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Healthy Beginnings

Meets DHHS criteria for an evidenced based model

In Brief

Last Updated

June 2015

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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” for the general population, but does not meet the criteria for tribal populations.

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Program Model Description

Healthy Beginnings was a demonstration project in Sydney, Australia, implemented from 2007 to 2010. Healthy Beginnings targeted first-time mothers of infants from socially and economically disadvantaged areas. The model aimed to prevent childhood obesity by improving children’s and families’ eating patterns, reducing sedentary activities such as television viewing, and increasing physical activity. In Healthy Beginnings, nurse home visitors addressed the following topics during each visit: infant nutrition and physical activity, family nutrition and physical activity, and family social support. The home visitors offered referrals if the family had questions or concerns unrelated to the discussion topics. Telephone support was available between visits. Families received eight home visits from the prenatal period through age 24 months. Each visit ranged in length from 45 to 90 minutes. 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 27
Eligible for review 3
     Rated high 0
     Rated moderate 2
     Rated low 1
     Additional sourcesa 0

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

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

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

Child Health

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

Favorable: 8
No effect: 8
Unfavorable or ambiguous: 0

Family Economic Self-Sufficiency Not measured Not measured
Linkages and Referrals Not measured Not measured
Maternal Health

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

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

Positive Parenting Practices

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

Favorable: 10
No effect: 0
Unfavorable or ambiguous: 0

Reductions in Child Maltreatment Not measured Not measured
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 Yes

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 DHHS Criteria for Evidence-Based Program Models for more information.

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