Brief motivational interviewing training for home visitors: Results for caregiver retention and referral engagement

Biggs, Jacklyn; Sprague‐Jones, Jessica; Richardson, Deborah

doi:10.1016/j.childyouth.2018.09.021

Cited by 11 publications

(5 citation statements)

References 29 publications

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“…Future studies should also consider what supports may be necessary to facilitate completion of the ABC intervention following enrollment. Previous studies have found that strategies such as engaging community stakeholders, providing additional support to the family, enhancing the program, and training home visitors in motivational interviewing techniques have increased retention in home visiting programs (Biggs, Sprague-Jones, Garstka, & Richardson, 2018; Folger et al, 2016). Power of Two has begun to incorporate a variety of engagement techniques such as holding community events and connecting families to sources of instrumental assistance.…”

Section: Discussionmentioning

confidence: 99%

Changing parental depression and sensitivity: Randomized clinical trial of ABC's effectiveness in the community

et al. 2020

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Attachment and Biobehavioral Catch-up (ABC) demonstrates efficacy in improving parent and child outcomes, with preliminary evidence for effectiveness in community settings. The objective of this study was to assess the effectiveness of a community-based ABC implementation in improving parent outcomes as well as to examine potential mediators and moderators of intervention effectiveness. Two hundred parents and their 5- to 21-month-old infants recruited from an urban community were randomly assigned to receive ABC or be placed on a waitlist. The majority of participants had a minority racial or ethnic background. Before intervention, parents completed questionnaires about sociodemographic risk and adverse childhood experiences. At both baseline and follow-up, parents reported depression symptoms and were video-recorded interacting with their infant, which was coded for sensitivity. The ABC intervention predicted significant increases in parental sensitivity and, among parents who completed the intervention, significant decreases in depression symptoms. Changes in parental depression symptoms did not significantly mediate the intervention effects on sensitivity. Risk variables did not moderate the intervention effects. The results indicate that ABC shows promise for improving parent outcomes in community settings, supporting dissemination.

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Section: Discussionmentioning

confidence: 99%

Changing parental depression and sensitivity: Randomized clinical trial of ABC's effectiveness in the community

et al. 2020

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“…As noted by Korfmacher (see page 465 in [19]), “services provided for free by a friendly, helpful person may be received quite positively”. Beyond the free cost and helpfulness of the right@home practitioners, use of motivational interviewing techniques; a core process component of the right@home model, is related to client engagement and retention in home visiting programs [41]. It has been suggested that programs delivered in the context of a service system with a more comprehensive approach have added value to families [7, 23].…”

Section: Discussionmentioning

confidence: 99%

Quality of delivery of “right@home”: Implementation evaluation of an Australian sustained nurse home visiting intervention to improve parenting and the home learning environment

et al. 2019

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Background Home visiting programs are implemented in high income countries to improve outcomes for families with young children. Significant resources are invested in such programs and high quality evaluations are important. In the context of research trials, implementation quality is often poorly reported and, when reported, is variable. This paper presents the quality of implementation of the right@home program, a sustained nurse home visiting intervention trialled in Australia, and delivered in a ‘real world’ context through usual child and family health services. right@home is structured around the core Maternal Early Childhood Sustained Home-visiting (MECSH) program, which is a salutogenic, child focused prevention model. Method At each visit right@home practitioners completed a checklist detailing the client unique identifier, date of contact and activities undertaken. These checklists were collated to provide data on intervention dose, retention to program completion at child age 2 years, and visit content, which were compared with the program schedule. Quality of family-provider relationship was measured using the Session Rating Scale. Exploratory factor analysis was conducted to identify clusters of activities and allow qualitative assessment of concordance between program aims and program delivery. Results Of 363 intervention families offered the program, 352 (97·0%) commenced the program and 304 (87·3%) completed the program to child age 2 years. 253 of 352 (71·9%) families who commenced the program received more than 75 percent of scheduled visits including at least one antenatal visit. Families rated the participant-practitioner relationship highly (mean 39.4/40). The factor analysis identified six antenatal and six postnatal components which were concordant with the program aims. Conclusions The right@home program was delivered with higher adherence to program dose, schedule and content, and retention than usually reported in other home visiting research. Program compliance may have resulted from program design (visit schedule, dose, content and delivery flexibility) that was consistent with family aims.

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“…Factors impacting sustained engagement included provider characteristics, provision of educational materials on child development, individualised services for families, and available family support. Studies of retention in‐home visitation programmes have previously identified the efficacy of utilising motivational interviewing strategies, including asking open‐ended questions, affirming, reflecting, and summarising (Biggs et al., 2018). Given the findings of this study, we believe that the same clinical principles of supporting engagement in on‐ground home visitation apply to telepractice‐based home visitation.…”

Section: Discussionmentioning

confidence: 99%

Strategies for implementation of virtual home visitation in the United States

Traube¹,

Taylor²,

Cederbaum³

et al. 2021

Health Social Care Comm

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Utilising telepractice videoconferencing technology to offer home visitation services has the potential to provide access and parenting support through a high-tech and high-touch service delivery option. Families can receive evidence-based, family support intervention from their home via videoconferencing technology, removing the need for the provider to be physically in the home. While the expansion of telehealth and telepractice services for families is essential for meeting the needs of both parents and their children, well-documented engagement barriers to digital health/ computer-mediated interventions exist across treatment modalities and technology platforms. Semi-structured interviews with 15 providers were conducted and analysed to identify engagement strategies utilised to sustain families in a home visitation model offered through live videoconferencing technology on a telehealth platform. Analysis revealed four themes that were deemed essential for successfully attracting and maintaining families in a telepractice-based home visitation programme: (a) engagement strategies to encourage families to participate; (b) clinical skills used within sessions; (c) articulation of benefits to the family; and (d) exploration of rationale forending services. This study was able to identify strategies for engagement and sustained involvement of families in telehealth-based home visitation. Findings include evidence that providers should be able to move between telehealth and on-ground service provision with relative ease.

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Brief motivational interviewing training for home visitors: Results for caregiver retention and referral engagement

Cited by 11 publications

References 29 publications

Changing parental depression and sensitivity: Randomized clinical trial of ABC's effectiveness in the community

Changing parental depression and sensitivity: Randomized clinical trial of ABC's effectiveness in the community

Quality of delivery of “right@home”: Implementation evaluation of an Australian sustained nurse home visiting intervention to improve parenting and the home learning environment

Strategies for implementation of virtual home visitation in the United States

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