She is also co-project director of two evaluations of home visiting programs — the Mother and Infant Home Visiting Program Evaluation (MIHOPE), which is assessing the federal Maternal, Infant, and Early Childhood Home Visiting Program, and MIHOPE - Strong Start, which is examining the effects of home
visiting on birth outcomes and maternal and infant health care use.
Not exact matches
Most trials of prenatal home
visiting have produced disappointing effects
on pregnancy
outcomes such as
birth weight and gestational age, 9,16,17 although one program of prenatal and infancy home
visiting by nurses has reduced prenatal tobacco use in two trials18, 19 and has reduced pregnancy - induced hypertension in a large sample of African - Americans.20
The detailed examples provided in midwives» accounts may usefully assist the reader in this regard, but further research is required to explore the topic more fully and to examine the impact of the interventions identified (e.g. management of early labour, home
visits in early labour, delayed admission to hospital, water
birth, Verbena cocktail)
on the progress of labour and
birth outcomes.
A randomised control trial conducted in BC [30] found home
visits in early labour to be more effective than telephone triage in reducing the number of women attending the hospital for assessment before they are in labour and those attending before 3 cm cervical dilation, although the home
visits had no impact
on CS rates or
birth outcomes.
MIHOPE - Strong Start is the largest random assignment study to date examining the effects of home
visiting services
on birth and health
outcomes and health care use.
This includes improved
birth, health and child development
outcomes, and reductions in child maltreatment.15 A number of SNHV programmes have also shown favourable effects
on healthcare usage, including rates of well - child healthcare
visits.15
Although most
outcomes were reviewed at program completion to observe the effects of a high - intensity comprehensive treatment program for low -
birth - weight infants, 39 certain
outcomes were examined after the first year and provide a test of the home -
visiting component
on its own.40
The effect of home
visiting programs
on mothers» life - course (subsequent pregnancies, education, employment, and use of welfare) is disappointing overall.10 In the trial of the nurse home visitor program described above, there were enduring effects of the program 15 years after
birth of the first child
on maternal life - course
outcomes (e.g., interpregnancy intervals, use of welfare, behavioural problems due to women's use of drugs and alcohol, and arrests among women who were low - income and unmarried at registration).21 The effects of this program
on maternal life - course have been replicated in separate trials with urban African - Americans20, 23,24 and with Hispanics.18
Most trials of prenatal home
visiting have produced disappointing effects
on pregnancy
outcomes such as
birth weight and gestational age, 9,16,17 although one program of prenatal and infancy home
visiting by nurses has reduced prenatal tobacco use in two trials18, 19 and has reduced pregnancy - induced hypertension in a large sample of African - Americans.20
«The MIHOPE - Strong Start study offers the HFA network an opportunity to better understand home
visiting's impacts
on birth outcomes when families are enrolled prior to 32 weeks gestation.
This session will focus
on state - level efforts to promote positive
birth outcomes and the key role home
visiting plays in these efforts.
The Mother and Infant Home
Visiting Program Evaluation - Strong Start (MIHOPE - Strong Start) is examining the effectiveness of home visiting services on improving birth and maternal health outcomes for women who are enrolled in Medicaid or the Children's Health Insurance Program (CHIP), as well as their effectiveness at reducing costly health care enc
Visiting Program Evaluation - Strong Start (MIHOPE - Strong Start) is examining the effectiveness of home
visiting services on improving birth and maternal health outcomes for women who are enrolled in Medicaid or the Children's Health Insurance Program (CHIP), as well as their effectiveness at reducing costly health care enc
visiting services
on improving
birth and maternal health
outcomes for women who are enrolled in Medicaid or the Children's Health Insurance Program (CHIP), as well as their effectiveness at reducing costly health care encounters.
The first section, presented by Kay Johnson, will provide a national perspective
on improving
birth outcomes, including US policy and programs addressing preterm
birth prevention and use of home
visiting to improve
birth outcomes.
Learning Objectives: Participants will be able to: (1) Recognize national statistics
on indicators of
birth outcomes in the United States and understand regional, racial, and ethnic disparities across indicators, (2) Identify examples of existing state efforts to promote positive
birth outcomes, (3) Synthesize and apply information to their local contexts and determine implications for home
visiting.
It will be the largest study to examine the effectiveness of home
visiting services
on improving
birth outcomes and infant and maternal health care use.
These studies will be discussed in the broader context of literature
on birth outcomes and home
visiting, highlighting the many challenges of preterm
birth prevention in a real - world implementation setting.
Compared to control groups, babies of parents enrolled prenatally in home
visiting programs had better
birth outcomes, and the programs were found to have a positive impact
on breastfeeding and immunization rates., In other randomized trials, participating children were found to have a reduction in language delays at 21 months, reductions in mental health problems, fewer behavior problems, and increased mental development.
Data for the implementation and impact studies will be collected from a variety of sources, including interviews with parents; observations of the home environment; observed interactions of parents and children; direct assessments of children's development; observations of home visitors in their work with families during home
visits; logs, observations, and interviews with home visitors, supervisors, and program administrators; program model documentation from program developers, grantees, and local sites; and administrative data
on child abuse, health care use, maternal health,
birth outcomes, and employment and earnings.
It will study the impact of two home
visiting models (Healthy Families America and Nurse - Family Partnership)
on birth outcomes and infant health.
Extensive data were collected
on mothers» demographic characteristics, health history, including maternal history of asthma, prenatal and postnatal maternal psychological distress (anxiety, depression or stress), maternal social support (specifically the extent of partner / spouse support) and children's
birth and health
outcomes including breastfeeding status (at 3 months) from the APrON surveys completed at prenatal or postnatal clinic
visits or sent in by mail.
First, we examined the relationships of plausible covariates, including gender,
birth - weight, post-conceptual age
on the
visit day (gestational age + days of life since
birth to the
visit day), ethnicity, prenatal smoking exposure, and child sleep condition at the time of EEG recording with
outcome measures (frontal EEG power, functional connectivity at 6 and 18 months of age, or behavioral scores at 24 months of age).