Frequently Asked Questions

This page compiles responses to frequently asked questions. For more detailed information, please consult the HomVEE Handbook of Procedures and Evidence Standards. If you do not see the information you are looking for, please feel free to email the HomVEE team at: HomVEE@acf.hhs.gov

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Models

How does HomVEE define an early childhood home visiting model?

For the purposes of the HomVEE review, an early childhood home visiting model is an intervention in which trained home visitors meet with expectant parents or families with young children to deliver a specified set of services through a specified set of interactions. These programs are voluntary interventions that are either designed or adapted and tested for delivery in the home. During the visits, home visitors aim to build strong, positive relationships with families to improve child and family outcomes. Services may be delivered on a schedule that is defined or can be tailored to meet family needs. A model has a set of fidelity standards that describe how the model is to be implemented.

Models reviewed by HomVEE must serve pregnant women or families with children from birth to kindergarten entry (that is, up until their sixth birthday), and the primary service delivery strategy must be home visiting. In addition, the model must have research that examines its effects in at least one of eight outcome domains.

Does HomVEE review research on virtual service delivery?

Yes. HomVEE will review research about models that use entirely in-person home visiting and models with hybrid approaches that use both in-person and virtual home visits. Models that deliver all services virtually are ineligible; a model must be designed or adapted to require at least one in-person (that is, not virtual) home visit. HomVEE defines a virtual home visit as “delivery of an intervention’s home visit content to an individual caregiver or family conducted solely by use of electronic information and telecommunications technologies. The content should be designed or adapted for synchronous delivery. Some content may be delivered asynchronously, but asynchronous delivery cannot be the primary mode of delivery.”

HomVEE applies the same standards to research about virtual home visits as to research about in-person home visits. An evidence-based model may incorporate hybrid service delivery; doing so does not affect the model’s existing evidence rating. Previously reviewed research about evidence-based models is not re-reviewed to assess use of virtual service delivery.

Are maternal/infant health home visiting models, not just early childhood ones, included in the review?

Yes, any model that meets the definition of the early childhood home visiting model is included in the review, and this may include models that enroll people during pregnancy and aim to improve maternal health, infant health, and birth outcomes. For models with well-designed research that meets HomVEE’s published standards, detailed information about the theoretical approach, intended population, and targeted outcomes can be found via the implementation link on the Model Search Page on HomVEE’s website. That page also has a search function that allows the user to filter all models by population served. Detailed information about maternal and child health outcomes can be found in the “Effects shown in research” tab of each model effectiveness research report.

MIECHV

What is the difference between HomVEE and MIECHV?

HomVEE reviews existing research about early childhood home visiting models. HomVEE assesses the quality of the research and whether it shows evidence that a model is effective. HomVEE does not make determinations about which models are eligible to be implemented using MIECHV funds. See FAQ “Are models on HomVEE’s website automatically eligible for MIECHV funding?” for more information about MIECHV eligibility.

The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program supports implementation of early childhood home visiting models to help pregnant women and families with young children to improve their health and well-being. MIECHV uses HomVEE to ensure that the models it supports demonstrate evidence of effectiveness.

Are models on HomVEE's website automatically eligible for MIECHV funding?

A HomVEE designation as an evidence-based model does not guarantee that a model is eligible to be implemented with MIECHV funding. To be implemented using MIECHV funds, a model must meet statutory requirements for a model (as determined by HRSA), including the HHS criteria for evidence of effectiveness (as determined by HomVEE). The list of MIECHV eligible models is provided in the model search. In addition, MIECHV’s authorizing statute allows awardees to utilize a portion of their MIECHV funding for a model that qualifies as a promising approach. For additional information on the MIECHV Program, see the HRSA website.

How can I learn more about the MIECHV-eligible models that serve my population of interest?

The HomVEE model search provides a pre-filtered list of MIECHV-eligible models. You can use the search features on this page to easily find models that align with your specific needs. This page allows you to search for models by favorable results in specific outcome domains, ages of the children served, intended populations corresponding to MIECHV-priority populations, and specific implementation characteristics, such as duration or intensity of home visiting services, available program languages, and experience working with Indigenous communities.

For a more in-depth look at a specific model, click on the model name in the search results. This will bring you to a model profile that includes a model overview, intended populations and outcomes, and information on implementation support available from the model developer.