Black or African American
26%
Lee, H., Crowne S., Estarziau M., Kranker K., Michalopoulos C., Warren A., Mijanovich T., Filene J. H., Duggan A., and Knox V. (2019). The Effects of Home Visiting on Prenatal Health, Birth Outcomes, and Health Care Use in the First Year of Life, Final Implementation and Impact Findings from the Mother and Infant Home Visiting Program Evaluation-Strong Start (OPRE Report, 2019-08). [Study 3-NFP contrast]. Washington, DC, Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services. https://www.acf.hhs.gov/sites/default/files/documents/opre/mihope_stron…
Model(s): Nurse-Family Partnership (NFP)®
Study Registration: ClinicalTrials.gov
Study design characteristics contributing to rating
| Design | Attrition | Baseline equivalence | Confounding factors? | Valid, reliable measures? |
|---|---|---|---|---|
| Randomized controlled trial | Low |
Not assessed for randomized controlled trials with low attrition |
No |
Yes |
Notes from the review of this manuscript
The Mother and Infant Home Visiting Program Evaluation-Strong Start included two evidence-based home visiting models; this review focuses on the Nurse-Family Partnership. Findings in the manuscript that were pooled across various home visiting models were ineligible for review because HomVEE only reviews findings that isolate the effects of a specific model. Information on sample sizes and additional information to help characterize the impact estimates, along with information necessary to demonstrate equivalence of the intervention and comparison groups, is based on correspondence with the authors.
Child Health
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Admitted to neonatal intensive care unit (%) | Birth | High | Not statistically significant, p= 0.68 | 1854 infants | NFP vs. Resource referral RCT (MIHOPE-Strong Start), 2012-2015, United States, full sample | ||
| Any emergency department visits (%) | 12 months old | High | Not statistically significant, p= 0.90 | 1854 infants | NFP vs. Resource referral RCT (MIHOPE-Strong Start), 2012-2015, United States, full sample | ||
| Any nonbirth hospitalizations (%) | 12 months old | High | Not statistically significant, p= 0.52 | 1854 infants | NFP vs. Resource referral RCT (MIHOPE-Strong Start), 2012-2015, United States, full sample | ||
| Average number of well-child office visits | 12 months old | High | Not statistically significant, p= 0.37 | 1854 infants | NFP vs. Resource referral RCT (MIHOPE-Strong Start), 2012-2015, United States, full sample | ||
| Low birth weight (< 2,500 grams; %) | Birth | High | Not statistically significant, p= 0.87 | 1714 infants | NFP vs. Resource referral RCT (MIHOPE-Strong Start), 2012-2015, United States, full sample | ||
| Preterm birth (< 37 weeks; %) | Birth | High | Not statistically significant, p= 0.24 | 1715 infants | NFP vs. Resource referral RCT (MIHOPE-Strong Start), 2012-2015, United States, full sample |
Maternal Health
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Any smoking during third trimester (%) | Birth | High | Not statistically significant, p= 0.23 | 1404 mothers | NFP vs. Resource referral RCT (MIHOPE-Strong Start), 2012-2015, United States, full sample |
This study included participants from the following locations:
- California
- Georgia
- Illinois
- Indiana
- Iowa
- Kansas
- Massachusetts
- Michigan
- Nevada
- New Jersey
- New York
- North Carolina
- Pennsylvania
- South Carolina
- Tennessee
- Washington
- Wisconsin
Study Participants
The Mother and Infant Home Visiting Program Evaluation-Strong Start (MIHOPE-Strong Start) is a national evaluation of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program for families enrolled in Medicaid or the Children’s Health Insurance Program. MIHOPE-Strong Start study participants were recruited from local programs that primarily served Medicaid beneficiaries from 2012 to 2015. Participants were eligible for the MIHOPE-Strong Start evaluation if they were no more than 32 weeks pregnant, were age 15 or older, spoke English or Spanish proficiently, and met the relevant eligibility criteria for the local home visiting model. A total of 1,872 participants were recruited for the study through Nurse Family Partnership (NFP) programs and randomly assigned to either the NFP home visiting intervention group (1,003 participants) or the comparison condition (869 participants). Up to 1,404 participants recruited for the study through NFP programs were included in the analyses: 760 in NFP and 644 in the comparison group. Similarly, up to 1,854 children were included in the study: 994 in NFP and 860 in the comparison group. Outcomes were measured at childbirth and when children were 12 months old. For MIHOPE-Strong Start participants recruited through NFP programs, 29 percent of participants were of Mexican origin, 19 percent were another Hispanic ethnicity, 16 percent were White, 26 percent were Black, and 10 percent were another race. Thirty-three percent did not have a high school diploma at study entry. At enrollment, the average age of participants recruited through NFP programs was 21.
Setting
The study took place in 17 states: California, Georgia, Illinois, Indiana, Iowa, Kansas, Massachusetts, Michigan, Nevada, New Jersey, New York, North Carolina, Pennsylvania, South Carolina, Tennessee, Washington, and Wisconsin. The evaluation selected 29 local program affiliates that operated Nurse-Family Partnership and met program eligibility criteria.
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
Participants assigned to the comparison group were not eligible to receive Nurse-Family Partnership services. They received information about other appropriate services in their local community.
Subgroups examined
There were no subgroups reported in this manuscript.
Funding Sources
This research was supported by the Administration for Children and Families, funded by the U.S. Department of Health and Human Services under a competitive award, Contract No. HHS-HHSP23320095644WC.