Home visiting: A lifeline for families during the COVID-19 pandemic

Williams, Katie; Ruiz, F Gómez; Hernández, Félix Manuel Francisco; Hancock, Marian

doi:10.1016/j.apnu.2020.10.013

Cited by 21 publications

(13 citation statements)

References 6 publications

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“…At the same time, families with small children have been severely affected by unemployment, lack of childcare, and isolation from extended family during the pandemic (Cluver et al, 2020 ). In these unprecedented times, virtual home visiting services constitute an essential connection for families, addressing immediate needs and connecting families to community agencies for further support (Williams et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Home Visiting Services During the COVID-19 Pandemic: Program Activity Analysis for Family Connects

Rybińska

Best

Goodman

et al. 2022

Matern Child Health J

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Purpose Early reports highlighted challenges in delivering home visiting programs virtually during the COVID-19 pandemic but the extent of the changes in program implementation and their implications remains unknown. We examine program activity and families’ perceptions of virtual home visiting during the first nine months of the pandemic using implementation data for Family Connects (FC), an evidence-based and MIECHV-eligible, postpartum nurse home visiting program. Description Aggregate program implementation data for five FC sites for January-November of 2019 and 2020 are compared. The COVID-19 Modification Survey is used to analyze families’ reactions to virtual program delivery. Assessment Post-pandemic onset, FC’s program completion rates amounted to 86% of the pre-pandemic activity level. Activity in key components of the intervention—home-visitor education and referrals to community agencies—was maintained at 98% and 87% of the pre-pandemic level respectively. However, education and referrals rates declined among families of color and low-income families. Finally, families reported a positive response to the program, with declines in feelings of isolation and increases in positive attitudes toward in-person medical care-seeking due to FC visits. Conclusions During the first nine months of the COVID-19 pandemic, families’ interest in home visiting remained strong, performance metrics were maintained at high levels, and families responded positively to the virtual delivery of home visiting. Home visiting programs should continue implementation with virtual modifications during the remainder of the pandemic but attention is needed to address growing disparities in access to home visiting benefits among marginalized communities.

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Section: Introductionmentioning

confidence: 99%

Home Visiting Services During the COVID-19 Pandemic: Program Activity Analysis for Family Connects

Rybińska

Best

Goodman

et al. 2022

Matern Child Health J

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“…Select common threats to implementation across evidence‐based home visiting models were home visiting program goals and home visit activity mismatch, target population and service delivery approach mismatch, insufficient training, home visitor turnover, inconsistent delivery of curriculum, mothers’ work/school schedule, family not being interested or refusing services, time‐specific demands among families, and families in crisis (Paulsell et al., 2014). Of additional concern is the impact of the COVID‐19 pandemic on mental health where families participating in home visiting programs are experiencing more instances of trauma, such as intimate partner violence and job loss (Marshall et al., 2020; Williams et al., 2021).…”

Section: Discussionmentioning

confidence: 99%

Home visitor perspectives on implementing a precision approach to home visiting in communities serving Native American families

Russette

Grubin

Ingalls

et al. 2022

Infant Mental Health Journal

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Family Spirit (FS) is a federally endorsed evidence-based home visiting programs serving as a key prevention strategy for expectant families and families with young children. Like other home-visiting programs, it shares client challenges in retention and engagement during implementation. We assessed (1) the feasibility and acceptability of implementing a precision approach to FS; and (2) differences in approaches to FS delivery. Home visitors, serving primarily Native American families, that delivered a standard (N = 6) or a precision approach (N = 6) to FS across four study sites each participated in up to four virtual focus group discussions (FGDs) (N = 16). Facilitators and barriers to implementation were identified across the curriculum approach, relational and contextual levels. Facilitators: Relevant and culturally sensitive lessons, lesson structure, client-home visitor relationship, client buy-in, home visitor autonomy, leadership support, flexible funding, and training. Barriers: Irrelevant lessons, substance use content, missing topics, families experiencing crises, client and home visitor availability, client feedback, nonsupportive leadership, inadequate funding, and organizational policies and practices. The precision approach offers (1) tailoring of lessons that supports relevance of content to clients; and (2) a target timeframe that supports flexibility in lesson delivery. This model structure may improve client participation and retention.

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“…However, as COVID-19, a respiratory disease, is a disease that also occurs in psychiatric patients, the acquisition rate of relevant knowledge should be increased. Additionally, COVID-19 has increased the risk of recurrence due to difficulties in using hospitals, the lack of facilities for patients with mental disorders (Yao et al, 2020), and methodologic changes of mental health nursing care, such as home visits and digital care (Columb et al, 2020;Williams et al, 2021). Therefore, the expertise of psychiatric nurses on infection knowledge must be strengthened.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing knowledge, awareness, and compliance with standard precautions among psychiatric nurses

Park

Yang

Song

2021

Archives of Psychiatric Nursing

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This study aimed to assess the level of knowledge, awareness, and compliance with standard precautions and to examine individual factors related to compliance with standard precautions among psychiatric nurses. Data were collected from September 2020 to March 2021. A total of 160 questionnaires were distributed, and a total sample of 134 valid questionnaires was analyzed. Compliance with standard precautions was significantly correlated with knowledge and awareness. Awareness (β = 0.547, p < .001) was a significant factor of compliance with a total explanatory power of 35.0% (F = 7.27, p < .001). Thus, the current coronavirus disease pandemic has significantly influenced the mental health infection system. These findings highlighted that psychiatric nurse must continue their efforts to improve compliance with infection prevention to prepare for an uncertain future with potential pandemics.

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Home visiting: A lifeline for families during the COVID-19 pandemic

Cited by 21 publications

References 6 publications

Home Visiting Services During the COVID-19 Pandemic: Program Activity Analysis for Family Connects

Home Visiting Services During the COVID-19 Pandemic: Program Activity Analysis for Family Connects

Home visitor perspectives on implementing a precision approach to home visiting in communities serving Native American families

Factors influencing knowledge, awareness, and compliance with standard precautions among psychiatric nurses

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