Early Intervention Program for Adolescent Mothers Meets HHS Criteria

Implementation support is not currently available for the model as reviewed.

Last updated: July 2011

Effects Shown in Research & Outcome Measure Details

Child Health

Outcomes Rated High

Early Intervention Program for Adolescent Mothers
Show Findings Details
Outcome Measure Effect Follow-up Timing Sample Sample Size Intervention Group Comparison Group Group Difference Effect Size Statistical Significance Outcome Type Notes
Additional days of rehospitalization
FavorableUnfavorable or ambiguousNo Effect
6 weeks postpartum San Bernardino sample 121 mothers Number of days = 23.00 Number of days = 36.00 Difference = -13.00 Not available Statistically significant, p = 0.046 Primary

footnote101

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

Statistical significance is based on the results of the authors’ analysis using a chi-square test.

Birth weight
FavorableUnfavorable or ambiguousNo Effect
6 weeks postpartum San Bernardin o sample 121 mothers Mean = 3280430.00 Mean = 3206430.00 Mean difference = 74.00 HomeVEE calculated = 0.04 Statistical significance not reported Primary
Percentage premature
FavorableUnfavorable or ambiguousNo Effect
Intrapartum San Bernardino sample 121 mothers Percentage = 0.03 Mean % = 0.08 Mean difference = -0.05 HomeVEE calculated = -0.62 Statistical significance not reported Primary
Total number of days for birth-related infant hospitalization
FavorableUnfavorable or ambiguousNo Effect
6 weeks postpartum San Bernardino sample 121 mothers Number of days = 91.00 Number of days = 110.00 Difference = -19.00 Not available Not statistically significant, p = 0.07 Primary

footnote101

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

Statistical significance is based on the results of the authors’ analysis using a chi-square test.

Total number of days for infant re-hospitalization during the first 6 weeks of life
FavorableUnfavorable or ambiguousNo Effect
6 weeks postpartum San Bernardino sample 121 mothers Number of days = 114.00 Number of days = 146.00 Difference = -32.00 Not available Statistically significant, p = 0.01 Primary

footnote101

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

Statistical significance is based on the results of the authors’ analysis using a chi-square test.

Show Outcome Measure Summary
Outcome Measure Outcome Measure Description Collection Method Properties Outcome Type Operations links

Additional days of rehospitalization

Additional days of newborn rehospitalization Review of medical records

Not applicable

Primary

Additional days of rehospitalization

The number of additional days an infant was hospitalized beyond birth related hospitalization. Reasons for infant rehospitalization included respiratory difficulties, fever, dehydration, and jaundice. Review of medical records

Not applicable

Primary

Birth weight

The child’s recorded birth weight in grams Review of delivery room or nursery records

Not applicable

Primary

Birth weight

Weight of the infant at birth Review of medical records

Not applicable

Primary

Percentage premature

Percentage of infants born earlier than 36 weeks gestation Review of medical records

Not applicable

Primary

Percentage premature

Percentage of children that were born at less than 36 weeks gestation Review of medical records

Not applicable

Primary

Total number of days for birth-related infant hospitalization

Total number of days an infant was hospitalization for birth–related issues. This does not include later re–hospitalizations Review of medical records

Not applicable

Primary

Total number of days for birth-related infant hospitalization

Total number of days of birth-related newborn hospitalization Review of medical records

Not applicable

Primary

Total number of days for infant re-hospitalization during the first 6 weeks of life

Total number of days for birth–related infant hospitalization plus additional days of rehospitalization during the first six weeks of life Review of medical records

Not applicable

Primary

Total number of days for infant re-hospitalization during the first 6 weeks of life

Total number of days infants were re-hospitalized during their first six weeks of life Review of medical records

Not applicable

Primary

Outcomes Rated Moderate

Early Intervention Program for Adolescent Mothers
Show Findings Details
Outcome Measure Effect Follow-up Timing Sample Sample Size Intervention Group Comparison Group Group Difference Effect Size Statistical Significance Outcome Type Notes
Number of episodes of hospitalizations
FavorableUnfavorable or ambiguousNo Effect
One year postpartum San Bernardino sample 102 mothers Number of episodes = 14.00 Number of episodes = 24.00 Difference = -10.00 Not available Statistically significant, p =0.03 Primary

footnote101

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

Statistical significance is based on the results of the authors’ analysis using a chi-square test.

