MIHOPE is a multi-state study of home visiting programs authorized under the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program. The study is required by the federal Patient Protection and Affordable Care Act of 2010 (ACA), which created the MIECHV program. It is being conducted by MDRC under contract to the Administration for Children and Families within the US Department of Health and Human Services. In conducting the research, MDRC has subcontracted portions of the research to Mathematica Policy Research, Johns Hopkins University, Columbia University, University of Georgia, and James Bell Associates. MIHOPE is randomly assigned 4,229 families nationally to home visiting services or to a comparison group that will receive referrals to other services in the community. The study is seeking to include 88 local home visiting programs (sites) that are funded through MIECHV in approximately 12 states. Data will be collected from families, local home visiting programs, and state and federal administrative data systems to assess the effects of the programs on family outcomes and to learn more about how the programs are run. Sites included in the evaluation will be using one of four national service models (Nurse Family Partnership, Healthy Families America, Parents as Teachers, and Early Head Start-Home Visiting Option) that states have chosen for most of their MIECHV funding. MIHOPE will inform the federal government about the effectiveness of the MIECHV program in its first few years of operation, and it will provide information to help states develop and strengthen home visiting programs in the future. Research findings will be disseminated through a report to Congress in 2015; reports on program impacts, implementation, and on the relationship between program features and program impacts; journal articles; and practitioner briefs.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
New pregnancy after study entry
Timeframe: through child's 15th month
Any health encounter for injury or ingestion
Timeframe: through child's 15th month
Number of well-child visits
Timeframe: through child's 15th month
Parental supportiveness
Timeframe: at child's 15th month
Quality of home environment
Timeframe: at child's 15th month
Child has health insurance coverage
Timeframe: at child's 15th month
Behavior problems
Timeframe: at child's 15th month
Frequency of minor physical assault of child
Timeframe: through child's 15th month
Frequency of psychological aggression
Timeframe: through the child's 15th month
Any child ED use
Timeframe: through child's 15th month
Language skills in the normal range
Timeframe: at child's 15th month
Parent receiving education or training
Timeframe: at child's 15th month