Home VisitingHV-REACHNCT06694376
Understanding and Expanding the Reach of Home Visiting (HV-REACH) Project
An observational study of Home Visiting and Centralized Intake Systems, run by Mathematica Policy Research, Inc. at 1 site in United States.
Trial summary
Mathematica, funded by the Administration for Children and Families (ACF) Office of Planning, Research, and Evaluation (OPRE) in the U.S. Department of Health and Human Services (HHS) will collect descriptive information for the Understanding and Expanding the Reach of Home Visiting (HV-REACH) project. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Home Visiting, Centralized Intake Systems
- How many people
- 154 participants
- Where
- 1 siteUnited States
- Study dates
- 1 Jan 2025to 29 Sep 2026
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Community sample. From the seven selected sites: centralized intake administrators and other staff at centralized intake system organization, home visiting program directors or other staff responsible for overseeing outreach and enrollment, home visitor at home visiting program or other staff responsible for conducting outreach and enrollment, and families who are referred to home visiting through the centralized intake system.
Who may be able to join
- Centralized intake administrator or other staff at selected centralized intake system organization
- Program director at home visiting program or other staff responsible for overseeing outreach and enrollment at home visiting program associated with selected centralized intake system
- Home visitor at home visiting program or other staff responsible for conducting outreach and enrollment at home visiting program associated with selected centralized intake system
- Families referred to home visiting through selected centralized intake system at home visiting program associated with selected centralized intake system
Who cannot join
- Does not meet the inclusion criteria
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United States1 site
Mathematica
Washington D.C., District of Columbia, 20002-4221
Jessica Harding, PhD, 609-945-6641, JHarding@mathematica-mpr.com
Rebecca Kleinman, MPP, 202-250-3583, RKleinman@mathematica-mpr.com
About this study
Mathematica, funded by the Administration for Children and Families (ACF) Office of Planning, Research, and Evaluation (OPRE) in the U.S. Department of Health and Human Services (HHS) will collect descriptive information for the Understanding and Expanding the Reach of Home Visiting (HV-REACH) project. The study team will conduct qualitative case studies in up to seven purposively selected centralized intake systems that refer families to Early Childhood Home Visiting programs. Centralized intake systems are a single entry point that use outreach and screening to identify families with needs and provide referrals to the home visiting program that best fits those needs. Existing centralized intake systems use a range of methods, and their definitions and applications can vary widely.
The goal of the case studies is to provide an in-depth understanding of the features of centralized intake systems, how they reach potentially eligible families, and how they support and expand the enrollment of families in early childhood home visiting (ECHV) programs. Understanding and explaining how staff think different features of these systems influence family and staff experiences of outreach, screening, referral, and enrollment processes can potentially lead to opportunities for program improvement efforts, technical assistance, or changes to centralized intake system processes. For instance, ACF and their partner, the Health Resources and Services Administration (HRSA), can use information about different centralized intake systems to develop policy and program guidance. In addition, the public-including current centralized intake systems, staff from localities considering implementing them, and technical assistance providers who work with centralized intake systems-can use information from the case studies about (1) successfully implementing or enhancing existing centralized intake systems, or (2) utilizing new outreach or referral pathways to expand enrollment to families not consistently reached. For example, staff from localities considering implementing centralized intake systems can understand different staffing and governance structures that might work in their contexts. Researchers can also use the information to plan future studies of centralized intake systems that examine the outcomes of these systems.
Data collection will begin in fall 2024. The study team will conduct virtual or in-person site visits, with semi-structured interviews and document collection, to understand different features of these systems and family and staff experiences with outreach, screening, referrals, and enrollment processes.
