Multi-Site Implementation Evaluation of Tribal Home Visiting (MUSE)


The Multi-Site Implementation Evaluation of Tribal Home Visiting (MUSE) is the first multi-site, multi-model study of how home visiting is implemented across tribal communities. The study aims to develop in-depth understandings of the characteristics of tribal home visiting programs and the families they serve. To carry out this stakeholder-engaged research, the MUSE Team is partnering with 17 Tribal Home Visiting (THV) grantees, federal stakeholders, and technical workgroup members in an intensive ongoing process of providing feedback on all aspects of MUSE. Stakeholder input has shaped all aspects of the study design, including the conceptual model for home visiting in tribal communities, study aims, study questions, and data collection measures.

The MUSE Study is using a mixed-methods design to address the following 3 study aims:

  1. Identify and describe primary influences shaping tribal home visiting program planning.
  2. Identify and describe how tribal home visiting programs are being implemented.
  3. Explore supports and challenges to home visiting implementation in tribal communities.

Quantitative and qualitative data are gathered from home visiting staff and participants over the course of two years. Data collection methods include qualitative interviews and surveys of program staff and participants, program implementation logs, administrative program data, short surveys completed after individual home visits, and content analysis of grantee implementation plans.

The analytic approach used by MUSE will intentionally mix data across sources and use iterative analytic processes to ensure that data being collected by MUSE grantee partners produce rich findings that are useful to study stakeholders. The MUSE Team will convene a dissemination committee, including representatives from all participating grantees, to provide input into the development of study reports, presentations, and publications.

In 2021, the Office of Planning, Research, and Evaluation exercised an optional component within the MUSE contract to fund the Multi-Site Implementation Study of State-Tribal Collaboration (MUSE-STC). Over a two-year period, MUSE-STC will investigate how states and tribal communities coordinate to serve American Indian and Alaska Native families under the state/territory MIECHV program. MUSE-STC utilizes the same contract tasks, key staff, stakeholder engagement approach, and conceptual model as the MUSE study.

James Bell Associates and the Centers for American Indian and Alaska Native Health (CAIANH) at the University of Colorado Anschutz Medical Campus were awarded this contract.

Point(s) of contact: Aleta Meyer and Nicole Denmark.

This study is registered on under the title Multi-Site Implementation Evaluation of Tribal Home Visiting (MUSE) Visit disclaimer page .

Information collections related to this project have been reviewed and approved by the Office of Management and Budget (OMB) Office of Information and Regulatory Affairs under OMB # 0970-0521. Related materials are available at the View ICR — OIRA Conclusion page on

The most currently approved documents are accessible by clicking on the ICR Ref. No. with the most recent conclusion date. To access the information collections (E.g. interviews, surveys, protocols), click on View Information Collection (IC) List. Click on View Supporting Statement and Other Documents to access other supplementary documents.

Related Resources

The Multi-Site Implementation Evaluation of Tribal Home Visiting (MUSE) will articulate and test a conceptual model of how implementation and cultural and contextual adaptations, enhancements, and supplements (AES) of home visiting programs relate to quality of services and outcomes in tribal communities. The MUSE Team of James Bell Associates, Inc. (JBA) and Centers for American Indian and Alaska...