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Zaid S, Sparr M, Peplinski K, Denmark N, Curtin PG. Using a Developmental Approach to Evaluation Capacity Building in Home Visiting. Eval Rev 2022; 46:58-73. [PMID: 33595355 DOI: 10.1177/0193841x21992196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program, administered by the Health Resources and Service Administration in collaboration with the Administration for Children and Families, provides evidence-based home visiting services across 50 states, the District of Columbia, and five U.S. territories. MIECHV invests in comprehensive technical assistance (TA) to support and build the capacity of awardees to conduct rigorous evaluations of their programs. Throughout the course of the evaluation process, awardees received TA from the Design Options for Home Visiting Evaluation project. Between 2011 and 2020, over 173 state-led evaluations have been conducted. Individual technical assistance (TA) modalities included conference calls, emails, interactive and individualized webinars, developing and sharing resources, and involvement of content experts. When issues and challenges were identified across multiple awardees, Design Options for Home Visiting Evaluation (DOHVE) delivered targeted group TA to awardees with common needs that may benefit from peer-to-peer learning. When cross-cutting issues and challenges were identified, DOHVE used universal approaches such as webinars and guidance documents that were made available to all awardees.Through the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program, efforts have been taken to promote awardee capacity by targeting all phases of the evaluation process, including planning, implementing, and disseminating findings and providing TA that is responsive and tailored to meet awardee-specific needs. This approach enabled DOHVE to support MIECHV awardees in expanding knowledge of their programs and the evidence base on home visiting. Lessons learned from TA provision highlight the importance of developing feasible plans and providing ongoing support during implementation.
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Affiliation(s)
- Susan Zaid
- 49330James Bell Associates, Arlington, VA, USA
| | | | - Kyle Peplinski
- Division of Home Visiting and Early Childhood Systems, Maternal and Child Health Bureau, 17225Health Resources and Services Administration, U.S. Department of Health and Human Services, Rockville, MD, USA
| | - Nicole Denmark
- Office of Planning, Research, and Evaluation, 17222Administration for Children and Families, U.S. Department of Health and Human Services, Washington, DC, USA
| | - Pooja Gupta Curtin
- Office of Planning, Research, and Evaluation, 17222Administration for Children and Families, U.S. Department of Health and Human Services, Washington, DC, USA
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Yarnoff B, Khavjou O, Bradley C, Leis J, Filene J, Honeycutt A, Herzfeldt-Kamprath R, Peplinski K. Standardized Cost Estimates for Home Visiting: Pilot Study of the Home Visiting Budget Assistance Tool (HV-BAT). Matern Child Health J 2019; 23:470-478. [PMID: 30547353 DOI: 10.1007/s10995-018-2657-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Purpose Using a standardized approach and metrics to estimate home visiting costs across multiple evidence-based models and regions could improve the consistency and accuracy of cost estimates, allow stakeholders to observe trends in cost allocation, analyze how home visiting costs vary, and develop future program budgets. Between October 2015 and December 2018, we developed and pilot-tested the Home Visiting Budget Assistance Tool (HV-BAT) to standardize the collection of home visiting program costs and analyze costs for local implementing agencies (LIAs). Methods We recruited LIAs that implemented at least one of nine evidence-based home visiting models in 15 states implementing the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program. LIAs reported their costs to implement a home visiting model using the HV-BAT and provided feedback on the tool. We estimated annual total cost and cost per family served for each LIA, examined cost summary statistics for the sample, and analyzed whether and how LIA characteristics affected home visiting costs using regression analyses. Results Of the 168 LIAs invited to participate in the HV-BAT pilot study, 75 agreed to participate, and 45 across 14 states completed the HV-BAT. We estimated home visiting costs of approximately $8500 per family per year, but costs varied across LIAs (range $1970-$39,770; standard deviation = $5794). The marginal cost of adding a family declined as the number of families served by an LIA increased. Feedback from LIAs indicated that users had difficulty providing some details on costs (e.g., mileage for specific services), needed more detailed instructions, and desired a summary of subtotals and total costs reported in the HV-BAT. Conclusions The HV-BAT provides an approach to standardize cost data collection for home visiting programs. Pilot study results indicate that there may be significant economies of scale for home visiting services. This study provides preliminary estimates of costs that can help in program planning and budgeting.
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Affiliation(s)
- Benjamin Yarnoff
- RTI International, 3040 Cornwallis Road, Research Triangle Park, NC, 27709, USA
| | - Olga Khavjou
- RTI International, 3040 Cornwallis Road, Research Triangle Park, NC, 27709, USA
| | - Christina Bradley
- RTI International, 3040 Cornwallis Road, Research Triangle Park, NC, 27709, USA
| | - Julie Leis
- James Bell Associates, 3033 Wilson Blvd. #650, Arlington, VA, 22201, USA
| | - Jill Filene
- James Bell Associates, 3033 Wilson Blvd. #650, Arlington, VA, 22201, USA
| | - Amanda Honeycutt
- RTI International, 3040 Cornwallis Road, Research Triangle Park, NC, 27709, USA
| | - Rachel Herzfeldt-Kamprath
- Division of Home Visiting and Early Childhood Systems, HRSA, Maternal and Child Health Bureau, 5600 Fishers Lane, Rockville, MD, 20857, USA
| | - Kyle Peplinski
- Division of Home Visiting and Early Childhood Systems, HRSA, Maternal and Child Health Bureau, 5600 Fishers Lane, Rockville, MD, 20857, USA.
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Denmark N, Peplinski K, Sparr M, Labiner-Wolfe J, Zaid S, Gupta P, Miller KM. Introduction to the Special Issue on Taking Home Visiting to Scale: Findings from the Maternal, Infant, and Early Childhood Home Visiting Program State-Led Evaluations. Matern Child Health J 2018; 22:1-2. [PMID: 29922936 PMCID: PMC6153730 DOI: 10.1007/s10995-018-2539-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The Maternal, Infant and Early Childhood Home Visiting (MIECHV) Program is a two-generation approach to supporting healthy families through home visits during pregnancy and early childhood. All states and territories receiving MIECHV funding are encouraged to evaluate their programs. This special issue highlights evaluations from 11 awardees-Arkansas, Florida, Illinois, Iowa, Maryland, Massachusetts, Michigan, New Jersey, Oregon, Pennsylvania, and Tennessee. With the wide expansion of home visiting since the onset of MIECHV, the state-led evaluations contribute to the understanding of replication and scale-up of evidence-based home visiting.
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Affiliation(s)
- Nicole Denmark
- US Department of Health and Human Services, Administration for Children and Families, Office of Planning, Research, and Evaluation, 330 C St SW, Washington, DC 20201 USA
| | - Kyle Peplinski
- US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, 5600 Fisher Lane, Rockville, MD 20857 USA
| | - Mariel Sparr
- James Bell Associates, 3033 Wilson Boulevard, Suite 650, Arlington, VA 22201 USA
| | - Judy Labiner-Wolfe
- US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, 5600 Fisher Lane, Rockville, MD 20857 USA
| | - Susan Zaid
- James Bell Associates, 3033 Wilson Boulevard, Suite 650, Arlington, VA 22201 USA
| | - Pooja Gupta
- US Department of Health and Human Services, Administration for Children and Families, Office of Planning, Research, and Evaluation, 330 C St SW, Washington, DC 20201 USA
| | - Kassie Mae Miller
- James Bell Associates, 3033 Wilson Boulevard, Suite 650, Arlington, VA 22201 USA
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