Maternal Infant Health Outreach Worker (MIHOW)®

Model effectiveness research report last updated: 2018

Effects shown in research & outcome measure details

Positive parenting practices

Findings rated high

Maternal Infant Health Outreach Worker (MIHOW)®
Show findings details
Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Child always co-sleeps
FavorableUnfavorable or ambiguousNo Effect
2 months postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted proportion = 0.01 Unadjusted proportion = 0.20 Mean difference = -0.19 HomeVEE calculated = -1.87 Statistically significant, p = 0.00

footnote384

Submitted by user on Fri, 03/15/2019 - 14:29

Proportions indicate the percentages of women who selected this response to a closed-ended question on frequency of cosleeping that included five possible responses. Authors analyzed all five responses collectively using a likelihood chi-square test; we report a <abbr title="Home Visiting Evidence of Effectiveness">HomVEE</abbr>-calculated effect size and p-value associated with the individual response. Negative effect size is favorable to the intervention.

Child always co-sleeps
FavorableUnfavorable or ambiguousNo Effect
2 weeks postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted proportion = 0.00 Unadjusted proportion = 0.24 Mean difference = -0.24 HomeVEE calculated = -7.65 Statistically significant, p = 0.00

footnote384

Submitted by user on Fri, 03/15/2019 - 14:29

Proportions indicate the percentages of women who selected this response to a closed-ended question on frequency of cosleeping that included five possible responses. Authors analyzed all five responses collectively using a likelihood chi-square test; we report a <abbr title="Home Visiting Evidence of Effectiveness">HomVEE</abbr>-calculated effect size and p-value associated with the individual response. Negative effect size is favorable to the intervention.

Child always co-sleeps
FavorableUnfavorable or ambiguousNo Effect
6 months postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted proportion = 0.01 Unadjusted proportion = 0.18 Mean difference = -0.17 HomeVEE calculated = -1.82 Statistically significant, p = 0.00

footnote384

Submitted by user on Fri, 03/15/2019 - 14:29

Proportions indicate the percentages of women who selected this response to a closed-ended question on frequency of cosleeping that included five possible responses. Authors analyzed all five responses collectively using a likelihood chi-square test; we report a <abbr title="Home Visiting Evidence of Effectiveness">HomVEE</abbr>-calculated effect size and p-value associated with the individual response. Negative effect size is favorable to the intervention.

Child never co-sleeps
FavorableUnfavorable or ambiguousNo Effect
2 months postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted proportion = 0.87 Unadjusted proportion = 0.28 Mean difference = 0.59 HomeVEE calculated = 1.70 Statistically significant, p = 0.00

footnote385

Submitted by user on Fri, 03/15/2019 - 14:29

Proportions indicate the percentages of women who selected this response to a closed-ended question on frequency of cosleeping that included five possible responses. Authors analyzed all five responses collectively using a likelihood chi-square test; we report a <abbr title="Home Visiting Evidence of Effectiveness">HomVEE</abbr>-calculated effect size and p-value associated with the individual response.

Child never co-sleeps
FavorableUnfavorable or ambiguousNo Effect
2 weeks postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted proportion = 0.81 Unadjusted proportion = 0.33 Mean difference = 0.49 HomeVEE calculated = 1.33 Statistically significant, p = 0.00

footnote385

Submitted by user on Fri, 03/15/2019 - 14:29

Proportions indicate the percentages of women who selected this response to a closed-ended question on frequency of cosleeping that included five possible responses. Authors analyzed all five responses collectively using a likelihood chi-square test; we report a <abbr title="Home Visiting Evidence of Effectiveness">HomVEE</abbr>-calculated effect size and p-value associated with the individual response.

Child never co-sleeps
FavorableUnfavorable or ambiguousNo Effect
6 months postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted proportion = 0.86 Unadjusted proportion = 0.32 Mean difference = 0.54 HomeVEE calculated = 1.53 Statistically significant, p = 0.00

footnote385

Submitted by user on Fri, 03/15/2019 - 14:29

Proportions indicate the percentages of women who selected this response to a closed-ended question on frequency of cosleeping that included five possible responses. Authors analyzed all five responses collectively using a likelihood chi-square test; we report a <abbr title="Home Visiting Evidence of Effectiveness">HomVEE</abbr>-calculated effect size and p-value associated with the individual response.

Child sleeps on back
FavorableUnfavorable or ambiguousNo Effect
2 months postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted proportion = 0.98 Unadjusted proportion = 0.66 Mean difference = 0.32 HomeVEE calculated = 1.88 Statistically significant, p = 0.00
Child sleeps on back
FavorableUnfavorable or ambiguousNo Effect
2 weeks postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted proportion = 0.99 Unadjusted proportion = 0.66 Mean difference = 0.33 HomeVEE calculated = 2.31 Statistically significant, p = 0.00
Child sleeps on back
FavorableUnfavorable or ambiguousNo Effect
6 months postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted proportion = 0.98 Unadjusted proportion = 0.75 Mean difference = 0.23 HomeVEE calculated = 1.64 Statistically significant, p = 0.00
Child sleeps on side
FavorableUnfavorable or ambiguousNo Effect
2 months postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted proportion = 0.02 Unadjusted proportion = 0.33 Mean difference = -0.30 HomeVEE calculated = -1.85 Statistically significant, p = 0.00

footnote383

Submitted by user on Fri, 03/15/2019 - 14:29

Negative effect size is favorable to the intervention.

