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

Model effectiveness research report last updated: 2013

In brief

Evidence of model effectiveness

This model meets 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, but does not meet the criteria for tribal populations.

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Model description

Based in Australia, the Maternal Early Childhood Sustained Home-Visiting (MECSH) program is designed to enhance maternal and child outcomes by providing prenatal and antepartum services in addition to the traditional postpartum care families receive through Australia’s universal system for maternal, child, and family health services. The model can be adapted for systems outside of Australia and to meet local needs. MECSH serves parents or caregivers at risk of adverse parental and/or child health and development outcomes. Registered nurses conduct a minimum of 22 (for postnatal enrollment) to 25 (for prenatal enrollment) 60- to 90-minute home visits. Nurse home visitors deliver services until the child’s second birthday. During the visits, nurses focus on parent education, maternal health and well-being, family relationships, goal setting, and other issues such as housing and finances. Also available are parenting groups, activities to link families to the community, and referrals to other specialized care (such as dieticians and drug and alcohol counselors). 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…
2
  …and at least one finding rated high
0
  …and at least one finding rated moderate (but none rated high)
2
  …and all findings that were eligible for review rated low
0
  …but manuscript is additional source1
0

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?Yes
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?Yes
3Favorable impacts on full sample?Yes
4Any favorable impacts on outcome measures sustained at least 12 months after model enrollment?
Reported for all research but only required for RCTs.
Yes
5One or more favorable, statistically significant impact reported in a peer-reviewed journal?
Reported for all research but only required for RCTs.
Yes

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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