Margaret L. Holland, PhD, MPH, MS

Maggie Holland

Research Scientist in Nursing

Yale School of Nursing - Room 20705

phone: 203-737-4929



Margaret L. Holland is a health services researcher focused on maternal & child health, with an emphasis on prevention programs for low-income families. She has examined several aspects of home visiting programs for new mothers, including attrition and visit attendance. She has used data from a home visiting trial to examine gestational weight gain and later health outcomes for mothers and children; maternal depressive symptoms and child health care utilization; and implications of attrition from long-term research studies. She is developing expertise in child abuse and neglect prevention research.  She uses administrative data to examine home visiting programs after dissemination into the community, work which has been funded by the NIH (NINR and NICHD).

Dr. Holland received her PhD from the University of Rochester. Prior to joining Yale University School of Nursing as an Associate Research Scientist, she was an Assistant Professor at the University of Rochester School of Nursing. In addition, Dr. Holland was a Research Associate in the School of Nursing and a general academic fellow in the Department of Pediatrics, School of Medicine and Dentistry, both at the University of Rochester. In 2012, she was awarded a KL2 Mentored Career Development Award through the University of Rochester’s Clinical and Translational Science Institute to support her research project titled, “Patterns and predictors of adherence to recommended visit schedules in a nurse home visiting program.” Among Dr. Holland’s honors and awards, she was awarded Second Place in the Maternal and Child Health Section at the Greg Alexander Outstanding Students’ Papers Session during the American Public Health Association Annual Meeting in 2009.

Research Interests/Clinical Practice

Research Interests

Dr. Holland is interested in maternal and child health services research, especially prevention programs for low-income families. Her current focus is on home visiting programs, including visit attendance & attrition and a variety of outcomes, including child maltreatment reduction and improved birth outcomes for subsequent children.

Selected Publications/Presentations


Holland, M.L., Condon, E.M., Younts, C.W., Sadler, L.S. (2019) Birth outcomes of second children after community-based home visiting: A research protocol. Research in Nursing & Health.  doi: 10.1002/nur.21931

Mougalian, S.S., Aminawung, J.A., Presley, C.J., Canavan, M.E., Holland, M.L., Hu, X., Gross, C.P. (2019).  Prioritization of patient-reported outcomes by women with metastatic breast cancer.  JCO Clinical Cancer Informatics, 3:1-3.  doi: 10.1200/CCI.18.00107

Slade, A., Holland, M.L., Ordway, M.R., Carlson, E.A., Jeon, S., Close, N., Sadler, L.S. (2019).  Minding the Baby: Enhancing parental reflective functioning and infant attachment in an attachment-based, interdisciplinary home visiting program.  Development and Psychopathology, 1-15.  doi: 10.1017/S0954579418001463

Condon, E.M., Holland, M.L., Slade, A., Redeker, N.S., Mayes, L.C., Sadler, L.S. (2019).  Maternal adverse childhood experiences, family strengths, and chronic in children.  Nursing Research.  doi: 10.1097/NNR.0000000000000349

Holland, M.L., Groth, S.W., Smith, J.A., Meng, Y., Kitzman, H. (2018).  Low Birthweight in Second Children after Nurse Home Visiting.  Journal of Perinatology.  38:1610-1619.  doi: 10.1038/s41372-018-0222-8.

Silvestri, D., Holland, M.L., Ross, J.S.  (2018).  State-level population estimates of individuals subject to and not meeting proposed Medicaid work requirements.  JAMA Internal Medicine.  178(11):1552-1555.  doi: 10.1001/jamainternmed 2018.

Conodon, E.M., Holland, M.L., Slade, A., Redeker, N., Mayes, L., Sadler, L.S.  (2018).  The influence of maternal caregiving patterns on indicators of toxic stress in children.  Journal of Pediatric Health Care.  32(4):330.  doi: 10.1016/j.pedhc.2018.04.012.

Joiner, K.L., Holland, M.L., Grey, M.  (2018). Stressful life events in young adults with type 1 diabetes in the U.S.  T1D Exchange Clinic Registry. Journal of Nursing Scholarsip.  50(6); 676-686.  doi: 10.1111/jnu.12428.

Holland, M.L., Olds, D.L., Dozier, A.M. & Kitzman, H.J.  (2018).  Visit Attendance Patterns in Nurse-Family Partnership Community Sites.  Prevention Science. 19:516-527.  doi: 10.1007/s11121-017-0829-6.

Ruppel H., Funk M., Clark, J.T., Gieras, I., David, Y., Bauld, T.J., Coss, P. & Holland, ML.  (2018).  Attitudes and Practices Related to Clinical Alarms:  A Follow-up Survey.  American Journal of Critcal Care. 27(2):  114-123.  doi: 104037/ajcc2018185.

Ordway, M.R., Sadler, L.S., Holland, M.L., Slade, A., Close, N. & Mayes, L.  (2018).  A home visiting parenting program and child obesity:  A randomized trial.  Pediatrics.  e20171076.  doi: 10.1542/peds.2017-1076.

