Maternal Early Childhood Sustained Home-Visiting Program (MECSH)
Model effectiveness research report last updated: 2023
Effects shown in research
Positive parenting practices
Findings rated high
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| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
|---|---|---|---|---|---|---|---|---|---|
Home Observation for Measurement of the Environment (HOME), Parental Responsivity |
FavorableUnfavorable or ambiguousNo Effect |
24 months old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
546 mothers | Unadjusted mean = 10.33 | Unadjusted mean = 10.27 | Mean difference = 0.06 | Study reported = 0.02 | Not statistically significant, p= 0.74 |
Hostile parenting (items drawn from Longitudinal Study of Australian Children; reverse coded) |
FavorableUnfavorable or ambiguousNo Effect |
24 months old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
588 mothers | Unadjusted mean = 8.55 | Unadjusted mean = 8.25 | Mean difference = 0.30 | Study reported = 0.24 | Statistically significant, p= <.001 |
Parenting Self-Efficacy Scale (items drawn from Longitudinal Study of Australian Children) |
FavorableUnfavorable or ambiguousNo Effect |
24 months old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
587 mothers | Unadjusted mean = 8.21 | Unadjusted mean = 8.01 | Mean difference = 0.20 | Study reported = 0.14 | Statistically significant, p= 0.04 |
Warm parenting (items drawn from Longitudinal Study of Australian Children) |
FavorableUnfavorable or ambiguousNo Effect |
24 months old |
MECSH vs. comparison, Australia, 2013-2017, full sample |
582 mothers | Unadjusted mean = 4.61 | Unadjusted mean = 4.54 | Mean difference = 0.07 | Study reported = 0.20 | Statistically significant, p= 0.01 |
Findings rated moderate
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| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
|---|---|---|---|---|---|---|---|---|---|
| Home Observation for Measurement of the Environment (HOME), Avoidance of restriction and punishment | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 174 mothers | Mean = 5.75 | Mean = 5.50 | Mean difference = 0.25 | Not available | Not Statistically significant, p = 0.18 |
| Home Observation for Measurement of the Environment (HOME), Maternal involvement with child | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 174 mothers | Mean = 3.24 | Mean = 3.19 | Mean difference = 0.05 | Not available | Not Statistically significant, p = 0.76 |
| Home Observation for Measurement of the Environment (HOME), Organization of environment | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 174 mothers | Mean = 4.92 | Mean = 4.84 | Mean difference = 0.09 | Not available | Not Statistically significant, p = 0.43 |
| Home Observation for Measurement of the Environment (HOME), Provision of appropriate play materials | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 174 mothers | Mean = 6.90 | Mean = 6.68 | Mean difference = 0.23 | Not available | Not Statistically significant, p = 0.21 |
| Home Observation for Measurement of the Environment (HOME), Responsivity | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 174 mothers | Mean = 9.35 | Mean = 8.88 | Mean difference = 0.47 | Study reported = 0.26 | Statistically significant, p = 0.02 |
| Home Observation for Measurement of the Environment (HOME), Variety in daily stimulation | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 174 mothers | Mean = 3.75 | Mean = 3.67 | Mean difference = 0.08 | Not available | Not Statistically significant, p = 0.49 |
| Household always smoke free | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 208 mothers | % = 35.00 | % = 35.00 | OR = 1.00 | HomVEE calculated = 0.00 | Not Statistically significant, p = 0.99 |