Healthy Steps (National Evaluation 1996 Protocol) Meets HHS Criteria

This report focuses on Healthy Steps as implemented in the 1996 evaluation. HHS has determined that home visiting is not the primary service delivery strategy and the model does not meet current requirements for MIECHV program implementation.

Last updated: July 2011

Effects Shown in Research & Outcome Measure Details

Maternal Health

Outcomes Rated High

Healthy Steps (National Evaluation 1996 Protocol)
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Outcome measure Effect Follow-up Timing Sample Sample Size Program Group Comparison Group Group Difference Effect size Statistical significance Outcome Type
Mother resumed smoking
FavorableUnfavorableNo Effect
2-4 months The 6 RCT national evaluation sites 1987 mothers Not reported Not reported OR = 1.20 HomeVEE calculated = -0.02 Not statistically significant, p > 0.05 Secondary
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Outcome Measure Outcome Measure Description Collection method Properties Outcome Type Operations links

Mother resumed smoking

Percentage of mothers who resumed smoking after the birth of their child Parent/caregiver report

Not reported by author

Secondary
Healthy Steps - PrePare supplement relative to Healthy Steps only subgroup
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Outcome measure Effect Follow-up Timing Sample Sample Size Program Group Comparison Group Group Difference Effect size Statistical significance Outcome Type
CES-D scale
FavorableUnfavorableNo Effect
30 months Healthy Steps sample 239 mothers Mean = 4.74 Mean = 3.80 Mean difference = 0.55 Not available Statistically significant,
p < 0.05
Secondary
Any illicit drug use in past year
FavorableUnfavorableNo Effect
30 months Healthy Steps sample 239 mothers Mean = 0.07 Mean = 0.05 OR = 1.02 HomeVEE calculated = 0.01 Not statistically significant,
p > 0.05
Secondary
Clinically significant depressive symptoms
FavorableUnfavorableNo Effect
30 months Healthy Steps sample 239 mothers Mean = 0.10 Mean = 0.07 OR = 0.93 HomeVEE calculated = -0.04 Not statistically significant,
p > 0.05
Secondary
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Healthy Steps - PrePare supplement relative to Healthy Steps only subgroup
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Outcome measure Effect Follow-up Timing Sample Sample Size Program Group Comparison Group Group Difference Effect size Statistical significance Outcome Type
CES-D score above clinical cutoff
FavorableUnfavorableNo Effect
3 months Healthy Steps sample 275 mothers Mean = 0.06 Mean = 0.07 OR = 0.65 HomeVEE calculated = -0.26 Not statistically significant,
p > 0.05
Secondary
Any CES-D mental health symptoms
FavorableUnfavorableNo Effect
3 months Healthy Steps sample 275 mothers Mean = 0.14 Mean = 0.01 OR = 0.95 HomeVEE calculated = -0.03 Not statistically significant,
p > 0.05
Secondary
Household drug/alcohol concern
FavorableUnfavorableNo Effect
3 months Healthy Steps sample 275 mothers Mean = 0.10 Mean = 0.05 OR = 1.62 HomeVEE calculated = 0.29 Not statistically significant,
p > 0.05
Secondary
Modified CES-D scale
FavorableUnfavorableNo Effect
3 months Healthy Steps sample 275 mothers Mean = 4.18 Mean = 3.56 Mean difference = 0.33 Not available Not statistically significant,
p > 0.05
Secondary
Psychosocial profile (Daily Hassles) score
FavorableUnfavorableNo Effect
3 months Healthy Steps sample 275 mothers Mean = 15.85 Mean = 15.21 Mean difference = 0.38 Not available Not statistically significant,
p > 0.05
Secondary
Support Behavior Inventory – Family
FavorableUnfavorableNo Effect
3 months Healthy Steps sample 275 mothers Mean = 60.38 Mean = 60.43 Mean difference = 0.30 Not available Not statistically significant,
p > 0.05
Secondary
Support Behavior Inventory – Partner
FavorableUnfavorableNo Effect
3 months Healthy Steps sample 275 mothers Mean = 58.71 Mean = 60.25 Mean difference = 0.30 Not available Not statistically significant,
p > 0.05
Secondary
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