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Strengthening the evidence base for maternal and child health programs

New: MCH Best strategies database for sample ESMs

Evidence Tools
MCH Best. NPM 7: Child Safety/Injury

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mother and young girl in pajamas holding handsEducation During Home Visiting Programs

MCH Strategy. Provide injury prevention education for families participating in home visiting programs.

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Overview. Evidence suggests that home visitations are an effective strategy for improving health of maternal and child health populations as well as promoting injury prevention practices. Evidence also suggests that home visitation is an effective strategy for improving health and reducing disparities experiences by at-risk populations.1

Evidence. Moderate Evidence. A systematic review suggests that home visitation may be an effective venue for improving child cognitive outcomes, and parent behavior and skill related to promoting childhood safety and preventing injury.2 Access the findings from the environmental scan through the MCH Digital Library. Programs based on this strategy are likely to work. This strategy has been tested more than once and results trend positive overall. (Read more about understanding evidence ratings).

Target Audience. Patients/Consumers/Caregivers.

Outcome. Injury Prevention. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.

Examples from the Field. There are currently 5 ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.

Sample ESMs. Using the strategy “Provide injury prevention education for families participating in home visiting programs,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):

Quadrant 1:
Measuring Quantity of Effort
("What/how much did we do?")

  • Number of families who receive injury prevention education through the AAP checklist among families participating in evidence-based home visiting programs.

Quadrant 2:
Measuring Quality of Effort
("How well did we do it?")

  • Percent of families who receive injury prevention education through the AAP checklist among families participating in evidence-based home visiting programs.

Quadrant 3:
Measuring Quantity of Effect
("Is anyone better off?")

  • Number of families who receive injury prevention education through the AAP checklist among families participating in evidence-based home visiting programs who report an increase in knowledge and skill around injury prevention.

Quadrant 4:
Measuring Quality of Effect
("How are they better off?")

  • Percent of families who receive injury prevention education through the AAP checklist among families participating in evidence-based home visiting programs who report an increase in knowledge and skill around injury prevention.

Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).

Learn More. Read how to create stronger ESMs and how to measure ESM impact more meaningfully through Results-Based Accountability.


References:

1 Filene, J. H., Kaminski, J. W., Valle, L. A., & Cachat, P. (2013). Components associated with home visiting program outcomes: A meta-analysis. Pediatrics. 132(0 2), S100-109. doi: 10.1542/peds.2013-1021H.

2 Strengthen the Evidence for MCH Programs: Environmental Scan of Strategies -- National Performance Measure #7

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.