Black or African American
9%
Williams, C. M., Asaolu, I., English, B., Jewell, T., Smith, K., & Robl, J. (2014). Maternal health improvement by HANDS home visiting program (Unpublished manuscript). University of Kentucky Department of Obstetrics and Gynecology, Lexington, KY.
Additional Sources:
-
Williams, C., Cprek, S., Asaolu, I., English, B., Jewell, T., Smith, K., & Robl, J. (2017). Kentucky Health Access Nurturing Development Services home visiting program improves maternal and child health. Maternal & Child Health Journal, 21(5), 1166–1174. https://doi.org/10.1007/s10995-016-2215-6
Study design characteristics contributing to rating
| Design | Attrition | Baseline equivalence | Confounding factors? | Valid, reliable measures? |
|---|---|---|---|---|
| Non-experimental comparison group design | Not applicable |
Established on race; established on SES. Outcome measures were not assessable at baseline. |
None |
Not assessed in manuscripts reviewed under Handbook of Procedures and Standards, Version 1 |
Notes from the review of this manuscript
The findings in the unpublished manuscript are also in the peer reviewed journal article cited as an additional source.
Child Health
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Breastfeeding (proportion) | Birth | Moderate | 0.06 | Not statistically significant, p = 0.15 | 4506 mothers | Kentucky 2011-2012 matched |
Family Economic Self-Sufficiency
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Maternal receipt of WIC (proportion) | Birth | Moderate | 0.27 | Statistically significant, p = 0.00 | 4506 mothers | Kentucky 2011-2012 matched |
Maternal Health
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Adequate prenatal care (proportion) | Birth | Moderate | 0.08 | Statistically significant, p = 0.05 | 4506 mothers | Kentucky 2011-2012 matched | |
| Maternal complications during delivery (proportion) | Birth | Moderate | 0.31 | Statistically significant, p = 0.01 | 4506 mothers | Kentucky 2011-2012 matched | |
| Maternal weight gain during pregnancy (pounds) | Birth | Moderate | Statistically significant, p = 0.05 | 4506 mothers | Kentucky 2011-2012 matched | ||
| Pregnancy-induced hypertension (proportion) | Birth | Moderate | 0.41 | Statistically significant, p = 0.00 | 4506 mothers | Kentucky 2011-2012 matched |
This study included participants from the following locations:
- Kentucky
Study Participants
This study examined 4,506 mother–infant pairs. Among these, 2,253 were HANDS participants and 2,253 were in a comparison group. All study participants were first-time parents, had at least two risk factors, and were either pregnant or had a child who was age 3 months or younger. Risk factors included unemployment, isolation, history of substance abuse, unstable housing, limited parental education, domestic violence, poor prenatal care, and maternal depression. Study participants were 88 percent white, non-Hispanic; 9 percent black, non-Hispanic; 2 percent Hispanic; and 1 percent some other race. Most (78 percent) study participants had Medicaid coverage at the time of referral to HANDS, and 33 percent of the mothers had less than 12 years of education.
Setting
Kentucky (statewide)
Intervention condition
Note: Navigate to the model page for more information about the home visiting model. See the source manuscript for more information about how the model was implemented in this study.
Comparison Conditions
Mother–infant pairs in the comparison groups were selected from the group of mothers referred to HANDS. Mothers in the comparison condition completed a screening tool and were found to be eligible for home visits, but chose not to participate and did not receive any home visits.
Funding Sources
Kentucky Department for Public Health, funded through MIECHV grants D89MC23538 and X02MC27402.