Maternal Infant Health Outreach Worker (MIHOW)® Meets HHS Criteria

Model effectiveness research report last updated: 2022

Effects shown in research

Positive parenting practices

Findings rated high

Maternal Infant Health Outreach Worker (MIHOW)®
Show findings details
Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes

Child sleeps on back at 9 months postpartum

FavorableUnfavorable or ambiguousNo Effect

9 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

109 mothers Unadjusted proportion = 0.80 Unadjusted proportion = 0.60 Difference = 0.20 Study reported = 0.54

Statistically significant, p= 0.02

Author-reported effect size was calculated with Cohen's D.

Median Home Observation for Measurement of the Environment (HOME) Inventory Score

FavorableUnfavorable or ambiguousNo Effect

9 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

108 mothers Unadjusted median = 43.00 Unadjusted median = 40.00 Median difference = 3.00 Study reported = 1.53

Statistically significant, p <.01

Author-reported effect size was calculated with Cohen's D.

Median number of days during prior week reading to child

FavorableUnfavorable or ambiguousNo Effect

9 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

109 mothers Unadjusted median = 4.50 Days Unadjusted median = 1.00 Days Median difference = 3.50 Study reported = 1.29

Statistically significant, p <.01

Author-reported effect size was calculated with Cohen's D.

Parenting Sense of Competence (PSOC) score

FavorableUnfavorable or ambiguousNo Effect

2 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

107 mothers Unadjusted mean = 67.10 Unadjusted mean = 64.70 Mean difference = 2.40 Study reported = 0.41

Statistically significant, p = 0.03

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Author-reported effect size was calculated with Cohen's D.

Parenting Sense of Competence (PSOC) score

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

107 mothers Unadjusted mean = 68.80 Unadjusted mean = 65.80 Mean difference = 3.00 Study reported = 0.47

Statistically significant, p = 0.02

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Author-reported effect size was calculated with Cohen's D.

Parenting Sense of Competence (PSOC) score

FavorableUnfavorable or ambiguousNo Effect

9 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

107 mothers Unadjusted mean = 73.20 Unadjusted mean = 65.30 Mean difference = 7.90 Study reported = 0.98

Statistically significant, p <.01

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Author-reported effect size was calculated with Cohen's D.

Reads stories at least three times per week

FavorableUnfavorable or ambiguousNo Effect

9 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

109 mothers Unadjusted proportion = 0.93 Unadjusted proportion = 0.43 Difference = 0.50 Study reported = 1.56

Statistically significant, p <.01

Author-reported effect size was calculated with Cohen's D.

Maternal Infant Health Outreach Worker (MIHOW)®
Show findings details
Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes

Child sleeps on back at 2 months postpartum

FavorableUnfavorable or ambiguousNo Effect

2 months postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

176 mothers Unadjusted proportion = 0.98 Unadjusted proportion = 0.66 Difference = 0.31 HomVEE calculated = 1.88

Statistically significant, p = 0.00

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Child sleeps on back at 2 weeks postpartum

FavorableUnfavorable or ambiguousNo Effect

2 weeks postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

177 mothers Unadjusted proportion = 0.99 Unadjusted proportion = 0.66 Difference = 0.33 HomVEE calculated = 2.32

Statistically significant, p = 0.00

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Child sleeps on back at 6 months postpartum

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

178 mothers Unadjusted proportion = 0.98 Unadjusted proportion = 0.75 Difference = 0.23 HomVEE calculated = 1.64

Statistically significant, p = 0.00

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Median Home Observation for Measurement of the Environment (HOME) Inventory Score

FavorableUnfavorable or ambiguousNo Effect

2 months postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

175 mothers Unadjusted median = 27.00 Unadjusted median = 19.00 Median difference = 8.00 Not reported

Statistically significant, p <.001

Median Home Observation for Measurement of the Environment (HOME) Inventory Score

FavorableUnfavorable or ambiguousNo Effect

2 weeks postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

177 mothers Unadjusted median = 21.00 Unadjusted median = 15.00 Median difference = 6.00 Not reported

Statistically significant, p <.001

Median Home Observation for Measurement of the Environment (HOME) Inventory Score

