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Healthy Beginnings

Meets DHHS criteria for an evidenced based model

Last Updated: June 2015

In Brief for Child Health Outcomes

Impact Studies Rated Moderate


Wen, L. M., Baur, L. A., Simpson, J. M., Rissel, C., & Flood, V. M. (2011). Effectiveness of an early intervention on infant feeding practices and "tummy time": A randomized controlled trial. Archives of Pediatrics & Adolescent Medicine, 165(8), 701-707.
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 (yes/no)-Chi-square 12 months Favorable Sydney, Australia Healthy Beginnings Trial 12 months 527 mothers Unadjusted mean = 0.21 Unadjusted mean = 0.15 MD = 0.06 Statistically significant,
p < 0.05
HomVEE = 0.25 Secondary
Breastfeeding (yes/no)-Chi-square 6 months Favorable Sydney, Australia Healthy Beginnings Trial 6 months 561 mothers Unadjusted mean = 0.42 Unadjusted mean = 0.32 MD = 0.10 Not statistically significant,
p = <0.05
HomVEE = 0.26 Secondary
Breastfeeding duration (weeks)-12 months Favorable Sydney, Australia Healthy Beginnings Trial 12 months 527 mothers Unadjusted mean = 0.17 Unadjusted mean = 0.13 MD = 0.04 Statistically significant,
p = 0.03
Not available Secondary
Breastfeeding exclusive (yes/no)-6 months No Effect Sydney, Australia Healthy Beginnings Trial 6 months 561 mothers Unadjusted mean = 0.04 Unadjusted mean = 0.02 MD = 0.02 Not statistically significant,
p = 0.14
HomVEE = 0.45 Secondary
Introduction of solids (4 months or younger) Favorable Sydney, Australia Healthy Beginnings Trial 6 months 561 mothers Unadjusted mean = 0.18 Unadjusted mean = 0.26 MD = -0.08 Statistically significant,
p = 0.00
HomVEE = -0.30 Secondary
Introduction of solids (5 months) Favorable Sydney, Australia Healthy Beginnings Trial 6 months 561 mothers Unadjusted mean = 0.44 Unadjusted mean = 0.48 MD = -0.04 Statistically significant,
p = 0.00
HomVEE = -0.10 Secondary
Introduction of solids (6 months) Favorable Sydney, Australia Healthy Beginnings Trial 6 months 561 mothers Unadjusted mean = 0.39 Unadjusted mean = 0.26 MD = 0.13 Statistically significant,
p = 0.00
HomVEE = 0.35 Secondary
Introduction of solids (before 6 months) Favorable Sydney, Australia Healthy Beginnings Trial 6 months 561 mothers Unadjusted mean = 0.62 Unadjusted mean = 0.74 MD = -0.12 Statistically significant,
p = 0.00
HomVEE = -0.34 Secondary

1 Authors indicated that negative effect favors the treatment group.

Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Breastfeeding (yes/no)-Chi-square 12 months Percentage of mothers who were breastfeeding 12 months after the child's birth Mother report Not applicable Secondary
Breastfeeding (yes/no)-Chi-square 6 months Percentage of mothers who were breastfeeding 6 months after the child's birth Mother report Not applicable Secondary
Breastfeeding duration (weeks)-12 months The number of weeks the mother breastfed her child Mother report Not applicable Secondary
Breastfeeding exclusive (yes/no)-6 months Whether the mother was exclusively breastfeeding (no other liquids or solid foods) at 6 months Mother report Not applicable Secondary
Introduction of solids (4 months or younger) The percentage of mothers who introduced solid foods when the child was 4 months or younger Mother report Not applicable Secondary
Introduction of solids (5 months) The percentage of mothers who introduced solid foods when the child was 5 months old Mother report Not applicable Secondary
Introduction of solids (6 months) The percentage of mothers who introduced solid foods when the child was 6 months old Mother report Not applicable Secondary
Introduction of solids (before 6 months) The percentage of mothers who introduced solid foods prior to child turning 6 months of age Mother report Not applicable Secondary

