Maternal Early Childhood Sustained Home-Visiting Program (MECSH) Meets HHS Criteria

Model effectiveness research report last updated: 2013

Effects shown in research & outcome measure details

Child health

Findings rated moderate

Maternal Early Childhood Sustained Home-Visiting Program (MECSH)
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Breastfeeding fully or partially at 4 weeks
FavorableUnfavorable or ambiguousNo Effect
4 weeks Western Sydney 161 mothers Unadjusted % = 58.00 Unadjusted % = 52.10 Difference = 5.90 Study reported = 0.12 Not statistically significant, p ≥ 0.05
Breastfeeding initiated
FavorableUnfavorable or ambiguousNo Effect
Birth Western Sydney 202 mothers Unadjusted % = 87.20 Unadjusted % = 85.10 Difference = 2.10 Study reported = 0.06 Not statistically significant, p ≥ 0.05
Infant admission to special care nursery
FavorableUnfavorable or ambiguousNo Effect
Birth Western Sydney 203 mothers Unadjusted % = 5.60 Unadjusted % = 8.40 Difference = -2.80 Study reported = 0.12 Not statistically significant, p ≥ 0.05
SIDS risk knowledge
FavorableUnfavorable or ambiguousNo Effect
4 weeks Western Sydney 137 mothers Unadjusted % = 83.30 Unadjusted % = 68.30 Difference = 15.00 Study reported = 0.35 Statistically significant, p = 0.04
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Outcome measure Outcome measure description Collection method Properties

Breastfeeding fully or partially at 4 weeks

Percentage of infants breastfed fully or partially at 4 weeks postpartum Parent/caregiver report

Not applicable

Breastfeeding initiated

Percentage of mothers who initiated breastfeeding Obstetric data record and parent/caregiver report

Not applicable

Infant admission to special care nursery

Percentage of infants admitted to the special care nursery or neonatal intensive care unit for a period of more than four hours Obstetric data record

Not applicable

SIDS risk knowledge

Percentage of mothers who could name two or more SIDS risk factors at 4-6 weeks postpartum Parent/caregiver report

Not applicable

Maternal Early Childhood Sustained Home-Visiting Program (MECSH)
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Breastfeeding duration (weeks)
FavorableUnfavorable or ambiguousNo Effect
12 months Sydney sample 139 children Mean = 16.12 Mean = 8.24 Mean difference = 7.88 HomeVEE calculated = 0.52 Statistically significant, p = 0.002
Gastroenteritis
FavorableUnfavorable or ambiguousNo Effect
24 months Sydney sample 166 children % = 58.00 % = 60.00 OR = 1.10 HomeVEE calculated = -0.05 Not Statistically significant, p = 0.76
Immunization up to date
FavorableUnfavorable or ambiguousNo Effect
24 months Sydney sample 166 children % = 100.00 % = 100.00 Not reported Not available Not statistically significant, p ≥ 0.05
Low birth weight (< 2500 g)
FavorableUnfavorable or ambiguousNo Effect
1 month Sydney sample 201 mothers % = 7.00 % = 2.00 OR = 3.22 HomeVEE calculated = 0.79 Not Statistically significant, p = 0.15
Preterm (< 37 weeks)
FavorableUnfavorable or ambiguousNo Effect
1 month Sydney sample 203 mothers % = 10.00 % = 6.00 OR = 1.69 HomeVEE calculated = 0.33 Not Statistically significant, p = 0.32
Respiratory infection
FavorableUnfavorable or ambiguousNo Effect
24 months Sydney sample 166 children % = 33.00 % = 31.00 OR = 0.90 HomeVEE calculated = 0.06 Not Statistically significant, p = 0.76
Transition to solids (weeks)
FavorableUnfavorable or ambiguousNo Effect
12 months Sydney sample 162 children Mean = 21.74 Mean = 23.06 Mean difference = -1.32 Not available Not statistically significant, p ≥ 0.05
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Outcome measure Outcome measure description Collection method Properties

Breastfeeding duration (weeks)

Total number of weeks that mother breastfed Maternal self-report

Not applicable

Gastroenteritis

Child has experienced at least one episode of gastrointestinal illness during first two years of life Parent/caregiver report

Not applicable

Immunization up to date

Whether child was fully immunized Parent/caregiver report

Not applicable

Low birth weight (< 2500 g)

Percentage of infants born of low birth weight (< 2500 g) Review of birth records

Not applicable

Low birth weight (< 2500 g)

Whether child was less than 2500 grams at birth Hospital clinical records

Not applicable

Preterm (< 37 weeks)

Whether child was born at less than 37 weeks gestation Hospital clinical records

Not applicable

Preterm (< 37 weeks)

Percentage of infants born at less than 37 weeks gestation Review of birth records

Not applicable

Respiratory infection

Child has experienced at least one episode of respiratory infection during first two years of life Parent/caregiver report

Not applicable

Transition to solids (weeks)

Child's age (in weeks) when solid food was introduced Maternal self-report

Not applicable

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