Health Access Nurturing Development Services (HANDS) Program Meets HHS Criteria

Model effectiveness research report last updated: 2015

Effects shown in research

To see details on each finding HomVEE reviewed in well-designed research, click on the name of an outcome domain.

Effects shown in research

Maternal health

Findings rated moderate

Health Access Nurturing Development Services (HANDS) Program
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Adequate prenatal care
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched, Bluegrass 898 mother/child dyads Unadjusted mean = 0.77 Unadjusted mean = 0.50 OR = 4.23 HomVEE calculated = 0.87 Statistically significant, p = 0.00
Pregnancy-induced hypertension
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched, Bluegrass 898 mother/child dyads Unadjusted mean = 0.11 Unadjusted mean = 0.20 OR = 0.49 HomVEE calculated = -0.43 Statistically significant, p = 0.00

footnote213

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Negative effect is favorable.
Health Access Nurturing Development Services (HANDS) Program
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Adequate prenatal care
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched, KIPDA 376 mother/child dyads Unadjusted mean = 0.65 Unadjusted mean = 0.72 OR = 0.78 HomVEE calculated = -0.15 Not statistically significant, p = 0.17
Pregnancy-induced hypertension
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched, KIPDA 376 mother/child dyads Unadjusted mean = 0.11 Unadjusted mean = 0.20 OR = 0.56 HomVEE calculated = -0.35 Statistically significant, p = 0.02

footnote213

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Negative effect is favorable.
Health Access Nurturing Development Services (HANDS) Program
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Adequate prenatal care (proportion)
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched 4506 mothers Unadjusted mean = 0.74 Unadjusted mean = 0.71 OR = 1.14 HomVEE calculated = 0.08 Statistically significant, p = 0.05
Maternal complications during delivery (proportion)
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched 4506 mothers Unadjusted mean = 0.02 Unadjusted mean = 0.03 OR = 0.60 HomVEE calculated = -0.31 Statistically significant, p = 0.01

footnote213

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Negative effect is favorable.
Maternal weight gain during pregnancy (pounds)
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched 4506 mothers Not reported Not reported Mean difference = -1.20 Not available Statistically significant, p = 0.05
Pregnancy-induced hypertension (proportion)
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched 4506 mothers Unadjusted mean = 0.09 Unadjusted mean = 0.18 OR = 0.51 HomVEE calculated = -0.41 Statistically significant, p = 0.00

footnote213

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Negative effect is favorable.
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Child health

Findings rated moderate

Health Access Nurturing Development Services (HANDS) Program
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Infant deceased in hospital (proportion)
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched 4506 infants Unadjusted mean = 0.00 Unadjusted mean = 0.02 OR = 0.06 HomVEE calculated = -1.70 Statistically significant, p = 0.00

footnote213

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Negative effect is favorable.
Low birth weight (proportion)
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched 4506 infants Unadjusted mean = 0.07 Unadjusted mean = 0.12 OR = 0.54 HomVEE calculated = -0.37 Statistically significant, p = 0.00

footnote213

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Negative effect is favorable.
Preterm birth (proportion)
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched 4506 infants Unadjusted mean = 0.11 Unadjusted mean = 0.14 OR = 0.74 HomVEE calculated = -0.18 Statistically significant, p = 0.00

footnote213

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Negative effect is favorable.
Health Access Nurturing Development Services (HANDS) Program
Show findings details
Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Low birth weight
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched, Bluegrass 898 mother/child dyads Unadjusted mean = 0.08 Unadjusted mean = 0.05 OR = 1.57 HomVEE calculated = 0.27 Not statistically significant, p = 0.10
Preterm birth
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched, Bluegrass 898 mother/child dyads Unadjusted mean = 0.10 Unadjusted mean = 0.31 OR = 0.21 HomVEE calculated = -0.95 Statistically significant, p = 0.00

footnote213

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Negative effect is favorable.
Health Access Nurturing Development Services (HANDS) Program
Show findings details
Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Breastfeeding
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched, KIPDA 376 mother/child dyads Unadjusted mean = 0.70 Unadjusted mean = 0.54 OR = 2.16 HomVEE calculated = 0.47 Statistically significant, p = 0.00
Low birth weight
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched, KIPDA 376 mother/child dyads Unadjusted mean = 0.07 Unadjusted mean = 0.15 OR = 0.44 HomVEE calculated = -0.50 Statistically significant, p = 0.02

footnote213

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Negative effect is favorable.
Preterm birth
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched, KIPDA 376 mother/child dyads Unadjusted mean = 0.12 Unadjusted mean = 0.15 OR = 0.76 HomVEE calculated = -0.17 Not statistically significant, p = 0.36
Health Access Nurturing Development Services (HANDS) Program
Show findings details
Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Breastfeeding (proportion)
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched 4506 mothers Unadjusted mean = 0.55 Unadjusted mean = 0.57 OR = 0.91 HomVEE calculated = -0.06 Not statistically significant, p = 0.15
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Reductions in child maltreatment

