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.

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.

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.

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.

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.

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.

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.

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.

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.