Implementation of evidence-based home visiting programs aimed at reducing child maltreatment: A meta-analytic review

Casillas, Katherine L.; Fauchier, Angèle; Derkash, Bridget T.; Garrido, Edward F.

doi:10.1016/j.chiabu.2015.10.009

Cited by 151 publications

(124 citation statements)

References 112 publications

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“…Staff selection, training, and coaching are key elements of effective implementation systems to assure that staff are competent to carry out their roles effectively (Fixsen et al 2005). Results from a recent meta-analytic review showed that the quality of home visitor training and supervision predicted program outcomes (Casillas et al 2016). …”

Section: Introductionmentioning

confidence: 99%

Randomized Trial of a Training Program to Improve Home Visitor Communication around Sensitive Topics

West

Gagliardi

Gatewood

et al. 2018

Matern Child Health J

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IntroductionStrong communication skills are necessary to engage families, perform accurate assessments, and motivate behavior change around sensitive issues encountered in home visiting.MethodsA two-arm, cluster-randomized trial evaluated the impact of a trans-model communications training course for home visitors. Fourteen home visiting programs in Maryland were assigned to a training intervention (n = 7 programs; 30 visitors) or wait-list control group (n = 7 programs; 34 visitors). Independent observers assessed training fidelity. Visitor’s attitudes, knowledge, and confidence were assessed through surveys. Their skills were assessed through coding of video-recorded visits with standardized mothers. Data were collected at baseline, within 2 weeks post-training, and at 2 months post-training. Regression models accounted for clustering within programs and controlled for characteristics on which study groups differed at baseline.ResultsIndependent observers rated the training highly on fidelity and acceptability. Home visitors rated it as useful, consistent with their model, and worth the effort. Immediately following the training, the training group scored higher than the control group on a range of indicators in all domains—knowledge, attitudes, confidence, and skills in using motivational communication techniques. At 2 months post-training, impacts on knowledge and attitudes persisted; impacts on confidence and observed skill were attenuated.DiscussionThe training course showed favorable immediate impacts on knowledge, attitudes, confidence, and skills, and long-term impacts on home visitor knowledge and attitudes. The findings underscore the need for ongoing reinforcement of skills following training.

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Section: Introductionmentioning

confidence: 99%

Randomized Trial of a Training Program to Improve Home Visitor Communication around Sensitive Topics

West

Gagliardi

Gatewood

et al. 2018

Matern Child Health J

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“…Some research suggests that training alone leads to little or no use of a new intervention, even when the training incorporates an active learning approach involving demonstration, role play, and application to actual cases (Beidas & Kendall, 2010). Providing ongoing support for use with consultation or coaching as well as administrative support increases use (Beidas & Kendall, 2010; Casillas, Fauchier, Derkash, & Garrido, 2016), but even with these supports, other factors may impede full implementation or undermine sustained use. A key factor may be the provider’s perceptions of the new practice both prior to and after the training.…”

Section: Introductionmentioning

confidence: 99%

Use of evidence-based interventions in child welfare: Do attitudes matter?

Leathers

Melka-Kaffer

Spielfogel

et al. 2016

Children and Youth Services Review

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Implementation of evidence-based programs in progressed slowly, with the majority of services in child welfare settings lacking empirical evidence for effectiveness. In other settings, research has identified providers’ attitudes about evidence-based practices (EBPs) as a potential barrier to adoption of EBPs. As little research has focused on the role of attitudes in influencing use after training in an EBP in child welfare, the potential for attitudes to impede implementation efforts in child welfare is unclear. This study addressed this question in a sample of 55 caseworkers and therapists randomly assigned to enhanced support to use an EBP following training or a training-only condition. Information on providers’ use of the intervention after training and their attitudes about EBPs were measured for up to five time points. Results indicate that attitudes did not predict providers’ use of the EBP, and attitudes did not change overall or in the enhanced condition that provided greater exposure to the intervention. Providers perceived of requirements to use a practice as more influential in their use than their openness to EBPs. However, those who were more open to EBPs were more likely to participate in implementation support after the training, suggesting that openness facilitates participation in activities that support use of a new intervention.

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“…This both bridges a knowledge gap (Avellar & Supplee, 2013; Olds, Henderson, Chamberlin, & Tatelbaum, 1986; Olds et al, 2004; Olds, Sadler, & Kitzman, 2007) and provides new mothers with experiences of nurturing and care that many of them did not have in their own childhoods (Fraiberg, Adelson, & Shapiro, 1975). Home visiting interventions are the most widely used parenting interventions in the US, and their global popularity is growing (Alonso-Marsden et al, 2013; Astuto & Allen, 2009; Casillas, Fauchier, Derkash, & Garrido, 2016; Knerr, Gardner, & Cluver, 2013). Originally developed to improve medical outcomes in premature infants, home visiting has also been used to treat post-partum depression, improve parent-infant connectedness, decrease child abuse and improve child developmental outcomes (Avellar & Supplee, 2013; Olds et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

“…A recent meta-analysis assessed 156 home visiting interventions with a variety of study designs (Casillas et al, 2016). The study found that interventions targeting specific high-risk groups had greater effect sizes than those that targeted a general population.…”

Section: Introductionmentioning

confidence: 99%

A systematic review of randomized controlled trials of interventions designed to decrease child abuse in high-risk families

Levey

Gelaye

Bain

et al. 2017

Child Abuse & Neglect

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Child abuse is a global problem, and parents with histories of childhood abuse are at increased risk of abusing their offspring. The objective of this systematic review is to provide a clear overview of the existing literature of randomized controlled trials evaluating the effectiveness of interventions to prevent child abuse. PubMed, PsychINFO, Web of Science, Sociological Abstracts, and CINAHL were systematically searched and expanded by hand search. This review includes all randomized controlled trials (RCTs) of interventions designed to prevent abuse among mothers identified as high-risk. Of the eight studies identified, only three found statistically significant reductions in abuse by any measure, and only two found reductions in incidents reported to child protective services. While much has been written about child abuse in high-risk families, few RCTs have been performed. Only home visitation has a significant evidence base for reducing child abuse, and the findings vary considerably. Also, data from low- and middle-income countries are limited.

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Implementation of evidence-based home visiting programs aimed at reducing child maltreatment: A meta-analytic review

Cited by 151 publications

References 112 publications

Randomized Trial of a Training Program to Improve Home Visitor Communication around Sensitive Topics

Randomized Trial of a Training Program to Improve Home Visitor Communication around Sensitive Topics

Use of evidence-based interventions in child welfare: Do attitudes matter?

A systematic review of randomized controlled trials of interventions designed to decrease child abuse in high-risk families

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