Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) Meets HHS Criteria

Model effectiveness research report last updated: 2022

Effects shown in research

Child health

Findings rated high

Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT)
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes

Accelerated weight gain

FavorableUnfavorable or ambiguousNo Effect

1 year old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

253 children Unadjusted proportion = 0.32 Unadjusted proportion = 0.34 Difference = -0.02 HomVEE calculated = -0.05

Not statistically significant, p= 0.97

Accelerated weight gain

FavorableUnfavorable or ambiguousNo Effect

16 weeks old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

269 infants Unadjusted proportion = 0.09 Unadjusted proportion = 0.12 Difference = -0.03 HomVEE calculated = -0.19

Not statistically significant, p= 0.44

BMI

FavorableUnfavorable or ambiguousNo Effect

1 year old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

253 children Unadjusted mean = 17.00 Unadjusted mean = 17.40 Mean difference = -0.40 HomVEE calculated = -0.28

Statistically significant, p = 0.02

BMI

FavorableUnfavorable or ambiguousNo Effect

16 weeks old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

269 children Unadjusted mean = 16.40 Unadjusted mean = 16.80 Mean difference = -0.40 HomVEE calculated = -0.27

Statistically significant, p = 0.03

BMI

FavorableUnfavorable or ambiguousNo Effect

2 years old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

243 children Unadjusted mean = 16.50 Unadjusted mean = 16.80 Mean difference = -0.30 HomVEE calculated = -0.21

Not statistically significant, p = 0.10

BMI

FavorableUnfavorable or ambiguousNo Effect

28 weeks old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

262 children Unadjusted mean = 17.10 Unadjusted mean = 17.70 Mean difference = -0.60 HomVEE calculated = -0.39

Statistically significant, p <.01

BMI

FavorableUnfavorable or ambiguousNo Effect

3 years old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

232 children Unadjusted mean = 15.80 Unadjusted mean = 16.20 Mean difference = -0.40 HomVEE calculated = -0.32

Statistically significant, p = 0.02

BMI

FavorableUnfavorable or ambiguousNo Effect

4 weeks old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

279 children Unadjusted mean = 13.80 Unadjusted mean = 14.30 Mean difference = -0.50 HomVEE calculated = -0.43

Statistically significant, p <.01

BMI

FavorableUnfavorable or ambiguousNo Effect

40 weeks old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

259 children Unadjusted mean = 17.30 Unadjusted mean = 17.80 Mean difference = -0.50 HomVEE calculated = -0.33

Statistically significant, p = 0.01

BMI (in standardized units)

FavorableUnfavorable or ambiguousNo Effect

2 years old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

243 children Unadjusted mean = -0.09 Unadjusted mean = 0.11 Mean difference = -0.20 Study reported = -0.21

Not statistically significant, p= 0.10

Author-reported effect size was calculated as mean difference between standardized scores.

BMI (in standardized units)

FavorableUnfavorable or ambiguousNo Effect

3 years old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

232 children Unadjusted mean = -0.13 Unadjusted mean = 0.15 Mean difference = -0.28 Study reported = -0.28

Statistically significant, p= 0.04

Author-reported effect size was calculated as mean difference between standardized scores.

BMI percentile

FavorableUnfavorable or ambiguousNo Effect

2 years old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

243 children Unadjusted mean = 48.10 Unadjusted mean = 52.40 Mean difference = -4.30 HomVEE calculated = -0.15

Not statistically significant, p= 0.26

BMI percentile

FavorableUnfavorable or ambiguousNo Effect

3 years old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

232 children Unadjusted mean = 46.90 Unadjusted mean = 53.80 Mean difference = -6.90 HomVEE calculated = -0.24

Not statistically significant, p= 0.07

Conditional weight gain

FavorableUnfavorable or ambiguousNo Effect

28 weeks old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

262 children Unadjusted mean = -0.18 Unadjusted mean = 0.18 Mean difference = -0.36 Not available

Statistically significant, p <.01

Downward crossing of 2 major percentile lines for height and weight

FavorableUnfavorable or ambiguousNo Effect

3 years old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

279 children Unadjusted proportion = 0.02 Unadjusted proportion = 0.04 Difference = -0.01 HomVEE calculated = -0.32

