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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 Maternal and child health improvement by HANDS home visiting program in the Bluegrass area development district (Unpublished manuscript). University of Kentucky Department of Obstetrics and Gynecology, Lexington, KY.

Manuscript screening details
Screening decision Screening conclusion HomVEE procedures and standards version
Passes screens Eligible for review Version 1
Study design details
Rating Design Attrition Baseline equivalence Compromised randomization Confounding factors Valid, reliable measure(s)
Moderate Non-experimental comparison group design Not applicable Established on race; established on SES.Outcome measures were not assessable at baseline. None None Not assessed in manuscripts reviewed before 2021
Study characteristics
Study participants This study examined 898 mother–infant pairs. Among these, 449 were HANDS participants and 449 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 68 percent white, non-Hispanic; 20 percent black, non-Hispanic; 8 percent Hispanic; and 4 percent some other race. Most (72 percent) of the sample had Medicaid coverage at the time of referral, and 33 percent of the mothers in the sample had less than 12 years of education.
Setting Bluegrass Area Development District, Kentucky
Intervention services Women could enroll in HANDS during pregnancy or until the infant was 3 months old. Home visiting services continued until the child's second birthday. Home visiting services included education and development of parenting skills, linking families to medical homes, assisting families to meet basic needs, and direct service delivery for the mother and child.
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.
Subgroups examined This field lists subgroups examined in the manuscript (even if they were not replicated in other samples and not reported on the summary page for this model’s report).
Subgroups are not listed for manuscripts reviewed before 2021.
Staff characteristics and training Home visitors were professionals and paraprofessionals. Professionals were licensed public health nurses, social workers, college graduates with case management experience, or individuals with advanced training in early childhood education. Paraprofessionals had to be age 18 or older, supervised by a licensed public health nurse or social worker, and had to complete pre-service and ongoing training.
Funding sources Kentucky Department for Public Health, funded through MIECHV grants D89MC23538 and X02MC27402.
Author affiliation Two of the authors are affiliated with the University of Kentucky Department of Obstetrics and Gynecology and four with the Kentucky Department for Public Health. The Kentucky Department for Public Health developed the HANDS model.
Peer reviewed Peer reviewed status is not listed for manuscripts reviewed before 2021.
Study Registration:
Clinicaltrials.gov Identifier: Not found. Study registration was assessed by HomVEE beginning with the 2014 review.

Findings details

Child health
Rating Outcome measure Effect Sample Timing of follow-up Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Moderate Low birth weight
FavorableUnfavorable or ambiguousNo Effect
Kentucky 2011-2012 matched, Bluegrass Birth 898 mother/child dyads Unadjusted mean = 0.08 Unadjusted mean = 0.05 OR = 1.57 HomeVEE calculated = 0.27 Not statistically significant, p = 0.10
Moderate Preterm birth
FavorableUnfavorable or ambiguousNo Effect
Kentucky 2011-2012 matched, Bluegrass Birth 898 mother/child dyads Unadjusted mean = 0.10 Unadjusted mean = 0.31 OR = 0.21 HomeVEE calculated = -0.95 Statistically significant, p = 0.00

footnote213

Submitted by user on Fri, 03/15/2019 - 14:29

Negative effect is favorable.

Family economic self-sufficiency
Rating Outcome measure Effect Sample Timing of follow-up Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Moderate Maternal receipt of WIC
FavorableUnfavorable or ambiguousNo Effect
Kentucky 2011-2012 matched, Bluegrass Birth 898 mother/child dyads Unadjusted mean = 0.89 Unadjusted mean = 0.71 OR = 3.31 HomeVEE calculated = 0.72 Statistically significant, p = 0.00
Maternal health
Rating Outcome measure Effect Sample Timing of follow-up Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Moderate Adequate prenatal care
FavorableUnfavorable or ambiguousNo Effect
Kentucky 2011-2012 matched, Bluegrass Birth 898 mother/child dyads Unadjusted mean = 0.77 Unadjusted mean = 0.50 OR = 4.23 HomeVEE calculated = 0.87 Statistically significant, p = 0.00
Moderate Pregnancy-induced hypertension
FavorableUnfavorable or ambiguousNo Effect
Kentucky 2011-2012 matched, Bluegrass Birth 898 mother/child dyads Unadjusted mean = 0.11 Unadjusted mean = 0.20 OR = 0.49 HomeVEE calculated = -0.43 Statistically significant, p = 0.00

footnote213

Submitted by user on Fri, 03/15/2019 - 14:29

Negative effect is favorable.

Outcome measure summary

Child health
Outcome measure Description of measure Data collection method Properties of measure

Low birth weight

Percentage of children who were identified as low birth weight (<2500 grams) Live birth records

Not reported by author

Preterm birth

Percentage of children who were delivered at less than 37 weeks’ gestation Live birth records

Not reported by author

Family economic self-sufficiency
Outcome measure Description of measure Data collection method Properties of measure

Maternal receipt of WIC

Percentage of women who received WIC for themselves during pregnancy Live birth records

Not reported by author

Maternal health
Outcome measure Description of measure Data collection method Properties of measure

Adequate prenatal care

Percentage of mothers who received adequate prenatal care during their pregnancy, as defined by the Kotelchuck Index Live birth records

Not reported by author

Pregnancy-induced hypertension

Percentage of women who experienced pregnancy-induced hypertension Live birth records

Not reported by author