Read the detailed description
The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program, an evidence-based service delivery model, can support child and maternal health, child development and school readiness, and family economic self-sufficiency, and help reduce child abuse and neglect. Early childhood home visiting (ECHV) programs collectively reached about 278,000 families in the United States in 2021, while MIECHV-funded programs reached about 71,000 families (Health Resources and Services Administration [HRSA], 2022; National Home Visiting Resource Center [NHVRC], 2022). However, many more families are eligible for and could benefit from these programs. In conducting the Understanding and Expanding the Reach of Home Visiting (HV-REACH) project, the Administration for Children and Families (ACF) aims to deepen understanding of how home visiting can better reach families, including: (1) families who are not recruited in the first place; (2) families who are recruited for home visiting but do not enroll; (3) families who enroll, but never engage to receive services; and (4) families who are recruited and engage initially, but end their participation early.
By streamlining screening and referral processes, centralized intake systems may help improve enrollment of families across different referral pathways. These types of systems have been in existence for decades and have become increasingly widespread in recent years (National Evidence-Based Home Visiting Model Alliance [NHVMA], 2018; Roberts et al., 1996). However, no studies have systemically documented the various types of systems. In addition, the ways in which home visiting programs interact with the systems and the influence these systems have on family experiences around outreach, screening, referrals, and enrollment-particularly for those that are underserved or may be missed by a system's referral pathways-is largely unknown.
The HV-REACH project will conduct qualitative case studies to provide an in-depth understanding of the features of centralized intake systems, how they reach potentially eligible families, and how they support and expand the enrollment of families in ECHV programs. To carry out the case studies, the HV-REACH study team will conduct virtual or in-person site visits in up to seven sites. A site includes an organization or organizations that run a selected centralized intake system and one or two associated home visiting programs that receive referrals from the selected centralized intake system. The study team defines a home visiting program as an organization that delivers ECHV services. The study team will purposively select up to seven sites that fall into different models of identified centralized intake systems-for example, triage model, shared decision-making, and market (NHVMA, 2018). Recruitment will cease after seven sites agree to participate.
Each site visit will include one round of semi-structured interviews with administrators or other staff at the centralized intake system organization(s) (up to 6 respondents per site), home visiting program directors and other staff responsible for overseeing outreach and enrollment (up to 4 respondents per site from up to two different home visiting programs), home visitors and other staff responsible for conducting outreach and enrollment (up to 6 respondents in up to 4 interviews per site), and families who were referred to home visiting through the selected centralized intake systems (up to 6 respondents per site). The study team will purposively select respondents to provide a range of perspectives on the study's research questions.
The results are not intended to promote statistical generalization to different sites or service populations beyond the sample. The research team does not intend for this information to be used as the principal basis for public policy decisions.
- Conditions
- Home Visiting, Centralized Intake Systems
- Being tested
- No intervention
- Keywords
- Home visiting, MIECHV, Early care and education, Centralized intake systems
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
No interventionOther
No intervention.
| Study group | Role | What they receive |
|---|---|---|
| Single-group study | The study has one group/cohort, which will include up to 154 people. The study team will conduct one round of semi-structured interviews with up to 42 administrators or other staff at the centralized intake system organization(s), 28 home visiting program directors and other staff responsible for overseeing outreach and enrollment, 42 home visitors and other staff responsible for conducting outreach and enrollment, and 42 families who were referred to home visiting through the selected centralized intake systems. All respondents will also complete a form to provide information about their demographic characteristics. Receives: Other: No intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Centralized Intake Administrator Screening Talking Points or Screening Email with Questions
Study-developed email outreach will gather information about whether a nominated centralized intake system organization is eligible to participate in the study.
Measured: 2 months
Centralized Intake Administrator and Other Staff Interview Protocol
Study-developed interview protocol will learn from centralized intake administrators and other staff about how centralized intake systems operate; how they coordinate with home visiting programs to screen, refer, and enroll families for home visiting programs; and about opportunities to improve staff or family experience with centralized intake systems.
Measured: 5 months
Document Review Request
Study-developed document review request will be used to gather documents through which we will learn about types of materials and documentation that centralized intake systems use related to outreach, screening, referrals, and enrollment processes and pathways.
