Trial reportMaternal and child health journal2017
Replicating Evidence-Based Practices with Flexibility for Perinatal Home Visiting by Paraprofessionals.
Trial report 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. It is linked to trial NCT01687634 (Home Visiting for Low Income, Pregnant Women), which is not on this map. Cited by 13 papers, 7 of them syntheses that pooled it.
What it found
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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.
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.
Home Visiting for Low Income, Pregnant Women
Who cites it
13 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Nutritional counseling strategies in breastfeeding: a scoping review.Frontiers in nutrition · 2026Pooled it
- Community Health Worker-Delivered Mental Health Interventions for Latine Populations in the U.S.: A Systematic Literature Review.Administration and policy in mental health · 2025Pooled it
- Breastfeeding interventions for preventing postpartum depression.The Cochrane database of systematic reviews · 2025Pooled it
- Psychosocial and medication interventions to stop or reduce alcohol consumption during pregnancy.The Cochrane database of systematic reviews · 2024Pooled it
- Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022Pooled it
- Efficacy of behavioral interventions to improve maternal mental health and breastfeeding outcomes: a systematic review.International breastfeeding journal · 2022Pooled it
- Impact of breastfeeding interventions among United States minority women on breastfeeding outcomes: a systematic review.International journal for equity in health · 2021Pooled it
- Cultural Adaptations in Community Health Worker-Delivered Mental Health Interventions for U.S Latine Populations.Journal of racial and ethnic health disparities · 2026Article
- Exploring the Links Between Immigration and Birth Outcomes Among Latine Birthing Persons in the USA.Journal of racial and ethnic health disparities · 2025Review
- Community-based diet and obesity-related policy, system, and environmental interventions for obesity prevention during the first 1000 days: A scoping review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2024Article
- Feasibility of a Web-Based Intervention to Prevent Perinatal Depression and Promote Human Milk Feeding: Randomized Pilot Trial.JMIR formative research · 2022Article
- Utilizing broad-based partnerships to design a precision approach to implementing evidence-based home visiting.Journal of community psychology · 2020Article
- Development of an Electronic Data Collection System to Support a Large-Scale HIV Behavioral Intervention Trial: Protocol for an Electronic Data Collection System.JMIR research protocols · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
Introduction Strategies are needed to improve the efficacy of paraprofessional home visitors for pregnant women in the United States. This study evaluates the maternal and child outcomes when evidence-based practices (EBP) are replicated with flexibility, rather than fidelity to a manualized intervention. Methods Pregnant mothers (N = 203) in five clinics were recruited in the waiting rooms and randomized to standard clinic care as the control condition (n = 104) or standard care plus home visiting (n = 99). Home visitors (n = 9) were selected, trained in foundational skills common to EBP and four problem domains (weight control, breastfeeding, daily habits, and depression). Independent interviewers assessed targeted outcomes at birth (82%) and 6 months later (83%).
resultsHome visitors, called Mentor Mothers [MM], made an average of 14.9 home visits or telephone contacts (SD = 9; total contacts = 1491) addressing maternal daily habits, breastfeeding, and depression. Intervention and control mothers were similar in weight, Body Mass Index (BMI), depression and social support at baseline and 6 months later. The percentage of low birth weight babies was similar; intervention infants' growth (weight/height Z score) tended to be significantly better compared to the control condition. DISCUSSION: There are many explanations for the failure to find significant benefits: insufficient statistical power; the benefits of repeated assessments by warm, supportive peers to improve outcomes; or the failure of EBP and the need to maintain replication with fidelity. All study mothers had better outcomes than documented among comparable published samples of low-income, Latina and Korean-American mothers in Los Angeles, CA. ClinicalTrials.gov registration NCT01687634.
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Registered trials
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.