TABLE 4-1Number of Favorable Impacts of Home Visiting for Primary Outcomes Compared with Total Number of Outcomes Reviewed for Models with Evidence of Effectiveness, by Outcome Domain

Outcome
Positive Parenting PracticesFamily Economic Self-SufficiencyChild HealthChild Development and School ReadinessReductions in Child Maltreatment
Child FIRSTNot measuredNot measuredNot measured5/161/3
Durham Connects/Family ConnectsNot measuredNot measured6/9Not measuredNot measured
Early Head Start-Home Visiting3/28Not measuredNot measured2/36Not measured
Early Intervention Program for Adolescent Mothers0/9Not measured8/18Not measuredNot measured
Early Start (New Zealand)3/3Not measured2/42/61/2
Family Check-Up for Children2/2Not measuredNot measured3/14Not measured
Family Spirit0/5Not measuredNot measured10/40Not measured
Health Access Nurturing Development ServicesNot measured2/3e6/9Not measured1/1
Healthy BeginningsNot measuredNot measured1/3Not measuredNot measured
Healthy Families America2/50Not measured0/99/431/34
Healthy Steps f0/1Not measured2/20/2Not measured
Home Instruction for Parents of Preschool Youngsters1/10Not measuredNot measured3/20Not measured
Maternal Early Childhood Sustained Home-Visiting Program1/6Not measured0/3Not measuredNot measured
Minding the Baby0/2Not measured1/2Not measured0/1
Nurse-Family Partnership4/224/21a4/305/597/25
Oklahoma's Community-Based Family Resource and Support Program2/7Not measuredNot measuredNot measuredNot measured
Parents as Teachers3/50b1/10/17/66c1/3
Play and Learning Strategies-Infant11/24dNot measuredNot measured1/16Not measured
SafeCare AugmentedNot measuredNot measuredNot measuredNot measured1/6

NOTE: The table shows the number of favorable outcomes relative to the total number of outcomes. Footnotes indicate when the total number of outcomes includes an unfavorable or ambiguous outcome(s). In accordance with www​.homvee.acf.hhs.gov/models.aspx, descriptions of the outcomes are as follows: (1) Favorable: a statistically significant impact on an outcome measure in a direction that is beneficial for children and parents. An impact could be statistically positive or negative, and is determined “favorable” based on the end result. (2) No effect: findings for a program model that are not statistically significant. (3) Unfavorable or ambiguous: a statistically significant impact on an outcome measure in a direction that may indicate potential harm to children and/or parents. An impact could statistically be positive or negative, and is determined “unfavorable or ambiguous” based on the end result. While some outcomes are clearly unfavorable, for other outcomes it is not as clear which direction is desirable. (4) Not measured: current research (meeting HomVEE standards for a high or moderate rating) includes no measures in this domain.

a

One of the three outcomes were unfavorable or ambiguous.

b

This report focuses on Healthy Steps as implemented in the 1996 evaluation. HHS has determined that home visiting is not the primary service delivery strategy and the model does not meet current requirements for MIECHV program implementation

c

One of the 21 outcomes were unfavorable or ambiguous.

d

Four of the 50 outcomes were unfavorable or ambiguous.

e

One of the 66 outcomes were unfavorable or ambiguous.

f

One of the 24 outcomes were unfavorable or ambiguous.

From: 4, Universal/Preventive and Widely Used Interventions

Cover of Parenting Matters
Parenting Matters: Supporting Parents of Children Ages 0-8.
National Academies of Sciences, Engineering, and Medicine; Division of Behavioral and Social Sciences and Education; Board on Children, Youth, and Families; Committee on Supporting the Parents of Young Children; Breiner H, Ford M, Gadsden VL, editors.
Washington (DC): National Academies Press (US); 2016 Nov 21.
Copyright 2016 by the National Academy of Sciences. All rights reserved.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.