Wen, L. M., Baur, L. A., Simpson, J. M., Rissel, C., Wardle, K., & Flood, V. M. (2012). Effectiveness of home based early intervention on children's BMI at age 2: Randomised controlled trial. BMJ, 344, e3732.
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
BMI-Complete Case Analysis Favorable Sydney, Australia Healthy Beginnings Trial 24 months 483 children Unadjusted mean = 16.49 Unadjusted mean = 16.87 MD = -0.38 Statistically significant,
p = 0.01
HomVEE = -0.22 Primary
Child drink soft drink-Complete Case Analysis No Effect Sydney, Australia Healthy Beginnings Trial 24 months 495 children Unadjusted mean = 0.24 Unadjusted mean = 0.26 MD = -0.03 Not statistically significant,
p = 0.48
HomVEE = -0.09 Secondary
Child eat french fries-Complete Case Analysis No Effect Sydney, Australia Healthy Beginnings Trial 24 months 496 children Unadjusted mean = 0.86 Unadjusted mean = 0.88 MD = -0.02 Not statistically significant,
p = 0.65
HomVEE = -0.09 Secondary
Child eat salty snack-Complete Case Analysis No Effect Sydney, Australia Healthy Beginnings Trial 24 months 496 children Unadjusted mean = 0.65 Unadjusted mean = 0.70 MD = -0.04 Not statistically significant,
p = 0.29
HomVEE = -0.12 Secondary
Child eat sweet snack everyday-Complete Case Analysis No Effect Sydney, Australia Healthy Beginnings Trial 24 months 497 children Unadjusted mean = 0.73 Unadjusted mean = 0.77 MD = -0.04 Not statistically significant,
p = 0.31
HomVEE = -0.13 Secondary
Child fruit >= 1 serving/day-Complete Case Analysis No Effect Sydney, Australia Healthy Beginnings Trial 24 months 497 children Unadjusted mean = 0.90 Unadjusted mean = 0.93 MD = -0.02 Not statistically significant,
p = 0.43
HomVEE = -0.18 Secondary
Child outdoor play >=120 minutes/day-Complete Case Analysis No Effect Sydney, Australia Healthy Beginnings Trial 24 months 484 children Unadjusted mean = 0.62 Unadjusted mean = 0.61 MD = 0.01 Not statistically significant,
p = 0.90
HomVEE = 0.01 Secondary
Child vegetable >= 1 serving/day-Complete Case Analysis Favorable Sydney, Australia Healthy Beginnings Trial 24 months 497 children Unadjusted mean = 0.89 Unadjusted mean = 0.83 MD = 0.07 Statistically significant,
p = 0.03
HomVEE = 0.35 Secondary
Child water >3 cups/day-Complete Case Analysis No Effect Sydney, Australia Healthy Beginnings Trial 24 months 496 children Unadjusted mean = 0.24 Unadjusted mean = 0.19 MD = 0.06 Not statistically significant,
p = 0.12
HomVEE = 0.21 Secondary
Length-Complete Case Analysis No Effect Sydney, Australia Healthy Beginnings Trial 24 months 483 children Unadjusted mean = 88.73 Unadjusted mean = 88.42 MD = 0.31 Not statistically significant,
p = 0.35
Not available Primary
Weight-Complete Case Analysis No Effect Sydney, Australia Healthy Beginnings Trial 24 months 483 children Unadjusted mean = 12.98 Unadjusted mean = 13.15 MD = -0.17 Not statistically significant,
p = 0.24
Not available Primary

1 Authors indicated that negative effect favors the treatment group.

Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
BMI-Complete Case Analysis Body Mass Index based on direct measures of height and weight Direct Measurement Not applicable Primary
Child drink soft drink-Complete Case Analysis Percentage of children who drink soft drinks Mother report Not applicable Secondary
Child eat french fries-Complete Case Analysis Percentage of children who ate french fries Mother report Not applicable Secondary
Child eat salty snack-Complete Case Analysis Percentage of children who eat salty snacks Mother report Not applicable Secondary
Child eat sweet snack everyday-Complete Case Analysis Percentage of children who eat sweet snacks Mother report Not applicable Secondary
Child fruit >= 1 serving/day-Complete Case Analysis Percentage of children consuming one or more servings of fruit a day Mother report Not applicable Secondary
Child outdoor play >=120 minutes/day-Complete Case Analysis Percentage of children who played outside for 120 minutes or more per day Mother report Not applicable Secondary
Child vegetable >= 1 serving/day-Complete Case Analysis Percentage of children consuming one or more servings of vegetable a day Mother report Not applicable Secondary
Child water >3 cups/day-Complete Case Analysis Percentage of children drinking more than 3 cups of water per day Mother report Not applicable Secondary
Length-Complete Case Analysis Child length (cm) Direct Measurement Not applicable Primary
Weight-Complete Case Analysis Child weight (kg) Direct Measurement Not applicable Primary
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