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Maternal Infant Health Outreach Worker (MIHOW)®

Last Updated: June 2018

Effects Shown in Research & Outcome Measure Details for Child Health Outcomes

Impact Studies Rated High


Lutenbacher, M., Dietrich, M. S., & Elkins, T. (2016). Evaluation of the Maternal Infant Health Outreach Worker (MIHOW) model in a sample of Hispanic women: A collaborative project between Catholic Charities and Vanderbilt University School of Nursing. Report submitted to the Home Visiting Evidence of Effectiveness (HomVEE) Review.
Show Study Effects Details
About this Table
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
?
Statistical Significance
?
Effect Size
?
Outcome Type
?
Breastfeeding exclusively1 Favorable Davidson County, Tennessee, MIHOW vs. Educational Materials 6 months postpartum 176 Unadjusted proportion = 0.02 Unadjusted proportion = 0.01 MD = 0.01 Statistically significant, p = 0.01 HomVEE = 0.37 Secondary
Child given cereal No Effect Davidson County, Tennessee, MIHOW vs. Educational Materials 6 months postpartum 178 Unadjusted proportion = 0.15 Unadjusted proportion = 0.17 MD = -0.02 Not statistically significant, p = 0.60 HomVEE = -0.08 Secondary
Child given other food No Effect Davidson County, Tennessee, MIHOW vs. Educational Materials 6 months postpartum 178 Unadjusted proportion = 0.91 Unadjusted proportion = 0.92 MD = -0.01 Not statistically significant, p = 0.68 HomVEE = -0.06 Secondary
Child given other food2 Unfavorable Davidson County, Tennessee, MIHOW vs. Educational Materials 2 weeks postpartum 177 Unadjusted proportion = 0.02 Unadjusted proportion = 0.01 MD = 0.01 Statistically significant, p = 0.01 HomVEE = 0.37 Secondary
Child given other liquid2 Favorable Davidson County, Tennessee, MIHOW vs. Educational Materials 2 months postpartum 176 Unadjusted proportion = 0.01 Unadjusted proportion = 0.06 MD = -0.05 Statistically significant, p = 0.00 HomVEE = -1.03 Secondary
Child given other liquid2 No Effect Davidson County, Tennessee, MIHOW vs. Educational Materials 6 months postpartum 178 Unadjusted proportion = 0.90 Unadjusted proportion = 0.91 MD = -0.01 Not statistically significant, p = 0.74 HomVEE = -0.05 Secondary
Ever breastfed child No Effect Davidson County, Tennessee, MIHOW vs. Educational Materials 6 months postpartum 177 Unadjusted proportion = 0.86 Unadjusted proportion = 0.83 MD = 0.03 Not statistically significant, p = 0.57 HomVEE = 0.14 Secondary
Median duration of exclusive breastfeeding, in weeks3 Favorable Davidson County, Tennessee, MIHOW vs. Educational Materials 6 months postpartum 175 Unadjusted median = 1.40 Unadjusted median = 0.30 Median Difference = 1.10 Statistically significant, p = 0.01 Not reported Secondary
Median number of weeks to first food3 No Effect Davidson County, Tennessee, MIHOW vs. Educational Materials 6 months postpartum 163 Unadjusted median = 21.00 Unadjusted median = 20.00 Median Difference = 1.00 Not statistically significant, p = 0.20 Not reported Secondary
Median number of weeks to first other liquid3 No Effect Davidson County, Tennessee, MIHOW vs. Educational Materials 6 months postpartum 161 Unadjusted median = 20.00 Unadjusted median = 20.00 Median Difference = 0.00 Statistically significant, p < 0.001 Not reported Secondary
Median score on the breastfeeding self-efficacy scale (BSES) No Effect Davidson County, Tennessee, MIHOW vs. Educational Materials 2 months postpartum 121 Unadjusted median = 62.00 Unadjusted median = 51.00 Median Difference = 11.00 Not reported Not reported Primary
Never breastfed6 No Effect Davidson County, Tennessee, MIHOW vs. Educational Materials 6 months postpartum 175 Unadjusted proportion = 0.14 Unadjusted proportion = 0.18 MD = -0.03 Not statistically significant, p = 0.34 HomVEE = -0.14 Secondary
Never breastfed exclusively4 Favorable Davidson County, Tennessee, MIHOW vs. Educational Materials 6 months postpartum 176 Unadjusted proportion = 0.56 Unadjusted proportion = 0.79 MD = -0.24 Statistically significant, p = 0.00 HomVEE = -0.67 Secondary
Still breastfeeding5 No Effect Davidson County, Tennessee, MIHOW vs. Educational Materials 6 months postpartum 175 Unadjusted proportion = 0.50 Unadjusted proportion = 0.49 MD = 0.01 Not statistically significant, p = 0.92 HomVEE = 0.01 Secondary
Stopped breastfeeding6 No Effect Davidson County, Tennessee, MIHOW vs. Educational Materials 2 weeks postpartum 175 Unadjusted proportion = 0.02 Unadjusted proportion = 0.02 MD = 0.00 Not statistically significant, p = 0.72 HomVEE = -0.05 Secondary
Stopped breastfeeding6 Unfavorable Davidson County, Tennessee, MIHOW vs. Educational Materials 2 months postpartum 175 Unadjusted proportion = 0.16 Unadjusted proportion = 0.09 MD = 0.06 Statistically significant, p = 0.02 HomVEE = 0.35 Secondary
Stopped breastfeeding6 No Effect Davidson County, Tennessee, MIHOW vs. Educational Materials 6 months postpartum 175 Unadjusted proportion = 0.18 Unadjusted proportion = 0.21 MD = -0.03 Not statistically significant, p = 0.39 HomVEE = -0.13 Secondary
Stopped breastfeeding exclusively7 Unfavorable Davidson County, Tennessee, MIHOW vs. Educational Materials 2 weeks postpartum 176 Unadjusted proportion = 0.23 Unadjusted proportion = 0.12 MD = 0.12 Statistically significant, p = 0.00 HomVEE = 0.51 Secondary
Stopped breastfeeding exclusively7 Unfavorable Davidson County, Tennessee, MIHOW vs. Educational Materials 2 months postpartum 176 Unadjusted proportion = 0.19 Unadjusted proportion = 0.08 MD = 0.11 Statistically significant, p = 0.00 HomVEE = 0.59 Secondary

