Following Baby Back Home (FBBH)

Model effectiveness research report last updated: 2020

In brief

Evidence of model effectiveness

This model does not meet the criteria established by the Department of Health and Human Services (HHS) for an “evidence-based early childhood home visiting service delivery model” for the general population or for tribal populations because there are no high- or moderate-rated effectiveness studies of the model.

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Model description

Following Baby Back Home (FBBH) serves families residing in Arkansas with medically complex, high-risk infants discharged from the neonatal intensive care unit (NICU). FBBH aims to reduce morbidity and mortality rates among medically complex, high-risk infants by reducing preventable infant rehospitalizations, improving adherence to infant medical appointments and immunizations, and increasing families’ skills and self-efficacy in caring for their high-risk infants. The model consists of home visits with a registered nurse and a licensed social worker. The home visiting team provides care coordination, helps families identify local resources to meet the infant’s service needs, and provides referrals to support families’ social functioning and overall well-being. FBBH offers services immediately following the infant’s discharge from the NICU until the child's third birthday. FBBH includes two home visits per month for the first two months after enrollment, one home visit per month until the child is one year old, and one visit every other month until the child's third birthday. For more information, please read the Model Overview.

 

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Extent of evidence

Results of search and review
Number of manuscripts
At least one finding was eligible for review…
6
  …and at least one finding rated high
0
  …and at least one finding rated moderate (but none rated high)
0
  …and all findings that were eligible for review rated low
5
  …but manuscript is additional source1
1

For more information, see the research database. For more information on the criteria used to rate research, please see details of HomVEE’s methods and standards.

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Summary of findings

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Criteria established by the U.S. Department of Health and Human Services

Information based on comprehensive review of all high- and moderate-rated manuscripts
CriterionCriterion descriptionCriterion met?
1High- or moderate-quality impact study?No
2Across high- or moderate-quality studies, favorable impacts in at least two outcome domains within one sample OR the same domain for at least two non-overlapping samples?Not applicable
3Favorable impacts on full sample?Not applicable
4Any favorable impacts on outcome measures sustained at least 12 months after model enrollment?
Reported for all research but only required for RCTs.
Not applicable
5One or more favorable, statistically significant impact reported in a peer-reviewed journal?
Reported for all research but only required for RCTs.
Not applicable

Notes: If the model does not meet criterion 3 but meets criteria 1 and 2 based on findings from subgroups, the impacts must be replicated in the same domain in two or more studies using non-overlapping analytic study samples. HomVEE assesses and reports criteria 4 and 5 for all models that have well-designed research, but meeting those two criteria is only required of models for which all findings are from randomized controlled trials. Please read the HHS criteria for evidence-based models for more information.

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