APPENDIX II
The Affiliate Evaluation
Selected Outcomes
A2.1
Percentage of Informants who Ranked Healthy Steps Component Most or Least Valuable to
Families by Profession .......................................................................................................... ............48
A2.2
Mean Number of Contacts between Families and HS Specialist by Time Period ................ ............49
A2.3
Mean Number of Office Visits with HS Specialist per Family by Site................................. ............49
A2.4
Mean Number of Home Visits with HS Specialist per Family by Site ................................. ............49
A2.5
Mean Number of Telephone Contacts with HS Specialist per Family by Site ..................... ............50
A2.6
Percentage of Affiliate Families who Discussed Six Topic areas with
HS Specialist by Time Period ............................................................................................... ............50
A2.7
Percentage of Affiliate Families who Reported Receiving Healthy Steps
Services ................................................................................................................................ ............50
A2.8
Percentage of Affiliate Families who Received Healthy Steps Service by
How Helpful They Found the Service................................................................................... ............51
A2.9
Percentage of Affiliate Families who Discussed Topics with Someone at the
Practice by How Useful They Found the Information .......................................................... ............51
A2.10 Amount of Money Affiliate Families Pay Out-of-Pocket to Receive Healthy Steps
Program for Another Year..................................................................................................... ............52
A2.11 Percentage of HS Specialists who Reported Relationship with Other Providers
As Very Good/Good.............................................................................................................. ............52
A2.12 Percentage of Children who Received One or More Denver Developmental Assessments by
12 Months by Site ................................................................................................................. ............53
A2.13 Percentage of Children with Immunizations Up-to-Date at 12 Months by Site.................... ............53
A2.14 Percentage of Children Receiving Age-Appropriate Well Child Visits at
Three Sites with No Known Provider/Population Changes .................................................. ............54
A2.15 Percentage of Affiliate Children Receiving Age-Appropriate Well Child Visits at Three Sites
with Known Provider/Population Changes ........................................................................... ............54
How was Healthy Steps Implemented?
A2. 1 Percentage of Informants Who Ranked the Healthy Steps Component Most Valuable or
Least Valuable to Families by Profession
100
Most Valuable
Percent
80
60
40
20
0
Enhanced
Strategies
Link/Joint Home Visits Phone Line Community
Visits
Linkages
Parent
Groups
100
Least Valuable
80
60
40
20
0
Enhanced
Strategies
Link/Joint Home Visits Phone Line Community
Visits
Linkages
HS Specialist
Lead Pediatrician
48
Parent
Groups
What Services did HS Specialists Provide to Affiliate Families?
A2.2 Mean Number of Contacts between Affiliate Families and the HS Specialist by Time Period
(0-14 months, N=1012; 15-32 months, N=783)
Mean
5.4
6.0
5.0
3.0
4.0
3.0
1.4
2.0
2.2
1.6
1.3
0.4
1.0
1.1
1
0.3
0.0
Home Visit
Office Visit
Telephone
0 to 14 Months
A2.3
Parent Group
Other
15 to 32 Months
Mean Number of OFFICE VISITS with the HS Specialist per Family (0-32 Months) by Site
Mean
10.0
5.0
0.0
8.1
6.5
6.8
6.4
7.9
7.1
1
2
3
4
5
6
Sites shown in random order; Mean Number of Office Visits Per Family: 7.11 (Range 0-26)
A2.4
Mean Number of HOME VISITS with the HS Specialist per Family (0-32 Months) by Site
Mean
8.9
5.0
2.5
0.0
1
6.2
2.4
2.8
2
3
1.5
4
Sites Shown in Random Order; Mean Number of Home Visits Per Family: 2.39 (Range 0 – 10)
49
5
3.8
6
A2.5 Mean Number of TELEPHONE CONTACTS with the HS Specialist per Family (0-32
Months) by Site
Mean
8.9
10.0
5.0
0.0
1
2.4
2.8
1.5
2
3
4
6.2
3.8
5
6
Sites shown in random order; Mean Number of Office Visits Per Family: 4.28 (Range 0-57)
A2.6 Percentage of Affiliate Families who Discussed Six Topic Areas with the HS Specialist by
Time Period
Promoting Development
Nutrition
Promoting Health
Family Support
Injury Prevention
Maternal Health
0
20
40
0-14 Months
60
80
100%
15-32 Months
What Services did Affiliate Families Report Receiving?
