Project

Mother and Infant Home Visiting Program Evaluation–Strong Start

about the project

Topics

Capabilities

Status

Client

Office of Planning, Research and Evaluation, Administration for Children and Families; Health Resources and Services Administration

Expectant women who have low incomes or struggle to afford health insurance are at risk for poor health outcomes—for themselves and their babies.

The Mother and Infant Home Visiting Program Evaluation (MIHOPE)–Strong Start examined the effectiveness of two evidence-based home visiting models (Healthy Families America and Nurse-Family Partnership) in improving outcomes among women and infants enrolled in Medicaid or the Children’s Health Insurance Program.

Key research questions included—

  • What is the impact on birth outcomes, maternal and infant health, and health care use for local home visiting programs that use these models?
  • How do impacts vary for key subgroups, such as smokers and young mothers?
  • What is the impact on Strong Start outcomes?
  • How do programs using these models achieve their results?

JBA contributed to the design of this large random assignment study and led the analysis of service delivery data from local, state, and national systems. Support for data collection included instrument testing, site recruitment and selection, and training. We also conducted and analyzed interviews with state home visiting agencies and partners and contributed to reports and briefings on the study findings for federal staff and other stakeholders.

Staff

Partners

MDRC, Mathematica Policy Research, Johns Hopkins University

Resources

about the project

Topics

Capabilities

Status

Client

Office of Planning, Research and Evaluation, Administration for Children and Families; Health Resources and Services Administration