Jill H. Filene|Jennifer W. Kaminski|Linda Anne Valle|Patrice Cachat
Components Associated With Home Visiting Program Outcomes: A Meta-analysis
James Bell Associates (United States)|Centers for Disease Control and Prevention|Centers for Disease Control and Prevention|James Bell Associates (United States)
background although several systematic reviews concluded home visiting strong evidence effectiveness individual evaluations produced inconsistent results used componentbased domainspecific approach determine characteristics strongly predict outcomes methods medline psycinfo searches used identify evaluations universal selective home visiting programs implemented united states coders trained study criterion coded characteristics research design program content service delivery conducted randomeffects inversevarianceweighted linear regressions using program characteristics predict effect sizes 6 outcome domains birth outcomes parenting behavior skills maternal life course child cognitive outcomes child physical health child maltreatment results aggregated single effect size per study k 51 mean effect size 020 95 confidence interval 014 027 range 068 395 mean effect sizes significant positive 3 6 outcome domains maternal life course outcomes child cognitive outcomes parent behaviors skills heterogeneity effect sizes 6 outcome domains research design characteristics generally predict effect sizes consistent pattern effective components emerged across outcome domains conclusions home visiting programs demonstrated small significant overall effects wide variability size domainspecific effects components significantly predicted domainspecific effects communities may need complementary alternative strategies home visiting programs ensure widespread impact 6 important public health outcomes