Not statistically significant, p = 0.47

Percent obese

FavorableUnfavorable or ambiguousNo Effect

2 years old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

243 children Unadjusted proportion = 0.01 Unadjusted proportion = 0.08 Difference = -0.08 HomVEE calculated = -1.47

Statistically significant, p= 0.01

Percent obese

FavorableUnfavorable or ambiguousNo Effect

3 years old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

232 children Unadjusted proportion = 0.03 Unadjusted proportion = 0.08 Difference = -0.05 HomVEE calculated = -0.70

Not statistically significant, p= 0.08

Percent overweight

FavorableUnfavorable or ambiguousNo Effect

2 years old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

243 children Unadjusted proportion = 0.11 Unadjusted proportion = 0.21 Difference = -0.09 HomVEE calculated = -0.43

Statistically significant, p= 0.04

Percent overweight

FavorableUnfavorable or ambiguousNo Effect

3 years old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

232 children Unadjusted proportion = 0.11 Unadjusted proportion = 0.20 Difference = -0.09 HomVEE calculated = -0.41

Not statistically significant, p= 0.07

Weight-for-age below 5th percentile

FavorableUnfavorable or ambiguousNo Effect

3 years old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

279 children Unadjusted proportion = 0.08 Unadjusted proportion = 0.04 Difference = 0.04 HomVEE calculated = 0.39

Not statistically significant, p = 0.22

Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT)
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes

Daytime sleep duration (minutes)

FavorableUnfavorable or ambiguousNo Effect

1 year old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

245 infants Not reported Not reported Not reported Not available

Not statistically significant, p >.05

Daytime sleep duration (minutes)

FavorableUnfavorable or ambiguousNo Effect

16 weeks old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

262 infants Not reported Not reported Not reported Not available

Not statistically significant, p >.05

Daytime sleep duration (minutes)

FavorableUnfavorable or ambiguousNo Effect

40 weeks old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

251 infants Not reported Not reported Not reported Not available

Not statistically significant, p >.05

Daytime sleep duration (minutes)

FavorableUnfavorable or ambiguousNo Effect

8 weeks old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

252 infants Not reported Not reported Not reported Not available

Not statistically significant, p >.05

Overnight sleep duration (minutes)

FavorableUnfavorable or ambiguousNo Effect

1 year old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

245 infants Not reported Not reported Not reported Not available

Not statistically significant, p >.05

Overnight sleep duration (minutes)

FavorableUnfavorable or ambiguousNo Effect

16 weeks old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

262 infants Unadjusted mean = 582.10 Unadjusted mean = 557.20 Difference = 24.90 HomVEE calculated = 0.31

Statistically significant, p= 0.01

Overnight sleep duration (minutes)

FavorableUnfavorable or ambiguousNo Effect

40 weeks old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

251 infants Unadjusted mean = 624.60 Unadjusted mean = 602.90 Difference = 21.70 HomVEE calculated = 0.30

Statistically significant, p= 0.01

Overnight sleep duration (minutes)

FavorableUnfavorable or ambiguousNo Effect

8 weeks old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

252 infants Unadjusted mean = 532.30 Unadjusted mean = 497.20 Difference = 35.10 HomVEE calculated = 0.42

Statistically significant, p <.01

Sleep 12 to 14 hours per day

FavorableUnfavorable or ambiguousNo Effect

1 year old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

245 infants Not reported Not reported Odds ratio = 1.89 HomVEE calculated = 0.38

Not statistically significant, p >.05

Total daily sleep duration (minutes)

FavorableUnfavorable or ambiguousNo Effect

16 weeks old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

262 infants Unadjusted mean = 808.80 Unadjusted mean = 785.30 Difference = 23.50 HomVEE calculated = 0.21

Not statistically significant, p= 0.08

Total daily sleep duration (minutes)

FavorableUnfavorable or ambiguousNo Effect

40 weeks old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

251 infants Not reported Not reported Not reported Not available

Not statistically significant, p >.05

Total daily sleep duration (minutes)

FavorableUnfavorable or ambiguousNo Effect

8 weeks old

INSIGHT vs. comparison, Pennsylvania 2012-2014, full sample

248 infants Unadjusted mean = 866.30 Unadjusted mean = 839.20 Difference = 27.10 HomVEE calculated = 0.20

Not statistically significant, p= 0.10

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