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Home-Start

Last Updated: October 2012

In Brief for Maternal Health Outcomes

Impact Studies Rated Moderate


Barnes, J., Senior, R., & MacPherson, K. (2009). The utility of volunteer home-visiting support to prevent maternal depression in the first year of life. Child: Care, Health & Development, 35(6), 807-816. doi:10.1111/j.1365-2214.2009.01007.x
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
EPDS1 No Effect Home-Start and matched controls 12 months 184 mothers Not available Not available Not available Not available Not available Secondary
EPDS1 No Effect Home-Start and No Home-Start Support 12 months 184 mothers Not available Not available Not available Not available Not available Secondary
SCID: Major or Minor Depression at 12 months No Effect Home-Start and matched controls 12 months 184 mothers Not available Not available Not available Not statistically significant, p = 0.45 Not available Secondary
SCID: Major or Minor Depression at 12 months No Effect Home-Start and No Home-Start Support 12 months 184 mothers Not available Not available Not available Not statistically significant, p = 0.65 Not available Secondary

1 Results were pooled across three groups and thus cannot be reported separately for the two groups of interest. Because of the lack of sufficient information, this outcome has been categorized as no effect. In their analysis, the authors also reported no significant difference (p=0.75) across the groups.

Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
EPDS The Edinburgh Postnatal Depression Scale (EPDS) is a 10–item questionnaire designed to identify postnatal depression. Items are scored 0–3, with a cut–off of 13 or more indicating depression. Parent/caregiver report Cronbach’s α = 0.87 Secondary
SCID : Major or Minor Depression at 12 months The Structured Clinical Interview for Diagnosticand Statistical Manual Third EditionRevised DepressionSection fromthe Mood DisordersModule(SCID)was used to assess nine symptoms: depressed mood; loss of interest or pleasure; insomnia or hypersomnia; psychomotor agitation or retardation; fatigue or loss of energy; feelings of worthlessness or guilt; impaired concentration or ability to make decisions; and thoughts of suicide or self–harm. A minor depressive episode is two to four of the nine symptoms while a major depressive episode is five or more. Depressed mood and/or loss of interest or pleasure are required for diagnosis. Parent/caregiver report Cronbach’s α = 0.93 Secondary
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