Hispanic or Latino
100%
Source
Peer reviewed?
No
Lutenbacher, M., Dietrich, M. S., & Elkins, T. (2016). Evaluation of the Maternal Infant Health Outreach Worker (MIHOW) program model in a sample of Hispanic women: A collaborative project between Catholic Charities and Vanderbilt University School of Nursing. Report submitted to the Home Visiting Evidence of Effectiveness (HomVEE) Review.
Model(s) Reviewed
Funding Sources
This research was supported by Award Number D89MC23542 from the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program.
Study Design
| Design | Attrition | Baseline equivalence | Confounding factors | Valid, reliable measures? |
|---|---|---|---|---|
| Randomized controlled trial | Low | Not assessed for randomized controlled trials with low attrition |
No |
Yes, details reported below for findings on valid, reliable outcomes that otherwise rate at least moderate |
Notes
The manuscript includes many findings that were duplicates of those in Lutenbacher et al. (2018), a peer-reviewed journal article. All duplicated findings were reviewed under Lutenbacher et al. (2018) rather than this unpublished manuscript.
The finding on "other liquids given" at two weeks postpartum receives a low rating because it is a high attrition finding, and baseline equivalence was not demonstrated on a socioeconomic status indicator for the analytic sample. Information to demonstrate baseline equivalence was based on correspondence with the authors. The finding on "food given" at two weeks postpartum is ineligible for review per guidance of subject matter experts.
Study Participants
Pregnant Hispanic women older than 18 were recruited to participate in the study through word of mouth, agency referrals, and distributing flyers in locations with a high concentration of Hispanic individuals. A total of 188 participants were randomly assigned to either the Maternal Infant Health Outreach Worker (MIHOW) intervention (94 women) or the comparison group (94 women). The average age of the study participants was 30, and about two-thirds of the participants were from Mexico. When the study began, 10 percent were employed full time, and 16 percent were employed part time. Most (about 80 percent) did not have a high school diploma, and more than half (about 56 percent) had never been married.
Setting
The study was conducted in Davidson County, an urban area of Tennessee.
Home Visiting Services
The MIHOW intervention sends health outreach workers to provide one-on-one services to pregnant women. The health outreach workers form relationships with the expectant parents and provide support, parenting education, and referrals through monthly hourlong home visits and group activities. Health outreach workers worked with parents to demonstrate positive parenting practices, and provided information about children's development, health, and nutrition. The program services typically last until the child is 36 months old, but services in this study ended when the child reached the age of 6 months due to funding constraints. Despite the reduced length of service, there were no adaptations to the content or intensity of the intervention. Intervention participants also received the educational materials sent to those in the comparison group.
Comparison Conditions
Pregnant women assigned to the comparison group were given educational materials about maternal and child health and development during the 35th week of pregnancy and when the infant was 2 weeks, 2 months, and 6 months old. These materials were also provided to the intervention group.
Were any subgroups examined?
No
Subgroups examined
There were no subgroups reported in this manuscript.
Findings that rate moderate or high in this manuscript
| Outcome measure | Timing of follow-up | Rating | Direction of Effect | Effect size (absolute value) | Stastical significance | Sample size | Sample description | |
|---|---|---|---|---|---|---|---|---|
Child given other liquids by 2 months postpartum |
2 months postpartum |
High | 1.03 | Not statistically significant, p = 0.13 |
176 mothers | MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample |
||
Child given other liquids by 6 months postpartum |
6 months postpartum |
High | 0.05 | Not statistically significant, p = 0.87 |
178 mothers | MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample |
||
Child given solid food by 6 months postpartum |
6 months postpartum |
High | 0.06 | Not statistically significant, p = 0.86 |
178 mothers | MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample |
| Outcome measure | Timing of follow-up | Rating | Direction of Effect | Effect size (absolute value) | Stastical significance | Sample size | Sample description | |
|---|---|---|---|---|---|---|---|---|
Average number of prenatal visits during pregnancy |
Prenatal period |
High | 0.09 | Not statistically significant, p= 0.48 |
177 mothers | MIHOW vs. MEI, Davidson County, Tennessee, 2014-2016, full sample |
This study included participants with the following characteristics at enrollment:
Race/Ethnicity
Maternal Education
Other Characteristics
This study included participants from the following locations:
- Tennessee