MIHOPE_Stage3_Site Presentation_UPDATE pptx
MIHOPE_Stage3_Site Presentation_UPDATE pptx.pptx
Mother and Infant Home Visiting Program Evaluation (MIHOPE)
MIHOPE_Stage3_Site Presentation_UPDATE pptx
OMB: 0970-0402
MIHOPE
Mother and Infant Home Visiting Program Evaluation
Project description and management for MIHOPE
MIHOPE research questions and study design
Benefits of participation
Roles and responsibilities of participation
MIHOPE timeline
Stages for state/program site selection
Presentation Overview
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Mother and Infant Home Visiting Program Evaluation
Large-scale evaluation of the effectiveness of home visiting models supported by MIECHV
Includes 85 program sites in 12 states nationwide
Focuses on models serving at-risk expectant families and infants to 6 months
What is MIHOPE?
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Sponsored by: U.S. Department of Health and Human Services, Administration for Children and Families, Office of Planning Research and Evaluation (OPRE) and Health Resources and Services Administration (HRSA)
Authorization: Maternal, Infant and Early Childhood Home Visiting Program (MIECHV), Patient Protection and Affordable Care Act of 2010
Project Team:
MDRC
James Bell Associates
Johns Hopkins University
Mathematica Policy Research
Who is Conducting MIHOPE?
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Evidence-based models supported with MIECHV funding
Models serving expectant families or those with infants
Models selected for implementation by at least 10 states
Models:
◦Early Head Start-Home Visiting
◦Healthy Families America
◦Nurse Family Partnership
◦Parents as Teachers
What Home Visiting Models are in MIHOPE?
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Analysis of state needs assessments
Effectiveness study
o Reports variation in impacts for sites and populations with different characteristics
o Incorporates study of health disparities and outcomes
o Includes implementation study
Economic evaluation
Three components of the evaluation design
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Before MIECHV, what current home visiting practices did states describe?
What community needs and gaps in services did states identify?
How did states intend for MIECHV home visiting programs to address the gaps?
Data sources: state needs assessments, state plans, and competitive applications; interviews with state administrators
How will we learn about the needs of communities operating MIECHV programs?
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How do the outcomes for families enrolled in home visiting compare to similar families?
oOn maternal health, parent well-being, family economic self-sufficiency, child health and development, and parenting practices?
oDo some families benefit more?
oWhat are the impacts for each evidence-based model?
Data sources: vital, child welfare, and Medicaid data; baseline family survey; direct child assessments; parent-child interactions; and follow-up survey.
How will we learn about program impacts?
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What services are provided and to whom?
oHow are services delivered?
oWhat are the characteristics of the families?
oWhat challenges are encountered and how are they addressed?
oWhat alternative programs are available?
oWhat program characteristics are associated with family engagement and with bigger impacts on family outcomes?
Data sources: MIHOPE logs, staff surveys and inventories, program staff interviews, in-person visits to programs, and video recordings during home visits
How will we learn about program implementation?
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What is the cost of serving the average family?
What are the average program costs for a local program site?
How does the cost compare to the impacts generated by the program?
Data sources: program fiscal data, service delivery logs
How will we learn about economic effects?
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A lottery-like process to place individuals into a program group and a comparison group
Increases the likelihood that groups have similar characteristics on average before treatment, so the differences over time in the outcomes for the groups are more likely the effect of the program services offered to the program group
Allows you to measure the impacts (effects) on outcomes for each group, not for individuals in the groups
What is Random Assignment?
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Fair and equitable way to determine who receives program services
More reliable way to measure program effects than statistical controls alone
Widely used in social service settings
Endorsed by:
◦The Department of Health and Human Services
◦The Office of Management and Budget
◦The Department of Labor
◦The Department of Education
◦Other federal and private agencies
Why Use Random Assignment?
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Without Comparisons,
Results May Be Misleading
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Percent up to date with immunizations
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Capacity expands with federal funds and does not change with RA
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National recognition for your state and MIECHV program
Builds strong evidence base to inform home visiting policy decision making
Provides information on what differences home visiting programs make
Funds to support staff participation in research activities
Provides program and state feedback about program participation
What are the Benefits to Participation in the Evaluation?
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States:
Facilitate agency’s recruitment of program sites
Help negotiate access to state administrative records for purposes of the study
Programs:
Recruit approximately 60 families (30 in the program group and 30 in the comparison group)
Staff and administration participate in interviews and surveys
Provide program records such as staffing, training, and cost information
Complete and submit program participation logs
Facilitate home visits videotaped by research staff (9 families, 2 visits each)
What Will State/Programs Do?
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Operating location that can recruit approximately 60 families in 12-15 months and provide services to 30
Has more than 2 years experience offering home visiting services
Is offering at least 1 of the 4 models selected for evaluation
What are We Looking for in
Local Programs?
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Explain research design and provide training on research procedures
Enroll program participants in the study and collect consent forms
Collect data through surveys, interviews, observations, and program and administrative records
Provide funding to programs to offset costs of research participation
Analyze data, provide results, and disseminate information
What Will the Research Team Do?
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Meet with study team to learn more about the evaluation and provide information
Discuss research design and reach agreement on roles and responsibilities
Prepare for research enrollment and data collection
Implement evaluation procedures
Study team monitors research procedures and provides feedback
What are the Stages of State/ Program Site Selection?
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Phase 1
Site recruitment and selection: 2012
Enroll families in the evaluation: mid 2012 through 2014
Report to Congress on characteristics of enrolled families: 2015
Phase 2 (date is tentative)
Report on program impacts: 2017
What is the MIHOPE Timeline?
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If you would like additional information about
Please contact [email protected] or [email protected] for more information.
Need More Information?
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| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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