Evidence map›Paper›PMID 28093688›Full record

ArticleMaternal and child health journal2017

Kentucky Health Access Nurturing Development Services Home Visiting Program Improves Maternal and Child Health.

Corrine M Williams, Sarah Cprek, Ibitola Asaolu, Brenda English, Tracey Jewell, Kylen Smith, Joyce Robl

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Article in Maternal and child health journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 31 citations in OpenAlex.

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  6. Rural maternal health interventions: A scoping review and implications for best practices.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Corrine M WilliamsDepartment of Health, Behavior & Society, University of Kentucky, 111 Washington Avenue, Room 113B, Lexington, KY, USA. corrine.williams@uky.edu.
Sarah CprekDepartment of Health, Behavior & Society, University of Kentucky, 111 Washington Avenue, Room 113B, Lexington, KY, USA.
Ibitola AsaoluDepartment of Health, Behavior & Society, University of Kentucky, 111 Washington Avenue, Room 113B, Lexington, KY, USA.
Brenda EnglishKentucky Department for Public Health, Frankfort, KY, USA.
Tracey JewellKentucky Department for Public Health, Frankfort, KY, USA.
Kylen SmithKentucky Department for Public Health, Frankfort, KY, USA.
Joyce RoblKentucky Department for Public Health, Frankfort, KY, USA.
Kentucky Department for Public Health · USUniversity of Kentucky · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesHome visitation programs are one of the numerous efforts to help reduce the rates of preterm birth and low birth weight as well as offering other improvements in maternal and child health and development. The Kentucky Health Access Nurturing Development Services (HANDS) is a voluntary, home visiting program serving first-time, high-risk mothers. This study's objective was to evaluate the impact of HANDS on maternal and child health outcomes.

methodsHANDS administrative data, live birth certificate records and data from the Division of Child Protection and Safety were used in these analyses. We analyzed 2253 mothers who were referred to HANDS between July 2011 and June 2012 and received a minimum of one prenatal home visit (mean number of prenatal visits = 12.9) compared to a demographically similar group of women (n = 2253) who did not receive a visit. Chi square statistics and conditional logistic regression models were used to evaluate the impact of HANDS.

resultsHANDS participants had lower rates of preterm delivery (OR 0.74, 95% CI 0.61-0.88) and low birth weight infants (OR 0.54, 95% CI 0.44-0.67). HANDS participants also were significantly less likely to have a substantiated report of child maltreatment compared to controls (OR 0.53, 95% CI 0.43-0.65). HANDS participants also had an increase in adequate prenatal care and a reduction in maternal complications during pregnancy. Of particular important, outcomes improved as the number of prenatal home visits increased: among women receiving 1-3 prenatal home visits was 12.1%, the rate among women receiving 4-6 prenatal home visits was 13.2%, while the rate of PTB among those receiving 7 or more prenatal home visits was 9.4%.

conclusionsHANDS program participation appears to result in significant improvements in maternal and child health outcomes, most specifically for those receiving seven or more prenatal home visits. As a state-wide, large scale home visiting program, this has significant implications for the continued improvement of maternal and child health outcomes in Kentucky.

Indexed as

House CallsBreast FeedingChild AbuseChild HealthChi-Square DistributionFemaleFood AssistanceHealth Services AccessibilityHumansInfantInfant, Low Birth WeightInfant, NewbornKentuckyMaternal HealthPre-EclampsiaPregnancyChild healthChild maltreatmentDevelopmentHome visitingLow birth weightPreterm birth

Identifiers

PMID28093688
OpenAlexW2573852286

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.