Black or African American
37%
Williams, C. M., Asaolu, I., English, B., Jewell, T., Smith, K., & Robl, J. (2014). Maternal and child health improvement by HANDS home visiting program in the KIPDA area development district, Kentucky (Unpublished manuscript). University of Kentucky Department of Obstetrics and Gynecology, Lexington, KY.
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 |
Child Health
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Breastfeeding | Birth | Moderate | 0.47 | Statistically significant, p = 0.00 | 376 mother/child dyads | Kentucky 2011-2012 matched, KIPDA | |
| Low birth weight | Birth | Moderate | 0.50 | Statistically significant, p = 0.02 | 376 mother/child dyads | Kentucky 2011-2012 matched, KIPDA | |
| Preterm birth | Birth | Moderate | 0.17 | Not statistically significant, p = 0.36 | 376 mother/child dyads | Kentucky 2011-2012 matched, KIPDA |
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 | Birth | Moderate | 0.40 | Statistically significant, p = 0.04 | 376 mother/child dyads | Kentucky 2011-2012 matched, KIPDA |
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 | Birth | Moderate | 0.15 | Not statistically significant, p = 0.17 | 376 mother/child dyads | Kentucky 2011-2012 matched, KIPDA | |
| Pregnancy-induced hypertension | Birth | Moderate | 0.35 | Statistically significant, p = 0.02 | 376 mother/child dyads | Kentucky 2011-2012 matched, KIPDA |
This study included participants from the following locations:
- Kentucky
Study Participants
This study examined 376 mother–infant pairs. Among these, 188 were HANDS participants and 188 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 59 percent white, Non-Hispanic; 37 percent black, Non-Hispanic; 4 percent Hispanic; and 1 percent some other race. Most (81 percent) of the sample had Medicaid coverage at the time of referral, and 23 percent of the mothers in the sample had less than 12 years of education.
Setting
KIPDA Area Development District, Kentucky
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.