Resources, Education, and Care in the Home (REACH)

Model effectiveness research report last updated: 2011

In brief

Evidence of model effectiveness

Title General population Tribal population Domains with favorable effects
Resources, Education, and Care in the Home (REACH) Does not meet HHS criteria because the findings from high- or moderate-rated effectiveness studies of the model do not meet all required criteria. Does not meet HHS criteria for tribal population because the model has not been evaluated with a tribal population. In at least one domain, Child health,

Model description

The Resources, Education and Care in the Home (REACH) program was a multiagency service model designed to prevent and reduce post-neonatal morbidity and mortality in high-need communities. REACH targeted infants born to low-income teenage mothers, mothers with limited or no access to prenatal care, infants and mothers discharged early from the hospital, and families with psychosocial problems. A hospital-based registered nurse case manager coordinated mothers’ contacts with participating REACH agencies, made referrals to social service organizations, and provided counseling. Families typically received home visits when children were two weeks; six to eight weeks; and 4, 8, and 12 months old, with additional visits as necessary. Home visitors provided parent education; conducted infant, parent, and environmental assessments; and collected information on child health and development. 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…
  …and at least one finding rated high
  …and at least one finding rated moderate (but none rated high)
  …and all findings that were eligible for review rated low
  …but manuscript is additional source2

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?No
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.
5One or more favorable, statistically significant impact reported in a peer-reviewed journal?
Reported for all research but only required for RCTs.
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