Measured: 5 months
Home Visiting Program Director and Other Staff Interview Protocol
Study-developed interview protocol will learn from home visiting program directors and other staff about how centralized intake systems operate; how they coordinate with centralized intake systems to screen, refer, and enroll families for home visiting programs; and about opportunities to improve staff or family experience with centralized intake systems.
Measured: 5 months
Home Visitor and Other Staff Interview Protocol
Study-developed interview protocol will learn about how home visitors contribute to and support family referral and enrollment processes, and about opportunities to improve the home visitor or family experience with centralized intake systems.
Measured: 5 months
Family Interview Protocol
Study-developed interview protocol will learn about experiences of parents or caregivers, and perceptions of centralized intake systems in terms of eligibility, wait times, referrals, communication, and relationships with centralized intake or home visiting program staff.
Measured: 5 months
Participant Characteristics Form
Study-developed survey instrument will collect information about centralized intake administrators', home visiting program directors', home visitors', and parent/caregivers' race and/or ethnicity, age, and gender identity. We will also ask parent/caregivers to provide information to provide information about number of children, child ages, and primary language. Responses will be anonymous.
Measured: 5 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Nov 2024
- Study start1 Jan 2025 (estimated)
- Primary completion29 Aug 2025 (estimated)
- Study completion29 Sep 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Home VisitingStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case only
- Time perspective
- Cross-sectional
- Enrolment
- 154 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Mathematica Policy Research, Inc.
- Sponsor type
- University, hospital or other
- Collaborators
- Department of Health and Human Services, Brazelton Touchpoints Center
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06694376
- Sponsor's protocol ID
- MPR51320
- Other IDs
- 47QRAA18D00BQ/75ACF121F80023
- Acronym
- HV-REACH
- Status last verified
- Oct 2024
- First submitted
- 15 Nov 2024
- Last updated
- 19 Nov 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Information about respondents will be kept private to the extent permitted by law. Any data shared for the project will be shared in summary form. Data that are collected will be destroyed when the study concludes.
Publications
Roberts, R. N., Akers, A. L., & Behl, D. D. (1996). Family-level service coordination within home visiting programs." Topics in Early Childhood Special Education, 16(3), 279-301. https://doi.org/10.1177/027112149601600303.
Study at a glance
From the registry record, last updated by the sponsor on 19 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Understanding and Expanding the Reach of Home Visiting (HV-REACH) Project
- ClinicalTrials.gov ID
- NCT06694376
- Acronym / sponsor ID
- HV-REACH / MPR51320
- Conditions
- Home Visiting, Centralized Intake Systems
- Keywords
- Home visiting, MIECHV, Early care and education, Centralized intake systems
- Study type
- Observational
- Recruitment status
- Not yet recruiting
- Enrolment
- 154 participants (estimated)
- Lead sponsor
- Mathematica Policy Research, Inc.University, hospital or other
- Collaborators
- Department of Health and Human Services, Brazelton Touchpoints Center
- Study start
- 1 Jan 2025 (estimated)
- Primary completion
- 29 Aug 2025 (estimated)
- Study completion
- 29 Sep 2026 (estimated)
- First posted
- 19 Nov 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Mathematica, funded by the Administration for Children and Families (ACF) Office of Planning, Research, and Evaluation (OPRE) in the U.S. Department of Health and Human Services (HHS) will collect descriptive information for the Understanding and Expanding the Reach of Home Visiting (HV-REACH) project. The study team will conduct qualitative case studies in up to seven purposively selected centralized intake systems that refer families to Early Childhood Home Visiting programs. Centralized intake systems are a single entry point that use outreach and screening to identify families with needs and provide referrals to the home visiting program that best fits those needs. Existing centralized intake systems use a range of methods, and their definitions and applications can vary widely.
