Statistical significance is based on HomVEE calculations.
Maternal Infant Health Outreach Worker (MIHOW)®
Model effectiveness research report last updated: 2022
Effects shown in research
Positive parenting practices
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 |
---|---|---|---|---|---|---|---|---|---|---|
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 |
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 |
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 |
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. |
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 |
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 |
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 |
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 |
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 |
Statistical significance is based on HomVEE calculations. |
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 | 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 |
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 |
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. |