Maternal Early Childhood Sustained Home-Visiting Program (MECSH)
Model effectiveness research report last updated: 2013
Effects shown in research & outcome measure details
Child health
Findings rated moderate
Maternal Early Childhood Sustained Home-Visiting Program (MECSH)
Show findings details
| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
|---|---|---|---|---|---|---|---|---|---|
| Breastfeeding fully or partially at 4 weeks | FavorableUnfavorable or ambiguousNo Effect |
4 weeks | Western Sydney | 161 mothers | Unadjusted % = 58.00 | Unadjusted % = 52.10 | Difference = 5.90 | Study reported = 0.12 | Not statistically significant, p ≥ 0.05 |
| Breastfeeding initiated | FavorableUnfavorable or ambiguousNo Effect |
Birth | Western Sydney | 202 mothers | Unadjusted % = 87.20 | Unadjusted % = 85.10 | Difference = 2.10 | Study reported = 0.06 | Not statistically significant, p ≥ 0.05 |
| Infant admission to special care nursery | FavorableUnfavorable or ambiguousNo Effect |
Birth | Western Sydney | 203 mothers | Unadjusted % = 5.60 | Unadjusted % = 8.40 | Difference = -2.80 | Study reported = 0.12 | Not statistically significant, p ≥ 0.05 |
| SIDS risk knowledge | FavorableUnfavorable or ambiguousNo Effect |
4 weeks | Western Sydney | 137 mothers | Unadjusted % = 83.30 | Unadjusted % = 68.30 | Difference = 15.00 | Study reported = 0.35 | Statistically significant, p = 0.04 |
Show outcome measure summary
| Outcome measure | Outcome measure description | Collection method | Properties |
|---|---|---|---|
Breastfeeding fully or partially at 4 weeks |
Percentage of infants breastfed fully or partially at 4 weeks postpartum | Parent/caregiver report | Not applicable |
Breastfeeding initiated |
Percentage of mothers who initiated breastfeeding | Obstetric data record and parent/caregiver report | Not applicable |
Infant admission to special care nursery |
Percentage of infants admitted to the special care nursery or neonatal intensive care unit for a period of more than four hours | Obstetric data record | Not applicable |
SIDS risk knowledge |
Percentage of mothers who could name two or more SIDS risk factors at 4-6 weeks postpartum | Parent/caregiver report | Not applicable |
Maternal Early Childhood Sustained Home-Visiting Program (MECSH)
Show findings details
| Outcome measure | Effect | Follow-up timing | Sample | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance |
|---|---|---|---|---|---|---|---|---|---|
| Breastfeeding duration (weeks) | FavorableUnfavorable or ambiguousNo Effect |
12 months | Sydney sample | 139 children | Mean = 16.12 | Mean = 8.24 | Mean difference = 7.88 | HomeVEE calculated = 0.52 | Statistically significant, p = 0.002 |
| Gastroenteritis | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 166 children | % = 58.00 | % = 60.00 | OR = 1.10 | HomeVEE calculated = -0.05 | Not Statistically significant, p = 0.76 |
| Immunization up to date | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 166 children | % = 100.00 | % = 100.00 | Not reported | Not available | Not statistically significant, p ≥ 0.05 |
| Low birth weight (< 2500 g) | FavorableUnfavorable or ambiguousNo Effect |
1 month | Sydney sample | 201 mothers | % = 7.00 | % = 2.00 | OR = 3.22 | HomeVEE calculated = 0.79 | Not Statistically significant, p = 0.15 |
| Preterm (< 37 weeks) | FavorableUnfavorable or ambiguousNo Effect |
1 month | Sydney sample | 203 mothers | % = 10.00 | % = 6.00 | OR = 1.69 | HomeVEE calculated = 0.33 | Not Statistically significant, p = 0.32 |
| Respiratory infection | FavorableUnfavorable or ambiguousNo Effect |
24 months | Sydney sample | 166 children | % = 33.00 | % = 31.00 | OR = 0.90 | HomeVEE calculated = 0.06 | Not Statistically significant, p = 0.76 |
| Transition to solids (weeks) | FavorableUnfavorable or ambiguousNo Effect |
12 months | Sydney sample | 162 children | Mean = 21.74 | Mean = 23.06 | Mean difference = -1.32 | Not available | Not statistically significant, p ≥ 0.05 |
Show outcome measure summary
| Outcome measure | Outcome measure description | Collection method | Properties |
|---|---|---|---|
Breastfeeding duration (weeks) |
Total number of weeks that mother breastfed | Maternal self-report | Not applicable |
Gastroenteritis |
Child has experienced at least one episode of gastrointestinal illness during first two years of life | Parent/caregiver report | Not applicable |
Immunization up to date |
Whether child was fully immunized | Parent/caregiver report | Not applicable |
Low birth weight (< 2500 g) |
Percentage of infants born of low birth weight (< 2500 g) | Review of birth records | Not applicable |
Low birth weight (< 2500 g) |
Whether child was less than 2500 grams at birth | Hospital clinical records | Not applicable |
Preterm (< 37 weeks) |
Percentage of infants born at less than 37 weeks gestation | Review of birth records | Not applicable |
Preterm (< 37 weeks) |
Whether child was born at less than 37 weeks gestation | Hospital clinical records | Not applicable |
Respiratory infection |
Child has experienced at least one episode of respiratory infection during first two years of life | Parent/caregiver report | Not applicable |
Transition to solids (weeks) |
Child's age (in weeks) when solid food was introduced | Maternal self-report | Not applicable |