Inventory of Evidence-Based Practices (EBPs) for Healthy Start Programs

Evidence-based practices include actions, activities, strategies, or approaches that improve the health of women, before, during, and after pregnancy in order to improve birth outcomes and give infants up to age two years a healthy start. Also included in the collection are informational materials and tools that make it easier to implement evidence-based practices. To search by title, use the main search box located at the top of this page.


Boston Basics

The Boston Basics Campaign is inspired by the fact that 80% of brain growth happens in the first three years of life. During this period, skill gaps between socioeconomic, racial, and ethnic groups become clearly apparent, but this does not need to be. Everyday interactions between children, their parents, and other caregivers provide abundant opportunities to give children from every background a more equal start in life. The Basics are five, fun, simple, and powerful ways that every family can give every child a strong start beginning from birth: 1) maximize love, manage stress, 2) talk, sing and point, 3) count, group and compare, 4) explore through movement and play, and 5) read and discuss stories. The Basics Community Toolkit provides multi-media resources that healthcare and community-based organizations can use to engage and support parents and other caregivers in practicing these basics.The Boston Basics website and materials are also available in Spanish.

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Father/Partner Prenatal Involvement Reading to Child Daily

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Responsible Fatherhood Toolkit: Resources from the Field

This toolkit presents a compilation of resources that highlight the challenges and key issues associated with launching and sustaining a successful fatherhood program. It covers topics such as: building an effective fatherhood program,effectively engaging fathers, cultivating community partners, recruiting and training staff, serving fathers with specific barriers, and promoting sustainability. The toolkit provides tips and suggestions from experienced practitioners, activities for use with fathers in one-to-one or group sessions, tools from model programs to use and share with fathers, and other helpful resources.

Topics:

Intimate Partner Violence Partner Involvement Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Father/Partner Prenatal Involvement

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Fathering in 15

Fathering in 15™ is an interactive, online tool that helps organizations build the skills of fathers anytime, anywhere. Fathering in 15™ takes fathers through 15 interactive, engaging topics, each in 15 minutes. It is accessible on any computer or mobile device, and can be used a stand-alone, self-paced resource or to complement an existing group-based fatherhood program. Each topic follows the same framework using text written at 5th-6th grade reading level, along with short videos and interactive graphics to engage fathers in learning.

Topics:

Parenting Education Partner Involvement Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Rural Behavioral Health: Telehealth Challenges and Opportunities

This brief looks at common acceptability, availability, and accessibility barriers to mental and substance use disorder (behavioral health) treatment and services in rural communities and presents ways telehealth can help surmount some of these barriers. The term telehealth refers to using internet and communications technologies, such as videoconferencing, chat, and text messaging, to provide health information and treatments in real time.

Topics:

Alcohol/Drug Services Case Management/Care Coordination Depression

Approaches:

Strengthen Family Resilience

Benchmarks:

Perinatal Depression Follow Up Perinatal Depression Screening

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

24/7 Dad® To-Go App

The mobile version of the 24/7 Dad® lets dads install a checklist on their smartphones to use on an ongoing basis. The app provides a place where dads can customize time-sensitive checklists of to-do items related to involved, responsible fatherhood and helps them take action steps daily, weekly, and monthly to be active in their children’s lives. The app also includes links to information on the National Fatherhood Initiatives’ NFI’s website keeping dads connected to the latest practical advice and guidance on how to be a 24/7 Dad.  Note: Scroll to the bottom of the page to find links to access the app.

Topics:

Parenting Education Partner Involvement

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

2018 Prevention Resource Guide

This prevention resource guide offers information, strategies, and resources to support community service providers as they work with parents, caregivers, and children to prevent child maltreatment and promote social and emotional well-being. The guide focuses on protective factors that build on family strengths and promote optimal child and youth development. Information about protective factors is augmented with tools and strategies that help providers, advocates and policymakers integrate the factors into community programs and systems. The guide includes tip sheets for parents in English and Spanish on a range of parenting and child development topics.

Topics:

Intimate Partner Violence Life Course Model Parenting Education Partner Involvement Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Father/Partner Prenatal Involvement Intimate Partner Violence

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

American Academy of Pediatrics/Safe Sleep

This webpage offers resources for providers and families on safe sleep practices. Resources for providers include the AAP Policy Statement: SIDS and Other Sleep-Related Infant Deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment. Resources for families include a videos, posters and infographics on safe sleep practices.

Topics:

Parenting Education Safe Sleep

Approaches:

Promote Quality

Benchmarks:

Safe Sleep

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Bringing Fathers In Fact Sheets

This set of 9 fact sheets for programs that serve families makes the case and provides implementation tips for fully and effectively engaging fathers. The fact sheets describe the importance of involved fathers for improving maternal and child health outcomes, supporting children’s early learning and reducing family and community violence. They also provide best practice do’s and don’ts, tips for attracting fathers to programs, and father-inclusive evaluation strategies.

