---|---|---|---|---|
Family functioning | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 208 mothers | Mean = 1.83 | Mean = 1.77 | Mean difference = 0.06 | Not available | Not Statistically significant, p = 0.21 |
Maternal depression | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 208 mothers | Mean = 7.34 | Mean = 7.07 | Mean difference = 0.30 | Not available | Not Statistically significant, p = 0.55 |
Maternal experience of being a mother | FavorableUnfavorable or ambiguousNo Effect |
12 months | Sydney sample | 138 mothers | Mean = 30.05 | Mean = 29.83 | Mean difference = 0.22 | Not available | Not statistically significant, p ≥ 0.05 |
Maternal general health | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 208 mothers | Mean = 2.42 | Mean = 2.50 | Mean difference = -0.08 | Not available | Not Statistically significant, p = 0.33 |
Maternal mental health | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 208 mothers | Mean = 51.60 | Mean = 51.33 | Mean difference = 0.28 | Not available | Not Statistically significant, p = 0.69 |
Maternal physical health | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 208 mothers | Mean = 48.34 | Mean = 48.23 | Mean difference = 0.11 | Not available | Not Statistically significant, p = 0.84 |
Maternal social support | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 208 mothers | Mean = 20.11 | Mean = 20.45 | Mean difference = -0.34 | Not available | Not Statistically significant, p = 0.26 |
Mother never smoked | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 208 mothers | % = 62.00 | % = 68.00 | OR = 1.30 | HomVEE calculated = 0.00 | Not Statistically significant, p = 0.38 |
Stressful life events | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 208 mothers | Mean = 3.07 | Mean = 3.06 | Mean difference = 0.01 | Not available | Not Statistically significant, p = 0.98 |