American Indian or Alaska Native
1%
Mersky, J. P., Janczewski, C. E., Plummer Lee, C., Gilbert, R. M., McAtee, C., & Yasin, T. (2021). Home visiting effects on breastfeeding and bedsharing in a low-income sample. [Study 2]. Health Education & Behavior, 48(4), 488–495. https://doi.org/10.1177/1090198120964197.
Peer Reviewed
Model(s): Healthy Families America (HFA)®
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/ethnicity and SES; outcome(s) not feasible to assess at baseline |
No |
Yes |
Notes from the review of this manuscript
The manuscript describes two studies: a randomized controlled trial (RCT) and a non-experimental comparison group design (NED). This review addresses the findings of the NED. The review of the RCT is addressed under Mersky et al. (2021; Study 1). Information on the measures and sample sizes—including information that was needed to demonstrate equivalence of the intervention and comparison groups and to establish measure reliability—is based on correspondence with the author.
Child Health
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Breastfeeding duration (weeks) | 12 months postpartum | Moderate | 1.30 | Not statistically significant, p= 0.11 | 154 mother/child dyads | HFA vs. Quasi-experimental comparison group, Milwaukee, 2014-2017, full sample | |
| Ever breastfed | 12 months postpartum | Moderate | 0.60 | Statistically significant, p= 0.04 | 154 mother/child dyads | HFA vs. Quasi-experimental comparison group, Milwaukee, 2014-2017, full sample |
Positive Parenting Practices
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Any bedsharing by 12 months | 12 months postpartum | Moderate | 0.42 | Statistically significant, p= 0.03 | 154 mother/child dyads | HFA vs. Quasi-experimental comparison group, Milwaukee, 2014-2017, full sample |
This study included participants from the following locations:
- Wisconsin
Study Participants
Study participants were pregnant women with low incomes who were referred to the Milwaukee, Wisconsin, health department for home visiting services between April 2014 and March 2017. They were eligible if they spoke English or Spanish and did not previously receive home visiting services. A total of 154 mother-child dyads had complete data and were included in the study: 69 in the Healthy Families America home visiting group, and 85 in the comparison group. Outcomes were measured at 14–60 days postpartum, six months postpartum, and 12 months postpartum. Forty percent of mothers were Hispanic, 47 percent were African American or Black, and 12 percent were another race. Twenty-three percent had completed postsecondary education at the time of study enrollment.
Setting
The study took place in Milwaukee, Wisconsin, and focused on women who were seeking services at a large, urban health department.
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 in the comparison group received a referral to home visiting but elected not to enroll in home visiting through the health department.
Subgroups examined
There were no subgroups reported in this manuscript.
Funding Sources
Not reported