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Strengthening the evidence base for maternal and child health programs

New: MCHbest strategies database for sample ESMs

Evidence Tools
MCHbest. NPM 7: Injury Hospitilization

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Strategy. Collaboration with Existing Evidence-based/informed Programs

Approach. Disseminate injury prevention and safe behavior information through existing evidence-based/informed home visiting, caregiver education, and school-based outreach programs.

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Overview. Decreasing the rate of overall injury among children and adolescents, aged 0 - 19 by collaborating with existing evidence-based/informed home visiting programs, caregiver education programs, and school-based programs has been found to be moderatly effective.1,2

Evidence. Moderate Evidence. This strategy has been tested more than once and results trend positive overall. 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.1 (Read more about understanding evidence ratings).

Target Audience. Patients/Consumers/Caregivers

Outcome. Injury Prevention and Safe Behaviors. For detailed outcomes related to each study supporting this strategy, read the "Intervention Results" for each study listed in the references below.

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

The Role of Title V. Title V agencies can use implementation science and quality improvement metods to identify pilot sites, support funding, train, and provide technical assistance (TA) for sustainable implementation and spread of evidence-based/informed strategies and programs.

For additional suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies.

Sample ESMs. Using the approach “Disseminate injury prevention and safe behavior information through existing evidence-based/informed home visiting, caregiver education, and school-based outreach programs,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework:

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 Abbott & Elliot, 2017; Burrus et al., 2012; Filene, Kamiski, Valle, & Cachat, 2013; Langford et al., 2014; MacArthur et al., 2018.

2 Katz et al., 2013; Robinson, et. al., 2013.

 

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.