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.
Mothers and Babies (MB) is a program that promotes healthy mood management by teaching pregnant women and new moms how to effectively respond to stress in their lives through increasing the frequency of thoughts and behaviors that lead to positive mood states. Designed as a perinatal depression prevention, the Mothers and Babies targets three specific risk factors: limited social support, lack of pleasant activities, and harmful thought patterns. Mothers and Babies offers a “toolkit” of approaches for women to observe their mood, note factors affecting their mood, and make changes in their daily lives to impact these areas. Based on principles of cognitive-behavioral therapy (CBT), attachment theory, and psychoeducation, the Mothers and Babies Course is designed to be delivered by clinic- or community-based providers from a variety of educational and professional backgrounds, and can be delivered as a group intervention or as a one-on-one intervention in various settings where pregnant women access services (e.g. prenatal clinics, home visiting programs, WIC programs, County Health Departments, etc.).
Topics:
Depression Home Visiting Maternal Morbidity and Mortality Mental Health Parenting Education Prenatal Care and Education
Approaches:
Strengthen Family Resilience
Benchmarks:
Perinatal Depression Follow Up Perinatal Depression Screening
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
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.
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.
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.
SmokefreeMOM is a mobile text messaging service designed for pregnant women across the United States to help them quit smoking. The program provides 24/7 encouragement, advice, and tips to help pregnant women and mothers quit smoking and stay quit. The messages in the program have been designed around not only a women’s quit date but also their child’s birthdate. The frequency of messages will vary depending on smoking status. Users can receive additional quit support by texting one of the SmokefreeMOM keywords.
Topics:
Tobacco Cessation
Approaches:
Promote Quality
Benchmarks:
Smoking Abstinence
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
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.
MothertoBaby is the leading authority providing up-to-date, evidence-based information to mothers, healthcare professionals, and the general public regarding the effects of medications and other exposures on pregnancy and breastfeeding. The website contains fact sheets in English and Spanish covering the risks of over 50 pharmaceuticals (listed alphabetically), herbal products, and other common lifestyle and occupational exposures. Excellent sections on tobacco, alcohol, and mood-altering drugs are included, as well as information on the safety of vaccines during pregnancy and breastfeeding. Experts are also available to answer individual questions confidentially by telephone, email, or text.
Topics:
Alcohol/Drug Services Breastfeeding Immunization Prenatal Care and Education Risk Assessment Tobacco Cessation
Approaches:
Promote Quality
Benchmarks:
Initiating Breastfeeding Smoking Abstinence
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
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.
The Interconception Care Project of California is a collection of recommendations to improve and promote the interconception health of women by maximizing care during the postpartum visit. The website contains links to free evidence-based clinical management algorithms for the 21 most common pregnancy and delivery complications in California. Patient education materials offering explanations of the conditions, treatment options, and self-care strategies to reduce risks in future pregnancies are also free and available in English and Spanish.
Topics:
Other Reproductive Life Planning/Family Planning Risk Assessment
Approaches:
Promote Quality
Benchmarks:
Birth Spacing
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