Percentage of Affiliate Families who Reported Receiving Healthy Steps Services (n=587)
100
100
97.3
96.1
90.6
80
Percent
A2.7
67.1
60
38.6
40
20
0
Enhanced
WCV
Handouts
CHDR
Home Visits Telephone
50
Parent
Group
What Value Did Healthy Steps Add to Standard Pediatric Care?
Increased Parent Satisfaction with Care
A2.8
Percentage of Affiliate Families who Received Healthy Steps Service by How Helpful They
Found the Service (n=587)
Enhanced WCV
Handouts
CHDR
Home Visit
Telephone
Parent Group
0%
20%
Very Helpful
40%
Helpful
60%
80%
100%
Somewhat/Not Helpful
A2. 9 Percentage of Affiliate Families who Discussed Topics with Someone at the Practice by
How Useful They Found the Information (n=587)
Child Development
Home Safety
Child Independence
Routines
Language Dev
Discipline
Toilet Training
Car Seats
Sleep Problems
Sibling Rivalry
0%
20%
Very Useful
40%
60%
Somewhat Useful
51
80%
100%
Not at all Useful
A2.10 Amount of Money Affiliate Families Pay Out-of-Pocket to Receive Healthy Steps Program
for Another Year (n=587)
50
Percent
40
30.5
30
20
14.1
18.4
11.9
16.9
6
10
2.2
0
$15
$25
$50
$75
$100
$125+
None/
DK/
Refuse
Improved Teamwork & Practice Environment
A2.11 Percentage of HS Specialists who Reported Relationship with Other Providers as
Very Good/Good
100
90
80
Percent
6 6 .7
8 5 .7
8 3 .3
75
7 2 .7
L ead M D
O th er M D s
60
N Ps
40
N u r se s
O ffi c e A d m i n
20
O ffi c e A sst
0
O ve ra ll R e la tio n sh ip
A2.12 Key Informants’ Ratings of the Practice Environment at Start-Up and 30 Months into the
Program by Profession
Start-Up
30 Months
HS Specialist
100
100
80
80
60
60
40
40
20
20
0
Very
Good/Good
OK
Poor/Very
Poor
Site Admin.
Lead Ped.
0
Very
Good/Good
52
OK
Poor/Very
Poor
Improved Child Outcomes
A2.13 Percentage of Children who Received One or More Denver Developmental Assessments
by 12 Months by Site
Sites with NO Known Changes
in Population/Provider
Sites with Known Changes in
Population/Provider
NS
100
80
60
40
20
0
1
2
3
4
5
6
Site Number (in random order)
HS Sample
Retrospective Sample
Unless otherwise specified, p<.001
A2.14 Percentage of Children with Immunizations Up-to-Date (3 DTPs, 2 Polios, 3 HIBs and 2
HepBs) at 12 Months by Site (n=1,354 children who made 2+ Vistis to the Practice, one after 6
months)
Sites with NO Known Changes
in Population/Provider
100
Sites with Known Changes in
Population/Provider
+
***
80
*
60
40
20
0
1
2
3
4
5
Site Number (in random order)
HS Sample
Retrospective Sample
+ p<.10; * p<.05; *** p<.001; Relatively low percentages at Site 4 reflect incomplete data
53
6
A2.15 Percentage of Children Receiving Age-Appropriate Well Child Visits at Three Sites with
No Known Provider/Population Changes
100
+
***
**
Percent
80
***
60
40
20
0
1
2
4
6
9
12
Age at Visit (Months)
HS Sample
Retrospective Sample
+ p<.05; ** p<.01; *** p<.001
A2.16 Percentage of Children Receiving Age-Appropriate Well Child Visits at Three Sites with
Known Provider/Population Changes
100
***
***
Percent
80
***
***
***
60
40
20
0
1
2
4
6
9
Age at Visit (Months)
HS Sample
*** p<.001
54
Retrospective Sample
12