Nevertheless, the MECSH trial
showed some significant results and some trends that require replication in larger samples of mothers
drawn from a similarly widely defined at - risk group, including older, multiparous mothers, and mothers with higher levels of education than have been reported in other trials.1 14 Mothers of infants and
toddlers in the intervention group provided a home environment that was statistically significantly more supportive of their child's development through more verbal and emotional responsivity; however, the effect size was small.