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Health Access Nurturing Development Services (HANDS) Program

In Brief

Evidence of Program Model Effectiveness

This program model meets the criteria established by the Department of Health and Human Services (DHHS) for an “evidence-based early childhood home visiting service delivery model.”

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Program Model Description

HANDS is a voluntary home visiting program designed to prevent child maltreatment, improve family functioning, facilitate positive pregnancy and child health outcomes, and maximize child growth and development. The program targets first-time pregnant mothers or parents with children up to 3 months old, who have multiple challenges, such as single parenthood, low income, substance abuse problems, or being victims of abuse or domestic violence. A trained paraprofessional or professional home visitor, such as a social worker, conducts prenatal and postnatal home visits with parents; provides parenting information, problem solving techniques, parenting skill development; and addresses basic needs. The level of services offered to families varies and is based on the needs of the family and the pace at which they progress through the program. For more information, please read the Program Model Overview.

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Extent of Evidence

Results of Search and ReviewNumber of Studies
Released from 1979 to 2014 22
Eligible for review 10
     Rated high 0
     Rated moderate 4
     Rated low 4
     Additional sourcesa 2

aAdditional sources overlap with another study and are not rated.

For more information, see the study database. For more information on the criteria used to determine the study ratings, please read Producing Study Ratings.

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Summary of Findings



Outcomes Primary Outcome Measures Secondary Outcome Measures
Child Development and School Readiness Not measured Not measured
Child Health

Favorable: 6
No effect: 3
Unfavorable or ambiguous: 0

Favorable: 0
No effect: 0
Unfavorable or ambiguous: 0

Family Economic Self-Sufficiency

Favorable: 2
No effect: 0
Unfavorable or ambiguous: 1

Favorable: 0
No effect: 0
Unfavorable or ambiguous: 0

Linkages and Referrals Not measured Not measured
Maternal Health

Favorable: 7
No effect: 1
Unfavorable or ambiguous: 0

Favorable: 0
No effect: 0
Unfavorable or ambiguous: 0

Positive Parenting Practices Not measured Not measured
Reductions in Child Maltreatment

Favorable: 1
No effect: 0
Unfavorable or ambiguous: 0

Favorable: 0
No effect: 0
Unfavorable or ambiguous: 0

Reductions in Juvenile Delinquency, Family Violence, and Crime Not measured Not measured

Please read Describing Effects for more information on these categories. Only results from studies that meet the standards for the high or moderate ratings are included above.

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Criteria Established by the Department of Health and Human Services

Information Based on Comprehensive Review of All High- and Moderate-Impact Studies for this Model
High- or moderate-quality impact study? Yes
Across high- or moderate-quality studies, favorable impacts in…
 
   at least two outcome domains within one sample
 
   OR
 
   the same domain for at least two non-overlapping samples?
Yes
Favorable impacts on full sample? Yes
Any favorable impacts on outcome measures sustained at least 12 months after program enrollment?a Yes
One or more favorable, statistically significant impact reported in a peer-reviewed journal?a No

aThis information is reported for all program models, but the requirements for sustained findings and inclusion in a peer-reviewed journal only apply to models for which all findings are from randomized controlled trials.

Please read the DHHSCriteria for Evidence-Based Program Models for more information.

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Last Updated

July 2015

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