Holland, M.L., Thevenent-Morrison, K., Mittal, M., Nelson, A. & Dozier, A.M.  (2018).  Breastfeeding and Exposure to Past, Current, and Neighborhood Violence.  Maternal and Child Health Journal.  22(1):82-91.  doi: 10.1007/s10995-017-2357-1 NIHMS897065.

Groth, S.W., Holland, M.L., Smith, J.A., Meng,  Y. & Kitzman, H.  (2017).  Effect of gestational weight gain and prepregnancy body mass index in adolescent mothers on weight and body mass index of adolescent offspring.  Journal of Adolescent Health.  61(5):626-633.  doi: 10.1016/j.jadohealth.2017.05.005.

Rechenberg, K., Whittemore, R., Holland, M. & Grey, M.  (2017).  General and diabetes-specific stress in adolescents with type 1 diabetes.  Diabetes Research and Clinical Practice.  130:1-8.  doi: 10.1016/j.kiabres.2017.05.003.  PMID:  28551480.

Holland ML, Groth SW, Kitzman HJ. Gestational Weight Gain and Health Outcomes 18 Years Later in Urban Black Women. Maternal and Child Health Journal. 2015:19(10), 2261-2271.  doi: 10.1007/s10995-015-1745.

Holland ML, Xia Y, Kitzman HJ, Dozier AM, Olds DL. Patterns of Visit Attendance in the Nurse–Family Partnership Program.American Journal of Public Health. 2014;104(10):e58-e65. NIHMS622028.

Holland ML, Christensen JJ, Shone LP, Kearney MH, Kitzman H. Clients’ Reasons for Attrition from a Nurse Home Visiting Program. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2014, 43(1):61-70.

Groth SW, Holland ML, Kitzman HJ, Meng Y. Gestational Weight Gain of Pregnant African American Adolescents affects Body Mass Index 18 Years Later. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2013, 42(5):541-550. NIHMS498743.

DeSocio JE, Holland ML, Kitzman HJ, Cole RE. The Influence of Social-Developmental Context and Nurse Visitation Intervention on Self-Agency Change in Unmarried Adolescent Mothers. Research in Nursing and Health. 2013, 36, 158-170.

Holland ML, Yoo, BK, Kitzman H, Chaudron L, Szilagyi PG, Temkin-Greener  H.  Mother-Child Interactions and the Associations with Child Healthcare  Utilization in Low-Income Urban Families. Maternal and Child Health Journal. 2012, 16(1), 83-91.

Holland ML, Yoo BK, Kitzman H, Chaudron L, Szilagyi PG, Temkin-Greener,  H. Self-Efficacy  as a Mediator between Maternal Depression and Child Hospitalizations  in Low-Income Urban Families. Maternal and Child Health Journal. 2011, 15(7), 1011-1019.

Yoo BK, Holland ML, Bhattacharya  J, Phelps CE, Szilagyi PG. Effects of Mass Media Coverage on Timing and Annual Receipt oflnfluenza Vaccination among Medicare Elderly. Health Services Research. 2010; 49(5p1): 1287-1309.


M. L. Holland, J. J. Prindle, E. Putnam-Hornstein. Cost-Benefit Analysis of Targeted Home Visiting to Reduce Child Maltreatment in High-Risk Families. International Family Violence Research Conference. July 2016, Portsmouth, NH.

M. L. Holland, J. M. Leventhal, L. S. Sadler. The experience of home visitors and clinical supervisors encountering child maltreatment. International Family Violence Research Conference. July 2016, Portsmouth, NH.

Holland, M.L. Belton, B. M., Kitzman, H. The Importance of Participant Retention in Long-term Follow-up Studies. Pediatric Academic Societies’ Annual Meeting. April 2015, San Diego, CA.

Knudson, K., Funk, M., Fennie, K., Holland, M. (2015). “Impact of Monitor Watchers on Nurses’ Knowledge of Electrocardiographic Monitoring and Accuracy of Arrhythmia Detection in the PULSE Trial” podium presentation. Eastern Nursing Research Society. April 2015, Washington, DC.

Dozier A, Holland M, Thevenet-Morrison K, Mittal M. Relationship between multiple forms of violence and breastfeeding outcomes: Latent Class Analysis. International Society for Research on Human Milk and Lactation. October 2014, Kiawah Island, SC, USA.

S. W. Groth, M. L. Holland. Eighteen Years After Pregnancy Adolescent Gestational Weight Gain Still Affects Body Mass Index.2013 Association of Women’s Health, Obstetric and Neonatal Nurses Convention. June 2013, Nashville, TN.

M.L. Holland, H. F. Crean, D. L. Olds, H. Kitzman, A. M. Dozier. Visit Patterns & Child Outcomes in the Nurse-Family Partnership Program. Translational Science 2013. April 2013, Washington, DC, and Pediatric Academic Societies’ Annual Meeting. May 2013, Washington, DC.