Findings rated moderate

Health Access Nurturing Development Services (HANDS) Program
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Substantiated reports of child maltreatment (proportion)
FavorableUnfavorable or ambiguousNo Effect
 Unknown Kentucky 2011-2012 matched 4506 infants Unadjusted mean = 0.06 Unadjusted mean = 0.11 OR = 0.53 HomVEE calculated = -0.38 Statistically significant, p = 0.00

footnote213

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Negative effect is favorable.
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Family economic self-sufficiency

Findings rated moderate

Health Access Nurturing Development Services (HANDS) Program
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Maternal receipt of WIC
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched, Bluegrass 898 mother/child dyads Unadjusted mean = 0.89 Unadjusted mean = 0.71 OR = 3.31 HomVEE calculated = 0.72 Statistically significant, p = 0.00
Health Access Nurturing Development Services (HANDS) Program
Show findings details
Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Maternal receipt of WIC
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched, KIPDA 376 mother/child dyads Unadjusted mean = 0.80 Unadjusted mean = 0.87 OR = 0.52 HomVEE calculated = -0.40 Statistically significant, p = 0.04
Health Access Nurturing Development Services (HANDS) Program
Show findings details
Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Maternal receipt of WIC (proportion)
FavorableUnfavorable or ambiguousNo Effect
 Birth Kentucky 2011-2012 matched 4506 mothers Unadjusted mean = 0.92 Unadjusted mean = 0.88 OR = 1.57 HomVEE calculated = 0.27 Statistically significant, p = 0.00
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In brief

Evidence of model effectiveness

Title General population Tribal population Domains with favorable effects
Health Access Nurturing Development Services (HANDS) Program Yes, Meets HHS Criteria Meets HHS criteria Does not meet HHS criteria for tribal population because the model has not been evaluated with a tribal population.
  • Child health,
  • Family economic self-sufficiency,
  • Maternal health,
  • Reductions in child maltreatment,

16

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. 

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39

Results of search and review
Number of manuscripts
At least one finding was eligible for review…
10
  …and at least one finding rated high
0
  …and at least one finding rated moderate (but none rated high)
4
  …and all findings that were eligible for review rated low or indeterminate2
4
  …but manuscript is additional source3
2

1When an individual manuscript reports findings from multiple studies, HomVEE reviews each study as a distinct manuscript. In these rare instances, HomVEE counts that manuscript multiple times in this table, once for each study identified, screened, and reviewed by HomVEE.

2Manuscripts that receive a rating of indeterminate have findings that may rate moderate or high in response to additional information from the author. The indeterminate rating was applied to manuscripts beginning with the 2023 review.

3Additional sources have findings or details that perfectly overlap with another manuscript and are not rated.

For more information, see the research database. For more information on the criteria used to rate research, please see details of HomVEE’s methods and standards.

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103

To see details on each finding HomVEE reviewed in well-designed research, click on the name of an outcome domain in the tables below. Findings rated low quality by HomVEE are not summarized here.

Outcomes
Findings

Outcome Child Development and School Readiness

Not measured

Outcome Child Health

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

Outcome Family Economic Self-Sufficiency

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

Outcome Linkages and Referrals

Not measured

Outcome Maternal Health

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

Outcome Positive Parenting Practices

Not measured

Outcome Reductions In Child Maltreatment

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

Outcome Reductions in Juvenile Delinquency, Family Violence, and Crime

Not measured

The section above focuses on findings from the full sample in a study. Subgroups that have been replicated in distinct samples also have findings reported above. HomVEE does not report the findings of non-replicated subgroups. Beginning with research reviewed in 2021, however, HomVEE lists those subgroups on the details page of each manuscript that had at least one finding that rated moderate or high.

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29

Information based on comprehensive review of all high- and moderate-rated manuscripts
CriterionCriterion descriptionCriterion met?
1High- or moderate-quality impact study?Yes
2Across 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
3Favorable impacts on full sample?Yes
4Any favorable impacts on outcome measures sustained at least 12 months after model enrollment?
Reported for all research but only required for RCTs.		Yes
5One or more favorable, statistically significant impact reported in a peer-reviewed journal?
Reported for all research but only required for RCTs.		No

Notes: If the model does not meet criterion 3 but meets criteria 1 and 2 based on findings from subgroups, the impacts must be replicated in the same domain in two or more studies using non-overlapping analytic study samples. HomVEE assesses and reports criteria 4 and 5 for all models that have well-designed research, but meeting those two criteria is only required of models for which all findings are from randomized controlled trials. Please read the HHS criteria for evidence-based models for more information.

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