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Health Access Nurturing Development Services (HANDS) Program

Meets DHHS criteria for an evidenced based model

Last Updated: July 2015

Effects Shown in Research & Outcome Measure Details for Child Health Outcomes

Impact Studies Rated Moderate


Williams, C. M., Asaolu, I., English, B., Jewell, T., Smith, K., & Robl, J. (2014). Child health improvement by HANDS home visiting program (Unpublished manuscript). University of Kentucky Department of Obstetrics and Gynecology, Lexington, KY.
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
Infant deceased in hospital (proportion) Favorable Kentucky 2011-2012 matched Birth 4506 infants Unadjusted mean = 0.00 Unadjusted mean = 0.02 OR = 0.06 Statistically significant, p = 0.00 HomVEE = -1.70 Primary
Low birth weight (proportion) Favorable Kentucky 2011-2012 matched Birth 4506 infants Unadjusted mean = 0.07 Unadjusted mean = 0.12 OR = 0.54 Statistically significant, p = 0.00 HomVEE = -0.37 Primary
Preterm birth (proportion) Favorable Kentucky 2011-2012 matched Birth 4506 infants Unadjusted mean = 0.11 Unadjusted mean = 0.14 OR = 0.74 Statistically significant, p = 0.00 HomVEE = -0.18 Primary

1 Negative effect is favorable.

Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Infant deceased in hospital (proportion) Percentage of infants who were not living at the time the birth certificate was completed Live birth records Not reported by author Primary
Low birth weight (proportion) Percentage of children who were identified as low birth weight (<2500 grams) Live birth records Not reported by author Primary
Preterm birth (proportion) Percentage of children who were delivered at less than 37 weeks’ gestation Live birth records Not reported by author Primary

Williams, C. M., Asaolu, I., English, B., Jewell, T., Smith, K., & Robl, J. (2014). Maternal and child health improvement by HANDS home visiting program in the Bluegrass area development district (Unpublished manuscript). University of Kentucky Department of Obstetrics and Gynecology, Lexington, KY.
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
Low birth weight No Effect Kentucky 2011-2012 matched, Bluegrass Birth 898 mother/infant dyads Unadjusted mean = 0.08 Unadjusted mean = 0.05 OR= 1.57 Not statistically significant, p = 0.10 HomVEE = 0.27 Primary
Preterm birth Favorable Kentucky 2011-2012 matched, Bluegrass Birth 898 mother/infant dyads Unadjusted mean = 0.10 Unadjusted mean = 0.31 OR= 0.21 Statistically significant, p = 0.00 HomVEE = -0.95 Primary

1 Negative effect is favorable.

Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Low birth weight Percentage of children who were identified as low birth weight (<2500 grams) Live birth records Not reported by author Primary
Preterm birth Percentage of children who were delivered at less than 37 weeks’ gestation Live birth records Not reported by author Primary

Williams, C. M., Asaolu, I., English, B., Jewell, T., Smith, K., & Robl, J. (2014). Maternal and child health improvement by HANDS home visiting program in the KIPDA area development district, Kentucky (Unpublished manuscript). University of Kentucky Department of Obstetrics and Gynecology, Lexington, KY.
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
Breastfeeding Favorable Kentucky 2011-2012 matched, KIPDA Birth 376 mother/infant dyads Unadjusted mean = 0.70 Unadjusted mean = 0.54 OR = 2.16 Statistically significant, p = 0.00 HomVEE = 0.47 Primary
Low birth weight Favorable Kentucky 2011-2012 matched, KIPDA Birth 376 mother/infant dyads Unadjusted mean = 0.07 Unadjusted mean = 0.15 OR = 0.44 Statistically significant, p = 0.02 HomVEE = -0.50 Primary
Preterm birth No Effect Kentucky 2011-2012 matched, KIPDA Birth 376 mother/infant dyads Unadjusted mean = 0.12 Unadjusted mean = 0.15 OR = 0.76 Not statistically significant, p = 0.36 HomVEE = -0.17 Primary

1 Negative effect is favorable.

Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Breastfeeding Percentage of women who were breastfeeding when discharged from the hospital Live birth records Not reported by author Primary
Low birth weight Percentage of children who were identified as low birth weight (<2500 grams) Live birth records Not reported by author Primary
Preterm birth Percentage of children who were delivered at less than 37 weeks’ gestation Live birth records Not reported by author Primary

Williams, C. M., Asaolu, I., English, B., Jewell, T., Smith, K., & Robl, J. (2014). Maternal health improvement by HANDS home visiting program (Unpublished manuscript). University of Kentucky Department of Obstetrics and Gynecology, Lexington, KY.
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
Breastfeeding (proportion) No Effect Kentucky 2011-2012 matched Birth 4506 mothers Unadjusted mean = 0.55 Unadjusted mean = 0.57 OR = 0.91 Not statistically significant, p = 0.15 HomVEE = -0.06 Primary
Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Breastfeeding (proportion) Percentage of women who were breastfeeding when discharged from the hospital Live birth records Not reported by author Primary
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