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The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
Seven-month pilot of an integrated, continuous evaluation, and quality improvement system for a state-based
Bridget K McCabe1, Dru Potash, Ellen Omohundro
1Bureau of Health Services, Tennessee Department of Health, Cordell Hull Building, 4th Floor, 425 5th Avenue North, Nashville, TN 37243, USA. bridget.mccabe@tn.gov
Maternal and Child Health Journal
|January 17, 2012
Summary
This pilot study of Tennessee's home visiting program found that while referrals were high, enrollment and visit frequency dropped over time. The program serves high-need families, showing challenges common in national models.
Area of Science:
- Public Health
- Maternal and Child Health
- Health Services Research
Background:
- State-wide home visiting programs are crucial for supporting families from pregnancy through early childhood.
- Evaluating program effectiveness requires assessing both process and outcome measures.
- High-risk populations often present unique challenges in program engagement and retention.
Purpose of the Study:
- To evaluate the baseline process and outcome measures of Tennessee's state-wide home visiting program through a 7-month pilot.
- To identify key performance indicators for service initiation, visit frequency, assessment completion, and referral timeliness.
- To assess baseline health outcomes including immunization status, birth weight, prematurity, tobacco use, and family planning.
Main Methods:
- A cross-sectional study design was employed during the 7-month pilot.
- Data collection focused on baseline process measures: referral-to-service time, visit characteristics, assessment completion, and referral completion.
- Outcome measures included service needs, prenatal care, birth risks, tobacco use, and family planning, compared against state-level data.
Main Results:
- 3,794 families enrolled, representing 68% of referrals, with enrollment dropping over time.
- Only 52% of families received monthly visits, and 60% had full assessments within 60 days.
- Key health indicators showed concerning trends: 70% immunization rate (vs. 80.8% state), 25% low birth weight/prematurity (vs. 9.2% state), and 16% current prenatal tobacco use (vs. 19.7% state).
Conclusions:
- The pilot highlights challenges in maintaining enrollment and visit frequency, consistent with national home visiting models serving high-need populations.
- While referral processes were efficient, critical health outcomes like immunization and birth weight indicate areas for targeted improvement.
- The findings underscore the need for strategies to enhance engagement and adherence to optimize program impact for vulnerable families.
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