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Resources, Education, and Care in the Home (REACH)

Last Updated: July 2011

In Brief for Child Health Outcomes

Impact Studies Rated Moderate


Barnes-Boyd, C., Norr, K. F., & Nacion, K. W. (1996). Evaluation of an interagency home visiting program to reduce postneonatal mortality in disadvantaged communities. Public Health Nursing, 13(3), 201-208.
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
Incidence of preventable health problems No Effect REACH and Comparison Group II 7 to 15 days after birth 531 infants 75% had no problems 55% had no problems 25 Not statistically significant, p > 0.05 Not available Primary
Number of illnesses in first year of life Favorable REACH and Comparison Group III 12 months 372 infants 46% had no illnesses 6% had no illnesses 40 Statistically significant, p < 0.05 Not available Secondary
One or more physical problems at 12-month visit No Effect REACH and Comparison Group III 12 months 327 infants 25% 29% -4 Not statistically significant, p > 0.05 HomVEE=-0.12 Secondary
Postneonatal Mortality Rate No Effect REACH and Comparison Group I 12 months 1,775 infants 4.7 per 1,000 5.2 to 10.9 per 1,000 Not available Not available Not available Primary
Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Incidence of preventable health problems Measures the incidence of preventable health problems, including upper and lower respiratory infections, eye infections, thrush, diarrhea, cord infections, skin rashes or infections, and injuries. Child physical examination 7-15 days after birth Not applicable Primary
Number of illnesses in first year of life Provides a count of the total illnesses recalled by the mother during the child’s first year of life Parent/caregiver report Not applicable Secondary
One or more physical problems at 12-month visit Measures the percentage of children with one or more physical problems at the 12–month visit. Common problems included skin infections or rashes and upper respiratory infections. Child physical examination Not applicable Secondary
Postneonatal Mortality Rate Percentage of newborns dying between 28 and 364 days of age. Review of medical records Not applicable Primary
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