The Mother and Infant Home Visiting Program Evaluation-Strong Start (MIHOPE-Strong Start) was launched in 2012 to evaluate the effectiveness of evidence-based home visiting for improving prenatal and birth outcomes and reducing health care costs for families enrolled in Medicaid or the Children’s Health Insurance Program (CHIP). The study included 2,900 families from 66 local home visiting programs across 17 states. Programs participating in the study used one of two evidence-based home visiting models with some prior evidence of effectiveness at improving birth outcomes: Healthy Families America (HFA) and Nurse-Family Partnership (NFP). The evaluation was part of the Centers for Medicare and Medicaid Services’ (CMS) Center for Medicare and Medicaid Innovation’s Strong Start for Mothers and Newborns Visit disclaimer page initiative, and is the result of a collaboration between ACF, CMS, and the Health Resources and Services Administration (HRSA).
The study included a random assignment impact analysis and a multi-level implementation research analysis. The primary data used in the study were from surveys completed by families and home visiting staff, Medicaid and CHIP data, vital records, and program service records.
The MIHOPE-Strong Start analysis included a subset of families and local programs that were recruited for MIHOPE, the national evaluation of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program. An important distinction between MIHOPE-Strong Start and MIHOPE is that MIHOPE included only programs receiving MIECHV funding, while MIHOPE-Strong Start included both MIECHV and non-MIECHV-funded programs.
Pregnant mothers were enrolled in the study from 2014 until 2015. Data collection was completed in 2017. The project produced:
A Design Report
Annual Reports (3)
- The Mother and Infant Home Visiting Program Evaluation-Strong Start: First Annual Report
- Cheaper, Faster, Better: Are State Administrative Data the Answer? The Mother and Infant Home Visiting Program Evaluation-Strong Start Second Annual Report
- An Early Look at Families and Local Programs in the Mother and Infant Home Visiting Program Evaluation-Strong Start
A Final Report
- The Effects of Home Visiting on Prenatal Health, Birth Outcomes, and Health Care Use in the First Year of Life: Final Implementation and Impact Findings from the Mother and Infant Home Visiting Program Evaluation-Strong Start
A report on state efforts
Data will be archived with the Inter-university Consortium for Political and Social Research (ICPSR) Visit disclaimer page at the University of Michigan through OPRE’s Child and Family Data Archive Visit disclaimer page .
The contract to conduct the evaluation was awarded to MDRC with subcontracts to James Bell Associates, Johns Hopkins University, Mathematica Policy Research, and New York University. This project was led by the Administration for Children and Families in collaboration with the Centers for Medicare and Medicaid Services and the Health Resources and Services Administration.