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

178 mothers Unadjusted median = 40.00 Unadjusted median = 33.00 Median difference = 7.00 Not reported

Statistically significant, p <.001

Median number of days during prior week reading to child

FavorableUnfavorable or ambiguousNo Effect

2 weeks postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

176 mothers Unadjusted median = 5.00 Days Unadjusted median = 0.00 Days Median difference = 5.00 Not reported

Statistically significant, p <.001

Median number of days during prior week singing or telling stories to child

FavorableUnfavorable or ambiguousNo Effect

2 weeks postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

176 mothers Unadjusted median = 6.00 Days Unadjusted median = 5.00 Days Median difference = 1.00 Not reported

Statistically significant, p <.001

Reads stories at least three times per week

FavorableUnfavorable or ambiguousNo Effect

2 months postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

176 mothers Unadjusted proportion = 0.92 Unadjusted proportion = 0.37 Difference = 0.55 HomVEE calculated = 1.82

Statistically significant, p = 0.00

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Reads stories at least three times per week

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample

176 mothers Unadjusted proportion = 0.97 Unadjusted proportion = 0.26 Difference = 0.71 HomVEE calculated = 2.69

Statistically significant, p = 0.00

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Findings rated moderate

Maternal Infant Health Outreach Worker (MIHOW)®
Show findings details
Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes

Child sleeps on back at 2 months postpartum

FavorableUnfavorable or ambiguousNo Effect

2 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

113 mothers Unadjusted proportion = 0.98 Unadjusted proportion = 0.85 Difference = 0.13 Study reported = 1.27

Statistically significant, p= 0.01

Author-reported effect size was calculated with Cohen's D.

Child sleeps on back at 2 weeks postpartum

FavorableUnfavorable or ambiguousNo Effect

2 weeks postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

113 mothers Unadjusted proportion = 0.93 Unadjusted proportion = 0.93 Difference = 0.01 Study reported = 0.19

Not statistically significant, p= 0.63

Author-reported effect size was calculated with Cohen's D.

Child sleeps on back at 6 months postpartum

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

111 mothers Unadjusted proportion = 0.83 Unadjusted proportion = 0.72 Difference = 0.11 Study reported = 0.35

Not statistically significant, p= 0.16

Author-reported effect size was calculated with Cohen's D.

Median Home Observation for Measurement of the Environment (HOME) Inventory Score

FavorableUnfavorable or ambiguousNo Effect

12 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

108 mothers Unadjusted median = 43.00 Unadjusted median = 38.00 Median difference = 5.00 Study reported = 1.74

Statistically significant, p <.01

Author-reported effect size was calculated with Cohen's D.

Median Home Observation for Measurement of the Environment (HOME) Inventory Score

FavorableUnfavorable or ambiguousNo Effect

15 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

108 mothers Unadjusted median = 44.00 Unadjusted median = 35.00 Median difference = 9.00 Study reported = 1.78

Statistically significant, p <.01

Author-reported effect size was calculated with Cohen's D.

Median Home Observation for Measurement of the Environment (HOME) Inventory Score

FavorableUnfavorable or ambiguousNo Effect

2 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

109 mothers Unadjusted median = 30.00 Unadjusted median = 29.00 Median difference = 1.00 Study reported = 0.47

Statistically significant, p= 0.01

Author-reported effect size was calculated with Cohen's D.

Median Home Observation for Measurement of the Environment (HOME) Inventory Score

FavorableUnfavorable or ambiguousNo Effect

2 weeks postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

105 mothers Unadjusted median = 23.00 Unadjusted median = 23.00 Median difference = 0.00 Study reported = 0.11

Not statistically significant, p= 0.52

Author-reported effect size was calculated with Cohen's D.

Median Home Observation for Measurement of the Environment (HOME) Inventory Score

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

108 mothers Unadjusted median = 43.00 Unadjusted median = 40.00 Median difference = 3.00 Study reported = 1.44

Statistically significant, p <.01

Author-reported effect size was calculated with Cohen's D.

