Healthy Families America (HFA)® Meets HHS Criteria

Last updated: 2020

Effects shown in research & outcome measure details

Linkages and referrals

Findings rated high

Healthy Families America (HFA)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance

Use of resources

FavorableUnfavorable or ambiguousNo Effect

6 months

HFA vs. comparison group, Arizona, full sample

199 mothers Unadjusted mean = 4.10 Unadjusted mean = 3.00 Mean difference = 1.10 Study reported = 0.24

Not statistically significant, p= 0.10

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Outcome measure Outcome measure description Collection method Properties Operations links

Use of resources

A count of specific resources that parents accessed (not further described)

Parent/caregiver report

Not reported by author

Findings rated moderate

Healthy Families America (HFA)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance

Use of resources

FavorableUnfavorable or ambiguousNo Effect

12 months

HFA vs. comparison group, Arizona, full sample

165 mothers Unadjusted mean = 3.10 Unadjusted mean = 2.30 Mean difference = 0.80 Study reported = 0.48

Statistically significant, p= 0.01

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Healthy Families America (HFA)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
Referral to AFDC or food stamps
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 33.00 % = 26.00 = 7.00 HomeVEE calculated = 0.20 Not statistically significant,
p > 0.10
Referral to GED prep
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 29.00 % = 26.00 = -7.00 HomeVEE calculated = 0.09 Not statistically significant,
p > 0.10
Referral to WIC
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 19.00 % = 12.00 = 7.00 HomeVEE calculated = 0.33 Not statistically significant,
p > 0.10

footnote61

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

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

Referral to adult primary care
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 20.00 % = 17.00 = 3.00 HomeVEE calculated = 0.12 Not statistically significant,
p > 0.10
Referral to child health plus
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 18.00 % = 16.00 = 2.00 HomeVEE calculated = 0.09 Not statistically significant,
p > 0.10
Referral to counseling
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 28.00 % = 21.00 = 7.00 HomeVEE calculated = 0.23 Not statistically significant,
p > 0.10
Referral to daycare/babysitting
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 52.00 % = 50.00 = 2.00 HomeVEE calculated = 0.05 Not statistically significant,
p > 0.10
Referral to domestic violence services
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 10.00 % = 5.00 = 5.00 HomeVEE calculated = 0.45 Not statistically significant, p > 0.10

footnote61

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

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

Referral to early intervention program
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 28.00 % = 24.00 = 4.00 HomeVEE calculated = 0.13 Not statistically significant,
p > 0.10
Referral to English as a Second Language
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 44.00 % = 36.00 = 8.00 HomeVEE calculated = 0.20 Not statistically significant,
p > 0.10
Referral to family planning
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 25.00 % = 10.00 = 15.00 HomeVEE calculated = 0.67 Statistically significant,
p < 0.01
Referral to food pantry
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 25.00 % = 19.00 = 6.00 HomeVEE calculated = 0.21 Not statistically significant,
p > 0.10
Referral to housing assistance
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 33.00 &#; = 37.00 = -4.00 HomeVEE calculated = -0.11 Not statistically significant,
p > 0.10
Referral to immigration services
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 30.00 % = 23.00 = 7.00 HomeVEE calculated = 0.22 Not statistically significant,
p > 0.10
Referral to job skills/search
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 43.00 % = 39.00 = 4.00 HomeVEE calculated = 0.10 Not statistically significant,
p > 0.10
Referral to Medicaid
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 30.00 % = 36.00 = -6.00 HomeVEE calculated = -0.16 Not statistically significant,
p > 0.10
Referral to parenting education or training
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 14.00 % = 31.00 = -17.00 HomeVEE calculated = -0.62 Statistically significant,
p < 0.001
Referral to pediatric primary care
FavorableUnfavorable or ambiguousNo Effect
24 months postpartum Full sample 289 families % = 41.00 % = 32.00 = 9.00 HomeVEE calculated = 0.24 Not statistically significant,
p > 0.10

footnote61

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

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

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Outcome measure Outcome measure description Collection method Properties Operations links

Referral to AFDC or food stamps

Percentage of families with one or more service referrals for AFDC or food stamps Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Referral to GED prep

Percentage of families with one or more service referrals for GED prep Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Referral to WIC

Percentage of families with one or more service referrals for WIC Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Referral to adult primary care

Percentage of families with one or more service referrals for adult primary care Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Referral to child health plus

Percentage of families with one or more service referrals for child health plus Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Referral to counseling

Percentage of families with one or more service referrals for counseling Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Referral to daycare/babysitting

Percentage of families with one or more service referrals for daycare/babysitting Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Referral to domestic violence services

Percentage of families with one or more service referrals for domestic violence services Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Referral to early intervention program

Percentage of families with one or more service referrals for early intervention program Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Referral to English as a Second Language

Percentage of families with one or more service referrals for English as a Second Language Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Referral to family planning

Percentage of families with one or more service referrals for family planning Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Referral to food pantry

Percentage of families with one or more service referrals for food pantry Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Referral to housing assistance

Percentage of families with one or more service referrals for housing assistance Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Referral to immigration services

Percentage of families with one or more service referrals for immigration services Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Referral to job skills/search

Percentage of families with one or more service referrals for job skills/search Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Referral to Medicaid

Percentage of families with one or more service referrals for Medicaid Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Referral to parenting education or training

Percentage of families with one or more service referrals for parenting education or training Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Referral to pediatric primary care

Percentage of families with one or more service referrals for pediatric primary care Review of Service Referral Forms completed by home visitors at the time of referral

Not applicable

Healthy Families America (HFA)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Mother received mental health services after pregnancy (self report), time 3
FavorableUnfavorable or ambiguousNo Effect
2 years post enrollment MA sample 611 mothers Not reported Not reported OR = 1.23 HomeVEE calculated = 0.13 Not statistically significant, p = 0.26
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Outcome measure Outcome measure description Collection method Properties Operations links

Mother received mental health services after pregnancy (self report), time 3

Phone interview question on whether the mother received mental health services since becoming pregnant Mother self-report

Not reported

Healthy Families America (HFA)®
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Outcome measure Effect Follow-up timing Sample Sample size Intervention group Comparison group Group difference Effect size Statistical significance
Use of resources
FavorableUnfavorable or ambiguousNo Effect
6 months Arizona sample 180 mothers Mean = 2.71 Mean = 2.06 Mean difference = 0.65 HomeVEE calculated = 4.32 Statistically significant, p =0.007
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