Lutenbacher, M., Dietrich, M. S., & Elkins, T. (2016). Evaluation of the Maternal Infant Health Outreach Worker (MIHOW) model in a sample of Hispanic women: A collaborative project between Catholic Charities and Vanderbilt University School of Nursing. Report submitted to the Home Visiting Evidence of Effectiveness (HomVEE) Review.
Citation Year
Used in Implementation Reports
Study Participants
Pregnant Hispanic women older than 18 were recruited to participate in the study and then randomly assigned to MIHOW (94 women) or the comparison condition (94 women). At enrollment, participants were 29.6 years old, on average, and predominantly from Mexico (64.9 percent). Ten percent were employed full-time and an additional 16.5 percent were employed part-time. Fifty-six percent of participants had never been married.
The study was conducted in the urban Davidson County, Tennessee.
Home Visiting Services
Trained outreach workers conducted monthly home visits until children reached six months. Home visits lasted about one hour and consisted of parenting support, education, and linkages to medical and social services. MIHOW also provided participants with the opportunity to participate in social and educational groups. Participants received printed materials about maternal and child health and development.
Comparison Conditions
The minimal intervention group received printed materials about maternal and child health and development at the 35th week of pregnancy and 2 weeks, 2 months, and 6 months postpartum.
Staff Characteristics and Training
Health outreach workers were community members who completed 40 hours of training, shadowed an experienced outreach worker, and received feedback from a supervisor. Outreach workers also received monthly in-service trainings and attended both regional trainings and an annual conference.
Author Affiliation
The authors are affiliated with the Vanderbilt School of Nursing, which developed the MIHOW model and partnered in implementation.
Funding Sources
The evaluation was funded through the Affordable Care Act Maternal, Infant, and Early Childhood Home Visiting Program D89MC23542.
Study Reg
Clinicaltrials.gov Identifier: None found. Study registration was assessed by HomVEE beginning with the 2014 review.
Citation short
Lutenbacher, M., Dietrich, M. S., & Elkins, T. (2016)
Confounding Factors
Baseline Equivalence
Established on race/ethnicity; established on SES; established on outcomes
Screening Decision
Passes screens
Design Detail
Randomized controlled trial