Topics:

Participant Recruitment and Retention Partner Involvement

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Father/Partner Prenatal Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Connected Kids

Connected Kids is a program of the American Academy of Pediatrics (AAP) designed to address the important issue of violence prevention. One third of the program is devoted to infants and toddlers, and contains suggested anticipatory guidance, a counseling schedule, and recommended educational brochures. Covered issues include handling parental frustration, disciplining toddlers, safety in the home, and a discussion of firearms. Although the program is designed for pediatricians, it could be useful to anyone working with parents of young children.

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Benchmarks:

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Safe Homes, Safe Babies: Perinatal Safety Card

Safe Homes, Safe Babies is a safety card for women that perinatal health care providers can distribute to patients. In addition to providing safety resources for women, this tool also functions as a prompt for perinatal health care providers by providing quick phrases to improve discussions with women about the impact of domestic violence on their parenting and children. The safety card outlines questions women may ask themselves about their relationships, birth control use and parenting, while offering supportive messages and referrals to national support services for help.

Topics:

Depression Intimate Partner Violence Risk Assessment

Approaches:

Strengthen Family Resilience

Benchmarks:

Intimate Partner Violence Perinatal Depression Screening

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

AAP Fetal Alcohol Spectrum Disorders Toolkit

The American Academy of Pediatrics FASD Toolkit was developed in coordination with the CDC to raise awareness, promote surveillance and screening, and ensure that all children who possibly have FASDs receive appropriate and timely interventions. Focused primarily on providers, it features basic information on FASD, diagnostic tools for use in children suspected of being affected, evidence-based interventions, and guidelines for case management/care coordination. The site also contains FAQ and a list of resources for families and school professionals who care for children with FASD.

Topics:

Alcohol/Drug Services Case Management/Care Coordination Parenting Education

Approaches:

Benchmarks:

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Pediatric Health and Safety Guide

This child safety web site was developed by the ACLS Training Center, noted for its experience in emergency situations. It contains numerous tools designed to help parents ensure their children’s safety, including a Safety Checklist for New Parents, guidelines on creating a safe home environment, and tips on when it is safe for babies to move on to the next milestone in sleeping, feeding etc. Additional sections are devoted to prevention of choking, drowning, poisoning, and travel-related injuries, and outdoor and neighborhood safety. All are user-friendly, easily accessible and readable.

Topics:

Parenting Education

Approaches:

Benchmarks:

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Childhood Lead Poisoning

This CDC website provides concise information on risks for lead poisoning in children and evidence-based recommendations for decreasing those risks. It features both tips for parents and guidelines for providers to prevent childhood lead poisoning, along with info graphics and educational recommendations for children affected by lead.

Topics:

Parenting Education Risk Assessment

Approaches:

Benchmarks:

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Effectiveness of Family Planning Methods

This webpage provides basic information on a variety of contraceptive methods, including a link to a poster comparing typical effectiveness of contraceptive methods. The poster can be used to show women and men the range of contraception choices available to them, and which methods work best at preventing pregnancy. The webpage also provides additional resources on contraception for health care providers and consumers.

Topics:

Reproductive Life Planning/Family Planning

Approaches:

Improve Women's Health Promote Quality

Benchmarks:

Reproductive Life Plan

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Positive Parenting Tips

This component of the Child Development section of the CDC website provides information for parents on developmental milestones and positive parenting tips by age group, covering children 0-17 years of age. Age-specific injury prevention and safety advice as well as guidelines for promoting healthy bodies are also given. Parents or service providers for parents can download Positive Parenting Tip Sheets for use as take-home handouts.

Topics:

Parenting Education Partner Involvement Socio-emotional Development for Children

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Immunization Schedules for Infants and Children

The recommended immunization schedule is designed to protect infants and children early in life, when they are most vulnerable and before they are exposed to potentially life-threatening diseases. This web page contains immunization schedules that parents can view or print showing the age or age range when each vaccine or series of shots is recommended. Available in English and Spanish.

Topics:

Immunization

Approaches:

Promote Quality

Benchmarks:

Well Child Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

The Nurturing Fathers Program

The Nurturing Fathers Program is an evidence-based, 13-week group-based program designed to teach parenting and nurturing skills to men. The Nurturing Fathers Program is an adaptation of the Nurturing Program philosophy and lessons are designed and implemented specifically for dads.