The goal of the case studies is to provide an in-depth understanding of the features of centralized intake systems, how they reach potentially eligible families, and how they support and expand the enrollment of families in early childhood home visiting (ECHV) programs. Understanding and explaining how staff think different features of these systems influence family and staff experiences of outreach, screening, referral, and enrollment processes can potentially lead to opportunities for program improvement efforts, technical assistance, or changes to centralized intake system processes. For instance, ACF and their partner, the Health Resources and Services Administration (HRSA), can use information about different centralized intake systems to develop policy and program guidance. In addition, the public-including current centralized intake systems, staff from localities considering implementing them, and technical assistance providers who work with centralized intake systems-can use information from the case studies about (1) successfully implementing or enhancing existing centralized intake systems, or (2) utilizing new outreach or referral pathways to expand enrollment to families not consistently reached. For example, staff from localities considering implementing centralized intake systems can understand different staffing and governance structures that might work in their contexts. Researchers can also use the information to plan future studies of centralized intake systems that examine the outcomes of these systems.
Data collection will begin in fall 2024. The study team will conduct virtual or in-person site visits, with semi-structured interviews and document collection, to understand different features of these systems and family and staff experiences with outreach, screening, referrals, and enrollment processes.
Detailed description
The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program, an evidence-based service delivery model, can support child and maternal health, child development and school readiness, and family economic self-sufficiency, and help reduce child abuse and neglect. Early childhood home visiting (ECHV) programs collectively reached about 278,000 families in the United States in 2021, while MIECHV-funded programs reached about 71,000 families (Health Resources and Services Administration [HRSA], 2022; National Home Visiting Resource Center [NHVRC], 2022). However, many more families are eligible for and could benefit from these programs. In conducting the Understanding and Expanding the Reach of Home Visiting (HV-REACH) project, the Administration for Children and Families (ACF) aims to deepen understanding of how home visiting can better reach families, including: (1) families who are not recruited in the first place; (2) families who are recruited for home visiting but do not enroll; (3) families who enroll, but never engage to receive services; and (4) families who are recruited and engage initially, but end their participation early.
By streamlining screening and referral processes, centralized intake systems may help improve enrollment of families across different referral pathways. These types of systems have been in existence for decades and have become increasingly widespread in recent years (National Evidence-Based Home Visiting Model Alliance [NHVMA], 2018; Roberts et al., 1996). However, no studies have systemically documented the various types of systems. In addition, the ways in which home visiting programs interact with the systems and the influence these systems have on family experiences around outreach, screening, referrals, and enrollment-particularly for those that are underserved or may be missed by a system's referral pathways-is largely unknown.
The HV-REACH project will conduct qualitative case studies to provide an in-depth understanding of the features of centralized intake systems, how they reach potentially eligible families, and how they support and expand the enrollment of families in ECHV programs. To carry out the case studies, the HV-REACH study team will conduct virtual or in-person site visits in up to seven sites. A site includes an organization or organizations that run a selected centralized intake system and one or two associated home visiting programs that receive referrals from the selected centralized intake system. The study team defines a home visiting program as an organization that delivers ECHV services. The study team will purposively select up to seven sites that fall into different models of identified centralized intake systems-for example, triage model, shared decision-making, and market (NHVMA, 2018). Recruitment will cease after seven sites agree to participate.
Each site visit will include one round of semi-structured interviews with administrators or other staff at the centralized intake system organization(s) (up to 6 respondents per site), home visiting program directors and other staff responsible for overseeing outreach and enrollment (up to 4 respondents per site from up to two different home visiting programs), home visitors and other staff responsible for conducting outreach and enrollment (up to 6 respondents in up to 4 interviews per site), and families who were referred to home visiting through the selected centralized intake systems (up to 6 respondents per site). The study team will purposively select respondents to provide a range of perspectives on the study's research questions.
The results are not intended to promote statistical generalization to different sites or service populations beyond the sample. The research team does not intend for this information to be used as the principal basis for public policy decisions.
