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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Evidence-Based Criteria for Home Visiting Models
What are evidence-based models?
HomVEE uses the term “evidence-based model” to refer specifically to a model that meets HHS criteria developed based on statutory requirements in the authorizing legislation for the MIECHV Program. HomVEE recognizes that other systematic reviews may use different criteria to evaluate evidence of effectiveness. Thus, an evidence-based model in the context of HomVEE might or might not meet requirements for evidence of effectiveness according to other systematic reviews. The HHS criteria for an evidence-based early childhood home visiting service delivery model are designed to ensure confidence in model impacts through replicated findings from well-designed research.
How does HomVEE apply HHS criteria for evidence-based early childhood service delivery models?
All research, including research that includes virtual service delivery, is subject to the same standards and procedures. HomVEE groups together all research on a model to apply the HHS criteria unless the model developer indicates that particular manuscripts are research on an adaptation of their model.
HomVEE assesses whether each model meets the HHS criteria for an “evidence-based early childhood service delivery model.” To operationalize the HHS criteria related to studies, and because study findings may be reported across several manuscripts, HomVEE rates manuscripts based on the highest-rated finding reported in that manuscript. Any high- or moderate-rated finding from a study about a model is considered as part of the evidence base for that model. Notably, for models with research solely from either randomized controlled trial (RCT) or single-case design (SCD) studies, additional criteria apply (see the HHS criteria). For example, the additional criteria for RCTs to be from peer-reviewed journal articles and to have sustained findings align with MIECHV Program statutory requirements. The HHS criteria for an evidence-based model have no additional requirements for regression discontinuity design (RDD) or non-experimental comparison group design (NED) studies.
A model may be evidence based on the strength of subgroup findings alone only if the research about it satisfies all of the subgroup criteria.
For details, please see the HHS criteria for evidence-based early childhood home visiting service delivery models.
Is a model required to have evidence from an RCT in order to be evidence-based according to HHS criteria?
No. A model may be evidence-based, according to HHS criteria, on the strength of either RCT research or quasi-experimental design (QED) research (including non-experimental comparison group, single-case, and regression discontinuity designs). The research must be of high or moderate quality based on HomVEE’s published standards. Additional HHS criteria apply when the research uses an RCT design. For details, please see the HHS criteria for evidence-based early childhood home visiting service delivery models.
Where can I find a list of models that meet the HHS criteria for evidence-based models?
Users can find a filtered list of models that meet the HHS criteria on the Model Search page by clearing the "MIECHV Eligible" filter. The information is also available in the summary brief, available on the HomVEE Summary page. Notably, a HomVEE designation as an evidence-based model does not guarantee that a model is eligible to be implemented with MIECHV funding.
Does HomVEE consider the magnitude of impacts?
The HHS criteria do not consider the magnitude of impacts in determining whether a model has evidence of effectiveness.
Even though magnitude is not considered in the HHS criteria, HomVEE reports standardized effects (or, effect sizes) for findings rated high and moderate when they are available in the manuscripts or the HomVEE team had enough information to calculate them. Effect sizes can be found in the "Effects shown in research" section of each model effectiveness research report. The reports can be accessed through the Model Search Page.