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Maternal Early Childhood Sustained Home-Visiting Program (MECSH)

Meets DHHS criteria for an evidenced based model

Last Updated: May 2013

In Brief for Positive Parenting Practices Outcomes

Impact Studies Rated Moderate


Kemp, L., Harris, E., McMahon, C., Matthey, S., Vimpani, G., Anderson, T., Schmied, V., Aslam, H., & Zapart, S. (2011). Child and family outcomes of a long-term nurse home visitation programme: A randomised controlled trial. Archives of Disease in Childhood, 96, 533-540.
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
HOME avoidance of restriction and punishment No Effect Sydney sample 24 months 174 mothers Mean = 5.75 (SE = 0.13) Mean = 5.50 (SE = 0.13) MD = 0.25 Not Statistically significant, p = 0.18 Not available Primary
HOME maternal involvement with child No Effect Sydney sample 24 months 174 mothers Mean = 3.24 (SE = 0.12) Mean = 3.19 (SE = 0.13) MD = 0.05 Not Statistically significant, p = 0.76 Not available Primary
HOME organization of environment No Effect Sydney sample 24 months 174 mothers Mean = 4.92 (SE = 0.08) Mean = 4.84 (SE = 0.08) MD = 0.09 Not Statistically significant, p = 0.43 Not available Primary
HOME provision of appropriate play materials No Effect Sydney sample 24 months 174 mothers Mean = 6.90 (SE = 0.12) Mean = 6.68 (SE = 0.13) MD = 0.23 Not Statistically significant, p = 0.21 Not available Primary
HOME responsivity Favorable Sydney sample 24 months 174 mothers Mean = 9.35 (SE = 0.13) Mean = 8.88 (SE = 0.14) MD = 0.47 Statistically significant, p = 0.02 Study-reported = 0.26 Primary
HOME variety in daily stimulation No Effect Sydney sample 24 months 174 mothers Mean = 3.75 (SE = 0.08) Mean = 3.67 (SE = 0.08) MD = 0.08 Not Statistically significant, p = 0.49 Not available Primary
Household always smoke free No Effect Sydney sample 24 months 208 mothers 35% 35% OR = 1.00 Not Statistically significant, p = 0.99 HomVEE = 0.00 Secondary
Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Home Observation for Measurement of the Environment (HOME) The HOME assesses parenting practices and aspects of the home environment. The researchers examined the following subscales: avoidance of restriction and punishment, maternal involvement with child, organization of the environment, variety in daily stimulation, parental responsivity, and provision of appropriate play materials. Parent/caregiver interview and observational assessment Not reported Primary
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