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Health Access Nurturing Development Services (HANDS) Program

Meets DHHS criteria for an evidenced based model

Last Updated: July 2015

In Brief for Maternal Health Outcomes

Impact Studies Rated Moderate


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 Maternal and child health improvement by HANDS home visiting program in the Bluegrass area development district (Unpublished manuscript).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
Adequate prenatal care Favorable Kentucky 2011-2012 matched, Bluegrass Birth 898 mother/infant dyads Unadjusted mean = 0.77 Unadjusted mean = 0.50 OR= 4.23 Statistically significant, p = 0.00 HomVEE = 0.87 Primary
Pregnancy-induced hypertension Favorable Kentucky 2011-2012 matched, Bluegrass Birth 898 mother/infant dyads Unadjusted mean = 0.11 Unadjusted mean = 0.20 OR= 0.49 Statistically significant, p = 0.00 HomVEE = -0.43 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
Adequate prenatal care Percentage of mothers who received adequate prenatal care during their pregnancy, as defined by the Kotelchuck Index Live birth records Not reported by author Primary
Pregnancy-induced hypertension Percentage of women who experienced pregnancy-induced hypertension 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Maternal and child health improvement by HANDS home visiting program in the KIPDA area development district, Kentucky (Unpublished manuscript).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
Adequate prenatal care No Effect Kentucky 2011-2012 matched, KIPDA Birth 376 mother/infant dyads Unadjusted mean = 0.65 Unadjusted mean = 0.72 OR = 0.78 Not statistically significant, p = 0.17 HomVEE = -0.15 Primary
Pregnancy-induced hypertension Favorable Kentucky 2011-2012 matched, KIPDA Birth 376 mother/infant dyads Unadjusted mean = 0.11 Unadjusted mean = 0.20 OR = 0.56 Statistically significant, p = 0.02 HomVEE = -0.35 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
Adequate prenatal care Percentage of mothers who received adequate prenatal care during their pregnancy, as defined by the Kotelchuck Index Live birth records Not reported by author Primary
Pregnancy-induced hypertension Percentage of women who experienced pregnancy-induced hypertension 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
Adequate prenatal care (proportion) Favorable Kentucky 2011-2012 matched Birth 4506 mothers Unadjusted mean = 0.74 Unadjusted mean = 0.71 OR = 1.14 Statistically significant, p = 0.05 HomVEE = 0.08 Primary
Maternal complications during delivery (proportion) Favorable Kentucky 2011-2012 matched Birth 4506 mothers Unadjusted mean = 0.02 Unadjusted mean = 0.03 OR = 0.60 Statistically significant, p = 0.01 HomVEE = -0.31 Primary
Maternal weight gain during pregnancy (pounds) Favorable Kentucky 2011-2012 matched Birth 4506 mothers Not reported Not reported MD = -1.2 Statistically significant, p = 0.05 Not available Primary
Pregnancy-induced hypertension (proportion) Favorable Kentucky 2011-2012 matched Birth 4506 mothers Unadjusted mean = 0.09 Unadjusted mean = 0.18 OR = 0.51 Statistically significant, p = 0.00 HomVEE = -0.41 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
Adequate prenatal care (proportion) Percentage of mothers who received adequate prenatal care during their pregnancy, as defined by the Kotelchuck Index Live birth records Not reported by author Primary
Maternal complications during delivery (proportion) Percentage of women who experienced any complications associated with labor and delivery Live birth records Not reported by author Primary
Maternal receipt of WIC (proportion) Percentage of women who received WIC for themselves during pregnancy Live birth records Not reported by author Primary
Maternal weight gain during pregnancy (pounds) The change in reported weight (pounds) from pre-pregnancy to delivery Live birth records Not reported by author Primary
Pregnancy-induced hypertension (proportion) Percentage of women who experienced pregnancy-induced hypertension Live birth records Not reported by author Primary
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