Authors:

  • Margaret McConnell
This reply discusses challenges associated with scaling home visiting programs and reflects on the relationship between evidence generation and real-world policy impact. The authors address questions about implementation effectiveness, health equity, and how large-scale social and health interventions can better translate research evidence into measurable improvements for families and children.

Citations

Swanson K, Chien AT, McConnell M. Evidence without impact?—rethinking home visiting at scale—reply. JAMA Pediatr. 2025 Dec 1;179(12):1364. doi:10.1001/jamapediatrics.2025.3633.