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

Child 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
DTP1 vaccination
FavorableUnfavorableNo Effect
2 months The 6 RCT national evaluation sites 1950 mothers = 0.92 = 0.88 OR = 1.50 HomeVEE calculated = 0.25 Statistically significant,
p < 0.05
Primary
Hospitalization since birth
FavorableUnfavorableNo Effect
2-4 months The 6 RCT national evaluation sites 1987 mothers Not reported Not reported OR = 0.71 HomeVEE calculated = -0.21 Not statistically significant,
p > 0.05
Secondary
One-month well-child care visit
FavorableUnfavorableNo Effect
1 month The 6 RCT national evaluation sites 2086 mothers = 0.97 = 0.95 OR = 1.85 HomeVEE calculated = 0.37 Statistically significant,
p < 0.05
Primary
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Outcome Measure Outcome Measure Description Collection method Properties Outcome Type Operations links

DTP1 vaccination

Percentage of children who had received the DTP1 vaccination between 42 and 92 days postpartum Review of medical records

Not applicable

Primary

Hospitalization since birth

Number of child hospitalizations Parent/caregiver report

Not applicable

Secondary

One-month well-child care visit

Percentage of children who had attended a well-child care visit within 41 days of birth Review of medical records

Not applicable

Primary
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
Continuing to breastfeed
FavorableUnfavorableNo Effect
2-4 mo. The 6 RCT national evaluation sites 1987 mothers Mean = 0.56 Mean = 0.54 OR = 1.15 HomeVEE calculated = 0.08 Not statistically significant,
p > 0.05
Secondary
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Outcome Measure Outcome Measure Description Collection method Properties Outcome Type Operations links

Continuing to breastfeed

Percentage of mothers who were breastfeeding, including those that continued to breastfeed, among women who had initiated breastfeeding Parent/caregiver report

Not applicable

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
10-month well-child care visit
FavorableUnfavorableNo Effect
30 months Healthy Steps sample 239 children Mean = 0.94 Mean = 0.93 OR = 1.01 HomeVEE calculated = 0.01 Not statistically significant,
p > 0.05
Primary
15-month well-child care visit
FavorableUnfavorableNo Effect
30 months Healthy Steps sample 239 children Mean = 0.88 Mean = 0.89 OR = 0.99 HomeVEE calculated = -0.01 Not statistically significant,
p > 0.05
Primary
2-month well-child care visit
FavorableUnfavorableNo Effect
30 months Healthy Steps sample 239 children Mean = 0.93 Mean = 0.96 OR = 0.97 HomeVEE calculated = -0.02 Not statistically significant,
p > 0.05
Primary
24-month well-child care visit
FavorableUnfavorableNo Effect
30 months Healthy Steps sample 239 children Mean = 0.87 Mean = 0.76 OR = 1.17 HomeVEE calculated = 0.10 Statistically significant,
p < 0.05
Primary
4-month well-child care visit
FavorableUnfavorableNo Effect
30 months Healthy Steps sample 239 children Mean = 0.96 Mean = 0.98 OR = 0.97 HomeVEE calculated = -0.02 Not statistically significant,
p > 0.05
Primary
6-month well-child care visit
FavorableUnfavorableNo Effect
30 months Healthy Steps sample 239 children Mean = 0.94 Mean = 0.94 OR = 1.01 HomeVEE calculated = 0.01 Not statistically significant,
p > 0.05
Primary
Breastfeeding duration (mo.)
FavorableUnfavorableNo Effect
30 months Healthy Steps sample 232 mothers Mean = 13.00 Mean = 13.90 Mean difference = -0.64 Not available Statistically significant,
p < 0.05
Secondary
Ever breastfed
FavorableUnfavorableNo Effect
30 months Healthy Steps sample 232 mothers Mean = 0.95 Mean = 0.99 OR = 0.96 HomeVEE calculated = -0.03 Statistically significant,
p < 0.05
Secondary
Immunization status up-to-date at 24 mo.
FavorableUnfavorableNo Effect
30 months Healthy Steps sample 239 children Mean = 0.92 Mean = 0.88 OR = 1.03 HomeVEE calculated = 0.02 Statistically significant,
p < 0.05
Primary
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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
Breastfeeding at 3 months
FavorableUnfavorableNo Effect
3 months Healthy Steps sample 275 mothers Mean = 0.89 Mean = 0.92 OR = 0.98 HomeVEE calculated = -0.01 Not statistically significant,
p > 0.05
Secondary
Feels strongly supported to breastfeed
FavorableUnfavorableNo Effect
3 months Healthy Steps sample 275 mothers Mean = 0.73 Mean = 0.77 OR = 0.98 HomeVEE calculated = -0.01 Not statistically significant,
p > 0.05
Secondary
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Outcomes Rated Moderate

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
Child hospitalized in past year
FavorableUnfavorableNo Effect
5.5 years The 6 RCT national evaluation sites 1308 children Mean = 0.03 Mean = 0.04 OR = 0.96 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

Child hospitalized in past year

Percentage of children who had been hospitalized during the previous year Parent/caregiver report

Not applicable

Secondary
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