Implementation of Evidence-Based Early Childhood Home Visiting: Results From the Mother and Infant Home Visiting Program Evaluation




Anne Duggan, Ximena A. Portilla, Jill H. Filene, Sarah Shea Crowne, Carolyn J. Hill, Helen Lee, and Virginia Knox

Brief Type

Evaluation Report


  • Early Head Start Home-Based Option
  • Healthy Families America (HFA)
  • Nurse-Family Partnership (NFP)
  • Parents as Teachers (PAT)


Report describes in detail how a large group of MIECHV-funded local home visiting programs were implemented, and provides insight into the experiences of families and home visitors across multiple home visiting models, states, and regions of the United States.
Key Findings include:
The MIECHV-funded local programs served families in disadvantaged communities with high levels of risk. Mothers participating in MIHOPE tended to be young, economically disadvantaged, and exhibited a variety of risks that could affect their children’s development.
Similar to prior research, families in MIHOPE participated in home visiting for eight months on average, which is less than expected by the four evidence-based models in the study. More disadvantaged families tended to participate for a shorter time than other families.
Local programs focused on improving parenting and child development outcomes, areas historically emphasized by all four of the evidence-based models. A majority of visits discussed these topics. Home visitors attended more training and felt most well supported and effective in improving parenting and child development, compared with other areas.
Services related to substance use, mental health, or intimate partner violence were tailored to family needs. Home visitors addressed sensitive topics, such as substance use, mental health, or intimate partner violence, more often with families who were more likely to need help in these areas, compared with other families. Home visitors who attended training on these topics addressed them more often with families.

Data Collection Methods

  • Interviews
  • Parent-child observations
  • Program administrative record reviews
  • Record and document reviews
  • Surveys or questionnaires



For More Information

Duggan, A., Portilla, X.A., Filene, J.H., Crowne, S.S., Hill, C.J., Lee, H., & Knox, V. (2018). Implementation of Evidence-Based Early Childhood Home Visiting: Results from the Mother and Infant Home Visiting Program Evaluation. OPRE Report 2018-76A. Washington, DC: Office of Planning, Research, and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services.



  • Home Visiting Workforce Characteristics and Workforce Development
  • Participant Characteristics
  • Program Quality, Continuous Quality Improvement, and Fidelity
  • Participant Recruitment, Retention, Engagement, and Dosage