1 Proportions indicate the percentages of women who selected this response to a closed-ended question on duration of exclusive breastfeeding that included four possible responses. Authors analyzed all four responses collectively using a Mann-Whitney test; we report a HomVEE-calculated effect size and p-value associated with the individual response.

2 Negative effect size is favorable to the intervention.

3 Statistical significance is based on the authors’ analysis using a Mann-Whitney test.

4 Proportions indicate the percentages of women who selected this response to a closed-ended question on duration of exclusive breastfeeding that included four possible responses. Authors analyzed all four responses collectively using a Mann-Whitney test; we report a HomVEE-calculated effect size and p-value associated with the individual response. Negative veffect size is favorable to the intervention.

5 Proportions indicate the percentages of women who selected this response to a closed-ended question on duration of breastfeeding practices that included five possible responses. Authors analyzed all five responses collectively using a Mann-Whitney test; we report a HomVEE-calculated effect size and p-value associated with the individual response.

6 Proportions indicate the percentages of women who selected this response to a closed-ended question on duration of breastfeeding practices that included five possible responses. Authors analyzed all five responses collectively using a Mann-Whitney test; we report a HomVEE-calculated effect size and p-value associated with the individual response. Negative effect size is favorable to the intervention.

7 Proportions indicate the percentages of women who selected this response to a closed-ended question on duration of exclusive breastfeeding that included four possible responses. Authors analyzed all four responses collectively using a Mann-Whitney test; we report a HomVEE-calculated effect size and p-value associated with the individual response. Negative effect size is favorable to the intervention.

Show Study Outcome Measure Summary
About This Table
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
?
Breastfeeding exclusively Question from the National Survey of Children’s Health Mother report Not reported by author Secondary
Child given cereal Question from the Infant Feeding Practices Study II Mother report Not reported by author Secondary
Child given other food Question from the Perinatal Risk Assessment Monitory System Survey Mother report Not reported by author Secondary
Child given other liquid Question from the National Survey of Children’s Health Mother report Not reported by author Secondary
Ever breastfed the child Question from the Perinatal Risk Assessment Monitory System Survey Mother report Not reported by author Secondary
Median duration of exclusive breastfeeding, in weeks Question from the National Survey of Children’s Health Mother report Not reported by author Secondary
Median number of weeks to first food Question from the Perinatal Risk Assessment Monitory System Survey Mother report Not reported by author Secondary
Median number of weeks to first other liquid Question from the National Survey of Children’s Health Mother report Not reported by author Secondary
Median score on the breastfeeding self-efficacy scale (BSES) The BSES Short Form uses a 5-point scale on 14 questions to assess a mother's confidence breastfeeding her child. Mother report Cronbach’s alpha of 0.93–0.95 Primary
Never breastfed Question from the Perinatal Risk Assessment Monitory System Survey Mother report Not reported by author Secondary
Never breastfed exclusively Question from the National Survey of Children’s Health Mother report Not reported by author Secondary
Still breastfeeding Question from the Perinatal Risk Assessment Monitory System Survey Mother report Not reported by author Secondary
Stopped breastfeeding Question from the National Survey of Children’s Health Mother report Not reported by author Secondary
Stopped breastfeeding exclusively Question from the National Survey of Children’s Health Mother report Not reported by author Secondary
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Impact Studies Rated Moderate


Lutenbacher, M., Dietrich, M. S., & Elkins, T. (2016). Evaluation of the Maternal Infant Health Outreach Worker (MIHOW) model in a sample of Hispanic women: A collaborative project between Catholic Charities and Vanderbilt University School of Nursing. Report submitted to the Home Visiting Evidence of Effectiveness (HomVEE) Review.
Show Study Effects Details
About this Table
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
?
Statistical Significance
?
Effect Size
?
Outcome Type
?
Child given other liquid1 Favorable Davidson County, Tennessee, MIHOW vs. Educational Materials 2 weeks postpartum 176 Unadjusted proportion = 0.00 Unadjusted proportion = 0.04 MD = -0.04 Statistically significant, p = 0.00 HomVEE = -6.34 Secondary

1 Negative effect size is favorable to the intervention.

Show Study Outcome Measure Summary
About This Table
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
?
Child given other liquid Question from the National Survey of Children’s Health Mother report Not reported by author Secondary
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