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Strengthen the Evidence for Maternal and Child Health Programs

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Evidence Tools
MCHbest. Medical Home: Referrals.

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Strategy. Parent and Caregiver Education

Approach. Educate patients and caregivers about screening, intervention, and treatment options across networks of care so that they can make informed choices and support their own health needs

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Overview. Educating parents and caregivers about screening, intervention, and treatment options leads to positive outcomes for children. Implementation of a machine learning-based alert system can significantly increase referrals for epilepsy surgery evaluations among children with epilepsy, with a higher likelihood of referral and surgery in the alert group.[1] Training programs can effectively enhance childcare providers' knowledge and attitudes towards developmental monitoring and referrals, evidenced by increased perceived knowledge and appropriate referral ability.[2]

Evidence. Emerging Evidence. Strategies based on emerging evidence show promise but have not undergone extensive testing. While these approaches demonstrate potential, their effectiveness remains unconfirmed. Prioritize rigorous monitoring to ensure they achieve desired outcomes for all MCH populations.

Access the peer-reviewed evidence through the MCH Digital Library or related evidence source.

Potential Data Sources. Data to support this strategy can be accessed through:

  • Pre- and post-program surveys on health knowledge
  • Parental health literacy assessments
  • Post-intervention satisfaction surveys

Outcome Components. This strategy has shown to have impact on the following outcomes (Read more about these categories):

  • Health and Health Behaviors/Behavior Change. This strategy improves individuals' physical and mental health and their adoption of healthy behaviors (e.g., healthy eating, physical activity).
  • Utilization. This strategy improves the extent to which individuals and communities use available healthcare services.
  • Cost. This strategy helps to decrease the financial expenditure incurred by individuals, healthcare systems, and society in general for healthcare services.

Detailed Outcomes. For specific outcomes related to each study supporting this strategy, access the peer-reviewed evidence and read the Intervention Results for each study.

Intervention Type. Health Teaching (Education and Promotion) (Read more about intervention types and levels as defined by the Public Health Intervention Wheel).

Intervention Level. Individual/Family-Focused

Examples from the Field. There are currently no ESMs that use this strategy. Search similar intervention components in the ESM database.

Sample ESMs. Here are sample ESMs to use as models for your own measures using the RBA framework (see The Role of Title V in Adapting Strategies).

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

  • Number of patients and caregivers participating in educational programs on screening, intervention, and treatment options. (Measures engagement in education efforts)
  • Number of healthcare providers offering patient and caregiver education on navigating care networks. (Assesses availability of education initiatives)

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

  • Percent of education programs using health literacy and behavior change best practices. (Measures quality of education design)
  • Percent of education initiatives tailored to the needs of the communities being served. (Assesses educational content)

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

  • Number of patients and caregivers reporting feeling informed and supported in their care choices. (Measures self-reported impact of education)
  • Number of patients and caregivers demonstrating increased knowledge about accessing screening and treatment services. (Measures education impact on health literacy)
  • Number of healthcare systems adopting evidence-based patient education strategies. (Measures institutionalization of education innovations)
  • Number of communities achieving improvements in health outcomes through coordinated education initiatives. (Assesses population-level impact of education)

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

  • Number of patients and caregivers reporting feeling informed and supported in their care choices. (Measures self-reported impact of education)
  • Number of patients and caregivers demonstrating increased knowledge about accessing screening and treatment services. (Measures education impact on health literacy)
  • Percent of healthcare systems adopting evidence-based patient education strategies. (Measures institutionalization of education innovations)
  • Percent of communities achieving improvements in health outcomes through coordinated education initiatives. (Assesses population-level impact of education)

Note. When looking at your ESMs, SPMs, or other strategies:

  1. Move from measuring quantity to quality.
  2. Move from measuring effort to effect.
  3. Quadrant 1 strategies should be used sparingly, when no other data exists.
  4. The most effective measurement combines strategies in all levels, with most in Quadrants 2 and 4.

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

References

[1] Wissel, B. D., Greiner, H. M., Glauser, T. A., Mangano, F. T., Holland-Bouley, K. D., Zhang, N., Szczesniak, R. D., Santel, D., Pestian, J. P., & Dexheimer, J. W. (2023). Automated, machine learning-based alerts increase epilepsy surgery referrals: A randomized controlled trial. Epilepsia, 64(7), 1791–1799. https://doi.org/10.1111/epi.17629

[2] Chödrön, G., Barger, B., Pizur-Barnekow, K., Viehweg, S., & Puk-Ament, A. (2021). "Watch Me!" Training Increases Knowledge and Impacts Attitudes Related to Developmental Monitoring and Referral Among Childcare Providers. Maternal and child health journal, 25(6), 980–990. https://doi.org/10.1007/s10995-020-03097-w

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.