Skip Navigation

Early Head Start-Home Visiting (EHS-HV)§

Meets DHHS criteria for an evidenced based model

Last Updated: July 2016

Effects Shown in Research & Outcome Measure Details for Reductions in Child Maltreatment Outcomes

Impact Studies Rated High


Chazan-Cohen, R., Raikes, H. H., & Vogel, C. (2013). V. Program subgroups: Patterns of impacts for home-based, center-based, and mixed-approach programs. Monographs of the Society for Research in Child Development, 78(1), 93-109.
Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Child witnessed violence No Effect Home-based program approach Age 5 927 Not reported Not reported Not reported Not statistically significant, p > 0.05 Study reported = -0.021 Secondary
Percent spanked last week No Effect Home-based program approach Age 5 927 Not reported Not reported Not reported Not statistically significant, p > 0.05 Study reported = -0.061 Secondary

1 Negative value favors the intervention.

Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Child witnessed violence Parent survey response. Parent survey Not reported by author Secondary
Percent spanked last week Percentage of parents who spanked their child in the prior week. Parent survey Not reported by author Secondary

Love, J., Kisker, E., Ross, C. M., Schochet, P. Z., Brooks-Gunn, J., Paulsell, D., et al. (2002). Making a difference in the lives of infants and toddlers and their families: The impacts of Early Head Start. Volumes I-III: Final technical report [and] appendixes [and] local contributions to understanding the programs and their impacts. Washington, DC: U.S. Department of Health and Human Services, Head Start Bureau.
Additional Sources:

Love, J. M., Kisker, E. E., Ross, C., Raikes, H., Constantine, J., Boller, K., et al. (2005). The effectiveness of Early Head Start for 3-year-old children and their parents: Lessons for policy and programs. Developmental Psychology, 41(6), 885–901. doi:10.1037/0012-1649.41.6.885

Roggman, L. A., Boyce, L. K., Cook, G. A., & Hart, A. D. (2002). Making a difference in the lives of infants and toddlers and their families: The impacts of Early Head Start. Vol. 3, Local contributions to understanding the programs and their impacts. Washington, DC: Administration for Children and Families, Office of Planning, Research, and Evaluation, Child Outcomes Research and Evaluation.

Raikes, H. H., Chazan-Cohen, R., Love, J. M., & Brooks-Gunn, J. (2010). Early Head Start impacts at age 3 and a description of the age 5 follow-up study. In Childhood Programs and Practices in the First Decade of Life: A Human Capital Integration. Reynolds, A.A., Rolnick, A.J., Englund, M.M, and Temple, J.A., eds. New York: Cambridge University Press, 99-118.

Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Number of emergency room visits for injuries No Effect EHS-HV impact study 28 months after assignment 941 mothers Adjusted Mean = 0.3 Adjusted Mean = 0.3 MD = -0.0 Not statistically significant,
p > 0.05
HomVEE = 0.0 Secondary
Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
ER visits due to accident or injury Percentage of children who had visited an ER because of accident or injury Parent/caregiver report Not applicable Secondary

Roggman, L. A., & Cook, G. A. (2010). Attachment, aggression, and family risk in a low-income sample. Family Science, 1(3), 191-204. doi:10.1080/19424620.2010.567829
Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Physical punishment (24 months) No Effect one site from larger EHS evaluation 24 months 167 not reported not reported Coeff=0.041 Not statistically significant, p > 0.05 Not available Secondary
Physical punishment (36 months) Favorable one site from larger EHS evaluation 36 months 143 not reported not reported Coeff= -0.222 Statistically significant, p < 0.05 Not available Secondary

1 High score equals unfavorable.

2 Higher score equals unfavorable; Note that this outcome measures the incremental impact between 24 months and 36 months

Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Physical punishment Whether or not the child had been “spanked” in the last week, and if so, how many times Parent/caregiver report Not reported by author Secondary
Top