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Study Detail

Williams, C. M., Asaolu, I., English, B., Jewell, T., Smith, K., & Robl, J. (2014). Maternal and child health improvement by HANDS home visiting program in the Bluegrass area development district (Unpublished manuscript). University of Kentucky Department of Obstetrics and Gynecology, Lexington, KY.

Program(s) Reviewed: Health Access Nurturing Development Services (HANDS) Program

Study Screening Details

Screening DecisionScreening Conclusion
Study Passes ScreensEligible for Review

Study Design Details

RatingDesignAttritionBaseline EquivalenceReassignmentConfounding Factors
ModerateQuasi-experimental designNot applicableEstablished on race; established on SES.Outcome measures were not assessable at baseline.NoneNone

Study Characteristics

Study Participants This study examined 898 mother–infant pairs. Among these, 449 were HANDS participants and 449 were in a comparison group. All study participants were first-time parents, had at least two risk factors, and were either pregnant or had a child who was age 3 months or younger. Risk factors included unemployment, isolation, history of substance abuse, unstable housing, limited parental education, domestic violence, poor prenatal care, and maternal depression. Study participants were 68 percent white, non-Hispanic; 20 percent black, non-Hispanic; 8 percent Hispanic; and 4 percent some other race. Most (72 percent) of the sample had Medicaid coverage at the time of referral, and 33 percent of the mothers in the sample had less than 12 years of education.
Setting Bluegrass Area Development District, Kentucky
Home Visiting Services Women could enroll in HANDS during pregnancy or until the infant was 3 months old. Home visiting services continued until the child's second birthday. Home visiting services included education and development of parenting skills, linking families to medical homes, assisting families to meet basic needs, and direct service delivery for the mother and child.
Comparison Condition Mother–infant pairs in the comparison groups were selected from the group of mothers referred to HANDS. Mothers in the comparison condition completed a screening tool and were found to be eligible for home visits, but chose not to participate and did not receive any home visits.
Staff Characteristics and Training Home visitors were professionals and paraprofessionals. Professionals were licensed public health nurses, social workers, college graduates with case management experience, or individuals with advanced training in early childhood education. Paraprofessionals had to be age 18 or older, supervised by a licensed public health nurse or social worker, and had to complete pre-service and ongoing training.
Funding Source Kentucky Department for Public Health, funded through MIECHV grants D89MC23538 and X02MC27402.
Author Affiliation Two of the authors are affiliated with the University of Kentucky Department of Obstetrics and Gynecology and four with the Kentucky Department for Public Health. The Kentucky Department for Public Health developed the HANDS model.

Study Registration

Clinicaltrials.gov Identifier: Not found. Study registration was assessed by HomVEE beginning with the 2014 review.

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