Evidence-based home visiting programs exist in over half of the counties in the United States. Because home visiting programs aim to improve the health, education, and life circumstances of pregnant mothers and their children, they are a critical piece of the early childhood landscape. However, the data collected about these programs are siloed,…

Objective: To describe the development of Project Passport, a perinatal intervention designed to reduce negative outcomes among pregnant teens. Methods: A logic model guided the planning, development and evaluation plan for the intervention. It included the selection of health goals, behaviors to be targeted, determinants of the selected…

While the link between schooling and health has been well established, the direct and indirect effects of early childhood education programs on health have recently become a more substantial focus of research. This brief summarizes the research evidence, organized by three theoretical models that explain how early childhood education and…

Maternal, Infant, and Early Childhood Home Visiting legislation permits states to fund "promising practices"--with the understanding that these models will have a rigorous evaluation component. This article describes an innovative, low cost paraprofessional home visiting model developed in Pennsylvania by the Maternity Care Coalition. In…

Contributors to excessive obesity in rural youth include well-documented nutrition and physical activity behaviors. However, emerging research suggests that preventing excessive weight gain and smoking during pregnancy, teen pregnancy, and child abuse also could reduce obesity in this vulnerable population. These traditional and emerging,…

Recent large federal investments in services for pregnant women and young children will fuel the expansion of home visiting services across the U.S. The authors summarize the history of home visiting and describe trends toward evidence-based and national program models. Moving to an integrated system requires supports for implementation with…

Objective: To describe the development of the National Institute for Health and Clinical Excellence (NICE) evidence-based guidance on one-to-one interventions for prevention of STIs and under 18 conceptions, as a focus for an integrated approach to sexual health services. Method: Documentation of the process for developing NICE guidance that is…

CenteringPregnancy Smiles[TM] (CPS) is a partnership between the University of Kentucky, Trover Health System, and Hopkins County Health Department. The purpose of the partnership is to: (1) establish an infrastructure to address health problems requiring research-based solutions, (2) develop a model for community partnership formation, and (3)…

Reviews and synthesizes the disparate literature on the psychosocial factors associated with adolescent pregnancy using Bronfenbrenner's ecological model. Social influences within the macrosystem, mesosystem, amd microsystem are examined. Policy and service delivery recommendations are offered. (Author/MKA)

Describes the use of multilevel models (MLMs) for studies in which individuals are randomized by groups to treatment condition. Uses data from the Safer Choices study, an evaluation of a theory-based multi-component program to prevent sexually transmitted diseases and pregnancy, to illustrate the application of MLMs for both continuous and…

The author compares and analyzes American and Taiwanese maternity care systems, discussing the history of midwifery in Taiwan; the process by which a midwife establishes her practice; and her role in childbirth, abortion, adoption, and other services. (Author/DS)

This article describes the Preconceptional Intervention Program, a model used among women in 12 Florida counties who are at high risk for low birth-weight delivery. Preconceptional intervention identifies high risk women, provides educational programs, and provides adequate preconceptional and prenatal medical care. (IAH)

This document outlines the development, evaluation, and replication of the Carrera model for pregnancy prevention. The Carerra model helps teens avoid pregnancy by empowering them to develop and reach personal goals, and by providing them with information on sexual issues, including abstinence, contraception, and the consequences of sexual…

Adolescent pregnancy and parenting remains a pressing social and public health concern because the United States continues to have the highest teen pregnancy rate among Western developed nations and because of the attendant social, psychological, and physical problems for young parents and their children. Prevention efforts to reduce the incidence…

This article describes the Ounce of Prevention Fund's journey to institutionalize doula services in the state of Illinois. The Ounce's doulas help strengthen the new relationship between mother and child by working with the mother to help her better understand and anticipate the progression of the third trimester of pregnancy, the child-birthing…