Study design
- Observational model
- Case only
- Time perspective
- Cross-sectional
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Single-group study | – | Other: No interventionThe study has one group/cohort, which will include up to 154 people. The study team will conduct one round of semi-structured interviews with up to 42 administrators or other staff at the centralized intake system organization(s), 28 home visiting program directors and other staff responsible for overseeing outreach and enrollment, 42 home visitors and other staff responsible for conducting outreach and enrollment, and 42 families who were referred to home visiting through the selected centralized intake systems. All respondents will also complete a form to provide information about their demographic characteristics. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Community sample. From the seven selected sites: centralized intake administrators and other staff at centralized intake system organization, home visiting program directors or other staff responsible for overseeing outreach and enrollment, home visitor at home visiting program or other staff responsible for conducting outreach and enrollment, and families who are referred to home visiting through the centralized intake system.
Key inclusion criteria (4 listed)
- Centralized intake administrator or other staff at selected centralized intake system organization
- Program director at home visiting program or other staff responsible for overseeing outreach and enrollment at home visiting program associated with selected centralized intake system
- Home visitor at home visiting program or other staff responsible for conducting outreach and enrollment at home visiting program associated with selected centralized intake system
- Families referred to home visiting through selected centralized intake system at home visiting program associated with selected centralized intake system
Key exclusion criteria (1 listed)
- Does not meet the inclusion criteria
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| No interventionNo intervention. | Other | Single-group study |
Primary outcome
Centralized Intake Administrator Screening Talking Points or Screening Email with Questions
Time frame: 2 months
Study-developed email outreach will gather information about whether a nominated centralized intake system organization is eligible to participate in the study.
Centralized Intake Administrator and Other Staff Interview Protocol
Time frame: 5 months
Study-developed interview protocol will learn from centralized intake administrators and other staff about how centralized intake systems operate; how they coordinate with home visiting programs to screen, refer, and enroll families for home visiting programs; and about opportunities to improve staff or family experience with centralized intake systems.
Document Review Request
Time frame: 5 months
Study-developed document review request will be used to gather documents through which we will learn about types of materials and documentation that centralized intake systems use related to outreach, screening, referrals, and enrollment processes and pathways.
Home Visiting Program Director and Other Staff Interview Protocol
Time frame: 5 months
Study-developed interview protocol will learn from home visiting program directors and other staff about how centralized intake systems operate; how they coordinate with centralized intake systems to screen, refer, and enroll families for home visiting programs; and about opportunities to improve staff or family experience with centralized intake systems.
Home Visitor and Other Staff Interview Protocol
Time frame: 5 months
Study-developed interview protocol will learn about how home visitors contribute to and support family referral and enrollment processes, and about opportunities to improve the home visitor or family experience with centralized intake systems.
Family Interview Protocol
Time frame: 5 months
Study-developed interview protocol will learn about experiences of parents or caregivers, and perceptions of centralized intake systems in terms of eligibility, wait times, referrals, communication, and relationships with centralized intake or home visiting program staff.
Participant Characteristics Form
Time frame: 5 months
Study-developed survey instrument will collect information about centralized intake administrators', home visiting program directors', home visitors', and parent/caregivers' race and/or ethnicity, age, and gender identity. We will also ask parent/caregivers to provide information to provide information about number of children, child ages, and primary language. Responses will be anonymous.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Nov 2024.
- BackgroundRoberts, R. N., Akers, A. L., & Behl, D. D. (1996). Family-level service coordination within home visiting programs." Topics in Early Childhood Special Education, 16(3), 279-301. https://doi.org/10.1177/027112149601600303.
- Provides information cited in Detailed Description sectionLink provided by the sponsor.
- Provides information cited in Detailed Description sectionLink provided by the sponsor.
- Individual participant dataSharing planned: No. Information about respondents will be kept private to the extent permitted by law. Any data shared for the project will be shared in summary form. Data that are collected will be destroyed when the study concludes.
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Home Visiting and Centralized Intake Systems, run by Mathematica Policy Research, Inc. at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 19 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Jess Harding, PhD ((609) 945-6641, JHarding@mathematica-mpr.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Centralized Intake Administrator Screening Talking Points or Screening Email with Questions (time frame: 2 months). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06694376, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Nov 2024; AzTrials last refreshed its copy on 8 Nov 2026.