Median number of days during prior week reading to child

FavorableUnfavorable or ambiguousNo Effect

12 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

110 mothers Unadjusted median = 6.00 Days Unadjusted median = 3.00 Days Median difference = 3.00 Study reported = 1.85

Statistically significant, p <.01

Author-reported effect size was calculated with Cohen's D.

Median number of days during prior week reading to child

FavorableUnfavorable or ambiguousNo Effect

15 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

110 mothers Unadjusted median = 7.00 Days Unadjusted median = 3.00 Days Median difference = 4.00 Study reported = 1.79

Statistically significant, p <.01

Author-reported effect size was calculated with Cohen's D.

Median number of days during prior week reading to child

FavorableUnfavorable or ambiguousNo Effect

2 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

113 mothers Unadjusted median = 1.00 Days Unadjusted median = 0.00 Days Median difference = 1.00 Study reported = 0.30

Not statistically significant, p= 0.09

Author-reported effect size was calculated with Cohen's D.

Median number of days during prior week reading to child

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

111 mothers Unadjusted median = 4.00 Days Unadjusted median = 1.00 Days Median difference = 3.00 Study reported = 0.66

Statistically significant, p <.01

Author-reported effect size was calculated with Cohen's D.

Median number of days during prior week singing or telling stories to child

FavorableUnfavorable or ambiguousNo Effect

2 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

113 mothers Unadjusted median = 5.00 Days Unadjusted median = 5.00 Days Median difference = 0.00 Study reported = 0.08

Not statistically significant, p= 0.67

Author-reported effect size was calculated with Cohen's D.

Median number of days during prior week singing or telling stories to child

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

111 mothers Unadjusted median = 5.00 Days Unadjusted median = 5.00 Days Median difference = 0.00 Study reported = 0.18

Not statistically significant, p= 0.33

Author-reported effect size was calculated with Cohen's D.

Parenting Sense of Competence (PSOC) score

FavorableUnfavorable or ambiguousNo Effect

12 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

108 mothers Unadjusted mean = 74.80 Unadjusted mean = 63.80 Mean difference = 11.00 Study reported = 1.51

Statistically significant, p <.01

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Author-reported effect size was calculated with Cohen's D.

Parenting Sense of Competence (PSOC) score

FavorableUnfavorable or ambiguousNo Effect

15 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

108 mothers Unadjusted mean = 77.00 Unadjusted mean = 63.40 Mean difference = 13.60 Study reported = 2.02

Statistically significant, p <.01

Submitted by nwu on

Statistical significance is based on HomVEE calculations.

Author-reported effect size was calculated with Cohen's D.

Parenting Sense of Competence (PSOC) score

FavorableUnfavorable or ambiguousNo Effect

2 weeks postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

108 mothers Unadjusted mean = 65.60 Unadjusted mean = 65.00 Mean difference = 0.60 HomVEE calculated = 0.11

Not statistically significant, p= 0.55

Reads stories at least three times per week

FavorableUnfavorable or ambiguousNo Effect

12 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

109 mothers Unadjusted proportion = 0.98 Unadjusted proportion = 0.54 Difference = 0.44 Study reported = 2.13

Statistically significant, p <.01

Author-reported effect size was calculated with Cohen's D.

Reads stories at least three times per week

FavorableUnfavorable or ambiguousNo Effect

15 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

109 mothers Unadjusted proportion = 0.98 Unadjusted proportion = 0.70 Difference = 0.28 Study reported = 1.75

Statistically significant, p <.01

Author-reported effect size was calculated with Cohen's D.

Reads stories at least three times per week

FavorableUnfavorable or ambiguousNo Effect

2 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

112 mothers Unadjusted proportion = 0.41 Unadjusted proportion = 0.21 Difference = 0.20 Study reported = 0.53

Statistically significant, p= 0.02

Author-reported effect size was calculated with Cohen's D.

Reads stories at least three times per week

FavorableUnfavorable or ambiguousNo Effect

6 months postpartum

MIHOW vs. MEI, Tennessee, 2018-2020, full sample

108 mothers Unadjusted proportion = 0.83 Unadjusted proportion = 0.35 Difference = 0.47 Study reported = 1.18

Statistically significant, p <.01

Author-reported effect size was calculated with Cohen's D.

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