“…It should be noted that giving birth to an infant whose weight met the medical criteria for low birth weight (<2500 g) was NOT the key determinant of engagement. These findings suggest that new mothers are keen infant observers and responsive to any perceived infant risk such as lower birth weight and/or shorter gestational age (McGuigan et al, 2003). Home visiting programs will most likely find such mothers a receptive target for recruitment efforts.…”
Section: Discussionmentioning
confidence: 94%
“…Other home visitation studies also report an impact of race/ethnicity on retention rates McGuigan et al, 2003;Wagner et al, 2003) though with mixed results. Future research needs to carefully analyze this construct and include measures of socioeconomic status to begin to partial out the true effects of race/ethnicity.…”
Section: Discussionmentioning
confidence: 98%
“…It seems that many families fail to take full advantage of the services offered to them despite the relative ease of service participation. In acknowledgement of this threat to program validity, social scientists have begun to explore whether certain participant, provider or neighborhood characteristics differentiate those who remain in home visitation programs from those who drop out (Daro, McCurdy, Falconnier, & Stojanovic, 2003;McCurdy, Gannon, & Daro, 2003;McGuigan, Katzev, & Pratt, 2003).…”
Little is known as to why some parents choose to engage in voluntary home visitation services while others refuse or avoid services. To address this knowledge gap, this study tests several hypotheses about the factors that influence maternal intentions to engage in home visitation services and the link between these intentions and the receipt of a home visit. The sample consists of an ethnically diverse group of mothers identified as at-risk for parenting difficulties (N = 343). These mothers were offered home visitation services from nine home visiting programs located across six states. Regardless of service acceptance or refusal, all mothers were interviewed within 2 weeks of the service offer and 3 months later.The findings suggest that mothers who intend to use services look substantially different from those who do not state an intention to participate in home visitation. The results indicate that lower infant birth weight and greater comfort with a provider in one's home are significant predictors of maternal intentions to utilize home visiting services. The study results also support the connection between intent and behavior as the expressed intention to engage in home visitation services was a key predictor of the receipt of a visit.
“…It should be noted that giving birth to an infant whose weight met the medical criteria for low birth weight (<2500 g) was NOT the key determinant of engagement. These findings suggest that new mothers are keen infant observers and responsive to any perceived infant risk such as lower birth weight and/or shorter gestational age (McGuigan et al, 2003). Home visiting programs will most likely find such mothers a receptive target for recruitment efforts.…”
Section: Discussionmentioning
confidence: 94%
“…Other home visitation studies also report an impact of race/ethnicity on retention rates McGuigan et al, 2003;Wagner et al, 2003) though with mixed results. Future research needs to carefully analyze this construct and include measures of socioeconomic status to begin to partial out the true effects of race/ethnicity.…”
Section: Discussionmentioning
confidence: 98%
“…It seems that many families fail to take full advantage of the services offered to them despite the relative ease of service participation. In acknowledgement of this threat to program validity, social scientists have begun to explore whether certain participant, provider or neighborhood characteristics differentiate those who remain in home visitation programs from those who drop out (Daro, McCurdy, Falconnier, & Stojanovic, 2003;McCurdy, Gannon, & Daro, 2003;McGuigan, Katzev, & Pratt, 2003).…”
Little is known as to why some parents choose to engage in voluntary home visitation services while others refuse or avoid services. To address this knowledge gap, this study tests several hypotheses about the factors that influence maternal intentions to engage in home visitation services and the link between these intentions and the receipt of a home visit. The sample consists of an ethnically diverse group of mothers identified as at-risk for parenting difficulties (N = 343). These mothers were offered home visitation services from nine home visiting programs located across six states. Regardless of service acceptance or refusal, all mothers were interviewed within 2 weeks of the service offer and 3 months later.The findings suggest that mothers who intend to use services look substantially different from those who do not state an intention to participate in home visitation. The results indicate that lower infant birth weight and greater comfort with a provider in one's home are significant predictors of maternal intentions to utilize home visiting services. The study results also support the connection between intent and behavior as the expressed intention to engage in home visitation services was a key predictor of the receipt of a visit.
“…28 HGLM has been used to model condom use and HIV status disclosure in longitudinal data, and has also been used in a similar manner to FINDING, LINKING, AND RETAINING YMSM OF COLOR IN CAREour analysis to model program retention. 29,30 Analyses were conducted using SAS software, version 9.2 (SAS Institute Inc., Cary, NC) and HLM software, version 6.08 (Scientific Software International Inc., Lincolnwood, IL).…”
Young men who have sex with men (YMSM) of color are at particularly increased risk for HIV infection compared to white MSM. National data highlight the need to link YMSM of color to care to improve their overall health and stem further infections, yet, there is limited data on interventions and clinical outcomes focused on engaging and retaining youth, specifically HIV-infected YMSM of color in care. To address the medical care needs of this underserved population, in 2005, the Health Research and Services Administration (HRSA) created the YMSM of Color Initiative. Utilizing a social marketing campaign targeting youth and members of their sexual and social networks, testing and outreach on college campuses and within the broader community, and a tightly linked medical-social support network, we created STYLE (Strength Through Youth Livin' Empowered), a novel intervention that sought to diagnose, engage, and retain HIV-positive black and Latino YMSM in HIV primary care services. Over a 3-year period, 81 men were either newly diagnosed or reengaged in care. Overall, 63% of the cohort was retained in clinical care; defined as attending at least one medical visit every 4 months. Compared to the 3 years prior to STYLE, the odds ratio for whether or not someone attended a clinic visit was 2.58 (95% confidence interval [CI] 1.34-4.98) if enrolled in STYLE. We conclude that compared to a pre-STYLE cohort, STYLE was an effective intervention that increased HIV diagnoses, provided efficient and timely engagement in care for both those newly diagnosed and those who had fallen out of care and improved overall retention.
“…In an examination of program retention in a Healthy Families America home visiting model in Oregon, families were classified as having ''received the program'' if they had home visits for at least 1 year (McGuigan et al 2003). This 1-year cut-off was a meaningful programspecific time point, based on both the average length of stay in the program and the belief that the first year of a child's life is the key focus for program intervention, even though the Healthy Families model allows families to participate up to 5 years.…”
This review provides an overview of an important aspect of early childhood home visiting research: understanding how parents are involved in program services and activities. Involvement is defined as the process of the parent connecting with and using the services of a program to the best of the client's and the program's ability. The term includes two broad dimensions: participation, or the quantity of intervention a family receives; and engagement, or the emotional quality of the family's interaction with the program. Research that includes examination of parent involvement is reviewed, including examples from the Early Head Start Research and Evaluation Project. Factors that influence involvement are noted, including parent characteristics, qualities of the home visitor, and program features. The need for further measurement development and implications of these findings for home visiting programs are discussed.
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