Child sleeps on side
FavorableUnfavorable or ambiguousNo Effect
2 weeks postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted proportion = 0.01 Unadjusted proportion = 0.34 Mean difference = -0.33 HomeVEE calculated = -2.31 Statistically significant, p = 0.00

footnote383

Submitted by user on Fri, 03/15/2019 - 14:29

Negative effect size is favorable to the intervention.

Child sleeps on side
FavorableUnfavorable or ambiguousNo Effect
6 months postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted proportion = 0.02 Unadjusted proportion = 0.24 Mean difference = -0.22 HomeVEE calculated = -1.60 Statistically significant, p = 0.00

footnote383

Submitted by user on Fri, 03/15/2019 - 14:29

Negative effect size is favorable to the intervention.

Child sleeps on stomach
FavorableUnfavorable or ambiguousNo Effect
2 months postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted proportion = 0.00 Unadjusted proportion = 0.01 Mean difference = -0.01 HomeVEE calculated = -5.68 Statistically significant, p = 0.00

footnote383

Submitted by user on Fri, 03/15/2019 - 14:29

Negative effect size is favorable to the intervention.

Child sleeps on stomach
FavorableUnfavorable or ambiguousNo Effect
2 weeks postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted proportion = 0.00 Unadjusted proportion = 0.00 Mean difference = 0.00 HomeVEE calculated = 0.00 Not statistically significant, p = 1.00

footnote383

Submitted by user on Fri, 03/15/2019 - 14:29

Negative effect size is favorable to the intervention.

Child sleeps on stomach
FavorableUnfavorable or ambiguousNo Effect
6 months postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted proportion = 0.00 Unadjusted proportion = 0.01 Mean difference = -0.01 HomeVEE calculated = -5.62 Statistically significant, p = 0.00

footnote383

Submitted by user on Fri, 03/15/2019 - 14:29

Negative effect size is favorable to the intervention.

Median Home Observation for Measurement of the Environment (HOME) Inventory Score
FavorableUnfavorable or ambiguousNo Effect
2 months postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted median = 27.00 Unadjusted median = 19.00 Median difference = 8.00 Not available Statistically significant, p = 0.00
Median Home Observation for Measurement of the Environment (HOME) Inventory Score
FavorableUnfavorable or ambiguousNo Effect
2 weeks postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted median = 21.00 Unadjusted median = 15.00 Median difference = 6.00 Not available Statistically significant, p = 0.00
Median Home Observation for Measurement of the Environment (HOME) Inventory Score
FavorableUnfavorable or ambiguousNo Effect
6 months postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted median = 40.00 Unadjusted median = 33.00 Median difference = 7.00 Not available Statistically significant, p = 0.00
Median number of days during prior week reading to child
FavorableUnfavorable or ambiguousNo Effect
2 weeks postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted median = 5.00 Unadjusted median = 0.00 Median difference = 5.00 Not available Statistically significant, p = 0.00
Median number of days during prior week singing or telling stories to child
FavorableUnfavorable or ambiguousNo Effect
2 weeks postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted median = 6.00 Unadjusted median = 5.00 Median difference = 1.00 Not available Statistically significant, p = 0.00
Reads stories at least three times per week
FavorableUnfavorable or ambiguousNo Effect
2 months postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted proportion = 0.92 Unadjusted proportion = 0.37 Mean difference = 0.55 HomeVEE calculated = 1.81 Statistically significant, p = 0.00
Reads stories at least three times per week
FavorableUnfavorable or ambiguousNo Effect
6 months postpartum Davidson County, Tennessee, MIHOW vs. Educational Materials Unadjusted proportion = 0.97 Unadjusted proportion = 0.26 Mean difference = 0.71 HomeVEE calculated = 2.68 Statistically significant, p = 0.00
Show outcome measure summary
Outcome measure Outcome measure description Collection method Properties

Child always co-sleeps

Question from the Perinatal Risk Assessment Monitory System Survey Mother report

Not reported by author

Child never co-sleeps

Question from the Perinatal Risk Assessment Monitory System Survey Mother report

Not reported by author

Child sleeps on back

Question from the Perinatal Risk Assessment Monitory System Survey Mother report

Not reported by author

Child sleeps on side

Question from the Perinatal Risk Assessment Monitory System Survey Mother report

Not reported by author

Child sleeps on stomach

Question from the Perinatal Risk Assessment Monitory System Survey Mother report

Not reported by author

Median Home Observation for Measurement of the Environment (HOME) Inventory Score

The HOME Inventory Score measures the stimulation available in the child's home environment. Direct observation

Cronbach’s alpha equal or greater than .90 for total scores.

Median number of days during prior week reading to child

Question from the National Survey of Children’s Health Mother report

Not reported by author

Median number of days during prior week singing or telling stories to child

Question from the National Survey of Children’s Health Mother report

Not reported by author

Reads stories at least three times per week

Question from the National Survey of Children’s Health Mother report

Not reported by author

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