Number of infant ER visits
FavorableUnfavorable or ambiguousNo Effect
One year postpartum San Bernardino sample 102 mothers Number of visits = 90.00 Number of visits = 80.00 Difference = 10.00 Not available Not statistically significant, p > 0.05 Primary

footnote102

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

Authors report whether the groups are significantly different or not, but do not report actual p-values.

Percentage of children adequately immunized
FavorableUnfavorable or ambiguousNo Effect
One year postpartum San Bernardino sample 102 mothers Percentage = 0.96 Mean % = 0.86 Mean difference = 0.10 HomeVEE calculated = 0.83 Statistically significant, p < 0.05 Primary

footnote101

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

Statistical significance is based on the results of the authors’ analysis using a chi-square test.

Percentage of children hospitalized
FavorableUnfavorable or ambiguousNo Effect
One year postpartum San Bernardino sample 102 mothers Percentage = 0.22 Mean % = 0.28 Mean difference = -0.06 HomeVEE calculated = -0.19 Statistical significance not reported Primary
Total number of days of nonbirth-related infant hospitalization
FavorableUnfavorable or ambiguousNo Effect
One year postpartum San Bernardino sample 102 mothers Number of days = 74.00 Number of days = 154.00 Difference = -80.00 Not available Statistically significant, p < 0.001 Primary

footnote101

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

Statistical significance is based on the results of the authors’ analysis using a chi-square test.

Show Outcome Measure Summary
Outcome Measure Outcome Measure Description Collection Method Properties Outcome Type Operations links

Number of episodes of hospitalizations

The total number of child hospitalization episodes during the first year of life. Parent/caregiver report confirmed by review of medical records for 87% of hospitalizations and 68% of ER episodes.

Not applicable

Primary

Number of infant ER visits

The total number of child ER visits during the first year of life. Common reasons for ER visits included illnesses, injuries, or accidents Parent/caregiver report confirmed by review of medical records for 87% of hospitalizations and 68% of ER episodes.

Not applicable

Primary

Percentage of children adequately immunized

Percentage of children that received three doses of diptheriatetanus–pertussis vaccine and two doses of oral polio vaccine by 12 months of age as recommended by the Centers for Disease Control and Prevention Review of immunization cards

Not applicable

Primary

Percentage of children hospitalized

Percentage of children that were hospitalized during the first year of life Parent/caregiver report confirmed by review of medical records for 87% of hospitalizations and 68% of ER episodes.

Not applicable

Primary

Total number of days of nonbirth-related infant hospitalization

Count of the total number of days of nonbirth–related infant hospitalization during the first year of life. Common reasons for hospitalization included respiratory problems, gastrointestinal problems, and fever. Parent/caregiver report confirmed by review of medical records for 87% of hospitalizations and 68% of ER episodes.

Not applicable

Primary
Early Intervention Program for Adolescent Mothers
Show Findings Details
Outcome Measure Effect Follow-up Timing Sample Sample Size Intervention Group Comparison Group Group Difference Effect Size Statistical Significance Outcome Type Notes
Number of episodes of hospitalization per hospitalized child
FavorableUnfavorable or ambiguousNo Effect
Two years postpartum San Bernardino sample, hospitalized children 28 children Mean = 1.58 Mean = 2.19 Mean difference = -0.61 HomeVEE calculated = -0.14 Statistical significance not reported Primary
Number of episodes of hospitalizations
FavorableUnfavorable or ambiguousNo Effect
Two years postpartum San Bernardino sample 101 mothers Number of episodes = 19.00 Number of episodes = 36.00 Difference = -17.00 Not available Statistically significant, p =0.002 Primary

footnote101

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

Statistical significance is based on the results of the authors’ analysis using a chi-square test.

Percentage never using the ER for child’s health problems
FavorableUnfavorable or ambiguousNo Effect
Two years postpartum San Bernardino sample 101 mothers Percentage = 0.36 Mean % = 0.11 Mean difference = 0.25 HomeVEE calculated = 0.92 Statistically significant, p =0.004 Primary

footnote101

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

Statistical significance is based on the results of the authors’ analysis using a chi-square test.

