Maternal Early Childhood Sustained Home-Visiting Program (MECSH)
Model effectiveness research report last updated: 2013
Effects shown in research & outcome measure details
Maternal health
Findings rated moderate
Maternal Early Childhood Sustained Home-Visiting Program (MECSH)
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 outcome measure summary
| Outcome measure | Outcome measure description | Collection method | Properties |
|---|---|---|---|
Assisted vaginal delivery |
Percentage of mothers who had instrument-assisted vaginal deliveries | Obstetric data record | Not applicable |
Caesarean section |
Percentage of mothers who had caesarean deliveries | Obstetric data record | Not applicable |
Genitourinary infection in pregnancy |
Percentage of mothers who had a genitourinaryinfection during pregnancy | Obstetric data record | Not applicable |
Gestational diabetes |
Percentage of mothers who had gestational diabetes | Obstetric data record | Not applicable |
Maternal general health, very good or excellent |
Percentage of mothers who reported their healthwas very good or excellent at 4-6 weeks postpartum | Parent/caregiver report | Not applicable |
Pregnancy-induced hypertension |
Percentage of mothers who had pregnancy-induced hypertension | Obstetric data record | Not applicable |
Unassisted vaginal delivery |
Percentage of mothers who had unassisted vaginal deliveries | Obstetric data record | Not applicable |
Maternal Early Childhood Sustained Home-Visiting Program (MECSH)
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 | HomeVEE 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 |
Show outcome measure summary
| Outcome measure | Outcome measure description | Collection method | Properties |
|---|---|---|---|
Family functioning |
McMaster Family Assessment Device | Parent/caregiver report | Not reported |
Household always smoke free |
Whether household was always reported as smoke-free | Parent/caregiver report | Not applicable |
Maternal depression |
Edinburgh Depression Scale (EDS) | Parent/caregiver report | Not reported |
Maternal experience of being a mother |
Being a Mother Scale (Matthey, 2011), which assessed satisfaction with the role of motherhood | Maternal self-report | Not applicable |
Maternal general health |
Not reported | Parent/caregiver report | Not reported |
Maternal mental health |
12-Item Short Form Health Survey (SF-12), Mental Component Summary | Parent/caregiver report | Not reported |
Maternal physical health |
12-Item Short Form Health Survey (SF-12), Physical Component Summary | Parent/caregiver report | Not reported |
Maternal social support |
Not reported | Parent/caregiver report | Not reported |
Mother never smoked |
Whether mother ever smoked | Parent/caregiver report | Not applicable |
Stressful life events |
Number of stressful life evens in the previous year using the modified Life Events Inventory | Parent/caregiver report | Not reported |