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Strengthen the Evidence for Maternal and Child Health Programs

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Established Evidence Results

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Below are articles that support specific interventions to advance MCH National Performance Measures (NPMs) and Standardized Measures (SMs). Most interventions contain multiple components as part of a coordinated strategy/approach.

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Displaying records 1 through 3 (3 total).

Bundy LT, Haardörfer R, Kegler MC, Owolabi S, Berg CJ, Escoffery C, Thompson T, Mullen PD, Williams R, Hovell M, Kahl T, Harvey D, Price A, House D, Booker BW, Kreuter MW. (2018). Disseminating a Smoke Free Homes program to low SES households in the US through 2-1-1: Results of a national impact evaluation. Nicotine & Tobacco Research. 2018 Dec 5. doi: 10.1093/ntr/nty256.

Evidence Rating: Moderate Evidence

Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Telephone Support, COMMUNITY, Community Health Services Policy, Distribution of Promotional Items (Classroom/School), Distribution of Promotional Items (Community), Educational Material

Intervention Description: The intervention consists of three mailings and one brief coaching call delivered by 2-1-1 staff over 6 weeks. Emphasizes establishing a smoke-free home rather than smoking cessation.

Intervention Results: Overall, 40.1% reported creating a full household smoking ban. Among the nonsmoking adults reached at follow-up, days of SHS exposure in the past week decreased from 4.9 to 1.2. Among the 1148 smokers reached for follow-up, 211 people quit, an absolute reduction in smoking of 18.4% (p < .0001), with no differences by gender. Among those reached for 2-month follow-up, the proportion who reported establishing a smoke-free home was comparable to or higher than smoke-free home rates in the prior controlled research studies.

Conclusion: Among those reached for 2-month follow-up, the proportion who reported establishing a smoke-free home was comparable to or higher than smoke-free home rates in the prior controlled research studies.

Study Design: RCTs; 1st was efficacy trial, 2nd was effectiveness trial, 3rd was a generalizability trial, [4th-5th not described in article]

Setting: Telephone counseling for an educational intervention

Population of Focus: 5 2-1-1 centers chosen via competitive applications for a national grants program

Data Source: Participant reports; Tracking Tool for programs to record process of project

Sample Size: 2345 households at five 2-1-1 organizations

Age Range: Not specified

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Driscoll, D. L., Barnes, V. R., Johnston, J. M., Windsor, R., & Ray, R. (2018). A Formative Evaluation of Two FASD Prevention Communication Strategies. Alcohol and alcoholism (Oxford, Oxfordshire), 53(4), 461–469. https://doi.org/10.1093/alcalc/agx122

Evidence Rating: Emerging

Intervention Components (click on component to see a list of all articles that use that intervention): Media Campaign (Print Materials, Public Address System, Social Media), Distribution of Promotional Items (Community),

Intervention Description: The first intervention involved an FASD informational poster affixed to a pregnancy test dispenser, while the second intervention involved an FASD informational poster alone. Both interventions were posted in women's restrooms at establishments serving alcohol in eight study communities in Alaska and the Yukon Territory.

Intervention Results: The study found that both intervention groups showed improvement in knowledge of FASD, with the dispenser group scoring higher than the poster group on the FASD Health Belief questions at both baseline and follow-up. Additionally, alcohol consumption among pregnant women was lower at follow-up than at baseline, and a smaller proportion of pregnant participants reported drinking alcohol within the past 30 days at follow-up, indicating that the interventions may have influenced pregnant participants to stop drinking. The study also reported generally positive comments from patrons and no requests from establishments to remove the messages prior to the end of the study

Conclusion: Both interventions were posted in women's restrooms at establishments serving alcohol in eight study communities in Alaska and the Yukon Territory.

Study Design: Formative Evaluation

Setting: Alaska & Yukon regions

Population of Focus: women of childbearing age, particularly those who consume alcohol and may be pregnant or become pregnant

Sample Size: 2132

Age Range: 21-40

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Swaim RC, Kelly K. Efficacy of a randomized trial of a community and school-based anti-violence media intervention among small-town middle school youth. Prev Sci. 2008;9(3):202- 214.

Evidence Rating: Moderate Evidence

Intervention Components (click on component to see a list of all articles that use that intervention): CLASSROOM, Peer-led Curricular Activities/Training, SCHOOL, Assembly, Media Campaign (Print Materials, Public Address System, Social Media), POPULATION-BASED SYSTEMS, COMMUNITY, Training, Event, Media Campaign (Print Materials, Radio, TV), Distribution of Promotional Items (Classroom/School), Distribution of Promotional Items (Community)

Intervention Description: In a community randomized controlled trial, intervention middle school students from small towns were exposed to a community and school-based anti-violence intervention ("Resolve It, Solve It").

Intervention Results: Students in the intervention group reported a significantly higher rate of decline in verbal victimization compared to control students. The difference was only significant among males. For physical victimization, the decline in the intervention group compared to the control group was in the expected direction but did not reach statistical significance (p=0.069). This near significant difference was accounted for by males.

Conclusion: These results suggest that a media and reinforcing community intervention led by older peers can alter rates of growth for some measures of violence and associated factors among small-town youth. Further research is indicated to determine how different campaign messages influence students by sex.

Study Design: Cluster RCT: pretest-posttest

Setting: US

Population of Focus: Not specified

Data Source: Not specified

Sample Size: Total (n=1492) Intervention (n=712); Control (n=780)

Age Range: NR

Access Abstract

The MCH Digital Library is one of six special collections at Geogetown University, the nation's oldest Jesuit institution of higher education. It is supported in part by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under award number U02MC31613, MCH Advanced Education Policy with an award of $700,000/year. The library is also supported through foundation and univerity funding. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.