Percentage of children adequately immunized
FavorableUnfavorable or ambiguousNo Effect
Two years postpartum San Bernardion sample 101 mothers Percentage = 0.77 Mean % = 0.87 Mean difference = -0.10 HomeVEE calculated = -0.42 Not statistically significant, p > 0.5 Primary

footnote105

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

In contrast to the study-reported results, <abbr title="Home Visiting Evidence of Effectiveness">HomVEE</abbr> calculations showed this difference to be statistically significant (p = 0.05). The <abbr title="Home Visiting Evidence of Effectiveness">HomVEE</abbr> tests of statistical significance are based on the <abbr title="Home Visiting Evidence of Effectiveness">HomVEE</abbr> calculated effect sizes, whereas authors may have used other techniques, such as regression models or analyses of variance (ANOVA), to determine statistical significance.

Percentage of children hospitalized
FavorableUnfavorable or ambiguousNo Effect
Two years postpartum San Bernardino sample 101 mothers Percentage = 0.21 Mean % = 0.36 Mean difference = -0.15 HomeVEE calculated = -0.45 Statistical significance not reported Primary
Percentage using both ER and hospital
FavorableUnfavorable or ambiguousNo Effect
Two years postpartum San Bernardino sample 101 mothers Percentage = 0.21 Mean % = 0.36 Mean difference = -0.15 HomeVEE calculated = -0.45 Statistical significance not reported Primary
Total number of ER visits
FavorableUnfavorable or ambiguousNo Effect
Two years postpartum San Bernardino sample 101 mothers Not available Not available Not reported Not available Not statistically significant, p > 0.05 Primary

footnote102

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

Authors report whether the groups are significantly different or not, but do not report actual p-values.

Total number of days for nonbirth-related infant hospitalizations
FavorableUnfavorable or ambiguousNo Effect
Two years postpartum San Bernardino sample 101 mothers Number of days = 143.00 Number of days = 211.00 Difference = -68.00 Not available Statistically significant, p < 0.001 Primary

footnote101

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

Statistical significance is based on the results of the authors’ analysis using a chi-square test.

Show Outcome Measure Summary
Outcome Measure Outcome Measure Description Collection Method Properties Outcome Type Operations links

Number of episodes of hospitalization per hospitalized child

Count of the number of episodes of hospitalization per hospitalized child during the first 24 months of the child’s life Parent/caregiver report confirmed by review of medical records for 80% of hospitalizations and 61% of ER episodes.

Not applicable

Primary

Number of episodes of hospitalizations

Count of the number of episodes of hospitalization during the first 24 months of the child’s life Parent/caregiver report confirmed by review of medical records for 80% of hospitalizations and 61% of ER episodes.

Not applicable

Primary

Percentage never using the ER for child’s health problems

Percentage of mothers that had not used emergency room services for their child’s health during the first 24 months of the child’s life Parent/caregiver report confirmed by review of medical records for 80% of hospitalizations and 61% of ER episodes.

Not applicable

Primary

Percentage of children adequately immunized

Percentage of children that had received four or more doses of diphtheria–tetanus–pertussis vaccine, three or more doses of poliovirus vaccine, and one or more doses of measles–containing vaccine were received by 24 months of age, as recommended by the Centers for Disease Control and Prevention (CDC) Review of medical records orimmunization cards

Not applicable

Primary

Percentage of children hospitalized

Percentage of children that had been hospitalized during the first 24 months of the child’s life Parent/caregiver report confirmed by review of medical records for 80% of hospitalizations and 61% of ER episodes.

Not applicable

Primary

Percentage using both ER and hospital

Percentage of mothers that had had used both emergency room and hospital services for their child’s health during the first 24 months of the child’s life Parent/caregiver report confirmed by review of medical records for 80% of hospitalizations and 61% of ER episodes.

Not applicable

Primary

Total number of ER visits

The total number of child ER visits during the first 24 months of life Parent/caregiver report confirmed by review of medical records for 80% of hospitalizations and 61% of ER episodes.

Not applicable

Primary

Total number of days for nonbirth-related infant hospitalizations

Count of the total number of days of nonbirth–related child hospitalization during the first 24 months of life Parent/caregiver report confirmed by review of medical records for 80% of hospitalizations and 61% of ER episodes.

Not applicable

Primary
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