Topics:

Parenting Education Partner Involvement

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

National Center for Medical-Legal Partnership

Medical‐legal partnership (MLP) is an approach to health that integrates the work of healthcare, public health, and civil legal aid to more effectively identify, treat, and prevent health‐harming legal needs for patients, clinics, and populations. MLP addresses legal needs in the areas of income supports and insurance; housing and utilities; employment and education; legal status; and personal and family stability. MLP:

  • Trains healthcare, public health, and legal teams to work collaboratively and identify needs upstream;
  • Treats individual patients’ health‐harming social and legal needs with legal care ranging from triage and consultations to legal representation;
  • Transforms clinic practice and institutional policies to better respond to patients’ health‐harming social and legal needs; and
  • Prevents health‐harming legal needs broadly by detecting patterns and improving policies and regulations that have an impact on population health. 

Topics:

Case Management/Care Coordination Insurance Coverage Other Risk Assessment

Approaches:

Achieve Collective Impact Improve Women's Health

Benchmarks:

CAN Implementation Health Insurance

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Health Insurance Marketplace

This is the official government website where participants can find out if they qualify for health insurance, what their options are, and what assistance may be available to them (including Medicaid and CHIP). They can then proceed to apply for insurance at this site

Topics:

Insurance Coverage

Approaches:

Improve Women's Health

Benchmarks:

Health Insurance

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Reach Out and Read

Reach Out and Read is an evidence-based non-profit organization of medical providers who promote early literacy and school readiness in pediatric exam rooms nationwide by integrating children’s books and advice to parents about the importance of reading aloud into well-child visits. Reach Out and Read builds on the unique relationship between parents and medical providers to develop critical early reading skills in children, beginning in infancy.

Topics:

Other Parenting Education

Approaches:

Strengthen Family Resilience

Benchmarks:

Reading to Child Daily

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Resilience Video Series

These three brief (2-3 minute) videos explore resilience, a positive adaptive response to serious adversity in a young child’s life, and how it is built. A better understanding of how resilience develops can help develop policies and programs to help more children reach their full potential.

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Zero to Three: The Magic of Everyday Moments Video Series

The Magic of Everyday Moments video series is designed to help parents and professionals understand how they can best help very young children thrive. The first in the series explores brain development, early literacy skills, the power of play, and temperament. The second examines development in each of the first three years of life.

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Healthy Habits for Happy Smiles Handout Series (English)

A series of easy-to-read informational materials for parents on taking care of young children’s oral health. Includes handouts on: brushing your child’s teeth, choosing healthy drinks for your child, getting fluoride for your child, helping your baby with teething pain, preventing mouth injuries, and visiting the dental clinic.

Topics:

Oral Health

Approaches:

Promote Quality

Benchmarks:

Well Child Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Period of PURPLE Crying Program

The Period of PURPLE Crying program consists of a video and booklet that help new parents understand and safely cope with infant crying, the most common trigger for shaken baby syndrome. The materials describe normal infant crying, explain the easy-to-remember acronym PURPLE (with each letter standing for various features of infant crying), suggest strategies for comforting a baby, acknowledge caregiver frustration when a baby cannot be soothed, explain the dangers of shaking the infant, and outline a positive approach for handling an inconsolable infant. Labor and delivery or discharge nurses distribute these materials to new parents prior to hospital discharge. Pediatricians, public health workers, adoption agencies, and other organizations may also distribute these materials or reinforce their messages, which may be complemented by a public education campaign. There is also a website for parents.

Topics:

Parenting Education

Approaches:

Strengthen Family Resilience

Benchmarks:

Intimate Partner Violence

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

STAR Parenting

STAR Parenting provides parents with tools and information they need to raise their children to be adults they admire. STAR Parenting provides parents (and anyone who works with children) with a problem-solving process, 5 general strategies, and 15 practical tools. STAR Parenting offers in-person and online training, and a STAR parenting community forum.

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Learn the Signs, Act Early

: Learn the Signs, Act Early aims to improve early identification of children with autism and other developmental disabilities so children and families can get needed services and support. The program has three components: a health education campaign, the Act Early initiative, and research and evaluation. The campaign promotes awareness of healthy developmental milestones during childhood, and the importance of tracking each child’s development and acting early if there are concerns. The Act Early Initiative works with state, territorial and national partners to improve early childhood screening and referral systems. The program website includes many free materials for providers, health centers and parents, videos and other multimedia tools and training programs for providers.

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Reading to Child Daily

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Smokefree MOM, women.smokefree.gov

Women.smokefree.gov includes resources for women at any stage hoping to quit smoking tobacco, and has an entire section devoted to pregnant women and mothers. Smokefree MOM is a free texting service that provides tips, advice, and support for pregnant mothers in the process of quitting smoking.

Topics:

Tobacco Cessation

Approaches:

Promote Quality

Benchmarks:

Smoking Abstinence

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.