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

Maternal 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
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

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