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

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.

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.

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.

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.

ACOG Fetal Alcohol Spectrum Disorders (FASD) Prevention Program

The Fetal Alcohol Spectrum Disorders (FASD) Prevention Program is a collaboration between ACOG and the CDC designed to empower healthcare providers to speak with their patients about abstaining from alcohol use during pregnancy. The program includes evidence-based ACOG Committee Opinions regarding ethics, alcohol use in pregnancy, and motivational interviewing techniques, as well as videos and free downloadable materials for both providers and patients.

Topics:

Alcohol/Drug Services

Approaches:

Benchmarks:

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

SmokefreeMOM

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.

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.

MothertoBaby

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.

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.

Interconception Care Project of California

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.

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.

ImmunizationforWomen.org

This website, with tabs for both providers and patients, provides current recommendations on immunizations for women. It includes information on vaccines for specific conditions, timing regimens, safety, and guidelines for use in pregnancy.

Topics:

Immunization

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

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.