Abstract
Home visiting programs support new and expecting parents by strengthening parenting practices, improving parental and child health and well-being, and preventing child maltreatment. Participant retention is often a challenge for home visitation, particularly for young families, potentially reducing program impact. Father engagement in services may be one avenue for supporting continued program take-up for young parents. The current study examined associations between fathers’ formal and informal participation in an infant home visiting program and mothers’ take-up of home visits and whether these associations differed depending on mothers’ relationship status at enrollment or timing of enrollment. Results showed that fathers’ participation in home visiting supported maternal retention, particularly when fathers were formally enrolled. These associations depended on mothers’ relationship status at enrollment but not on whether they enrolled pre- or postnatally. These findings have direct implications for home visiting programs, both in supporting maternal retention and in informing the recruitment and engagement of fathers.
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Notes
We also looked at associations between fathers’ participation and maternal-reported substance use, maternal depression, unstable housing, and involvement with child protective services. Only unstable housing was significantly associated with fathers’ participation, with mothers who had no father involvement more likely to report housing instability upon program enrollment. Detailed finding available online in Supplemental Table 1.
References
Adirim, T., & Supplee, L. (2013). Overview of the Federal Home Visiting Program. Pediatrics, 132, S59–S64. https://doi.org/10.1542/peds.2013-1021C.
Ammerman, R. T. (2016). Commentary: Toward the next generation of home visiting programs—New developments and promising directions. Current Problems in Pediatric and Adolescent Health Care, 46(4), 126–129. https://doi.org/10.1016/j.cppeds.2015.12.010.
Ammerman, R. T., Stevens, J., Putnam, F. W., Altaye, M., Hulsmann, J. E., Lehmkuhl, H. D., et al. (2006). Predictors of early engagement in home visitation. Journal of Family Violence, 21(2), 105–115. https://doi.org/10.1007/s10896-005-9009-8.
Avellar, S. A., & Supplee, L. H. (2013). Effectiveness of home visiting in improving child health and reducing child maltreatment. Pediatrics, 132, S90–S99. https://doi.org/10.1542/peds.2013-1021G.
Beasley, L. O., Ridings, L. E., Smith, T. J., Shields, J. D., Silovsky, J. F., Beasley, W., & Bard, D. (2018). A qualitative evaluation of engagement and attrition in a nurse home visiting program: From the participant and provider perspective. Prevention Science, 19(4), 528–537. https://doi.org/10.1007/s11121-017-0846-5.
Brand, T., & Jungmann, T. (2014). Participant characteristics and process variables predict attrition from a home-based early intervention program. Early Childhood Research Quarterly, 29(2), 155–167. https://doi.org/10.1016/j.ecresq.2013.12.001.
Brookes, S. J., Summers, J. A., Thornburg, K. R., Ispa, J. M., & Lane, V. J. (2006). Building successful home visitor–mother relationships and reaching program goals in two Early Head Start programs: A qualitative look at contributing factors. Early Childhood Research Quarterly, 21(1), 25–45. https://doi.org/10.1016/j.ecresq.2006.01.005.
Cabrera, N., Tamis-LeMonda, C. S., Bradley, R. H., Hofferth, S., & Lamb, M. E. (2000). Fatherhood in the twenty-first century. Child Development, 71(1), 127–136. https://doi.org/10.1111/1467-8624.00126.
Daro, D., McCurdy, K., Falconnier, L., & Stojanovic, D. (2003). Sustaining new parents in home visitation services: Key participant and program factors. Child Abuse & Neglect, 27(10), 1101–1125. https://doi.org/10.1016/j.chiabu.2003.09.007.
Duggan, A., Fuddy, L., McFarlane, E., Burrell, L., Windham, A., Higman, S., & Sia, C. (2004). Evaluating a statewide home visiting program to prevent child abuse in at-risk families of newborns: Fathers’ participation and outcomes. Child Maltreatment, 9(1), 3–17. https://doi.org/10.1177/1077559503261336.
Duggan, A., Minkovitz, C. S., Chaffin, M., Korfmacher, J., Brooks-Gunn, J., Crowne, S., et al. (2013). Creating a national home visiting research network. Pediatrics, 132, S82–S89. https://doi.org/10.1542/peds.2013-1021F.
Fifolt, M., Lanzi, R. G., Johns, E., Strichik, T., & Preskitt, J. (2017). Retention and attrition in a home visiting programme: Looking back and moving forward. Early Child Development and Care, 187(11), 1782–1794. https://doi.org/10.1080/03004430.2016.1189420.
Filene, J. H., Kaminski, J. W., Valle, L. A., & Cachat, P. (2013). Components associated with home visiting program outcomes: A meta-analysis. Pediatrics, 132, S100–S109. https://doi.org/10.1542/peds.2013-1021H.
Goldberg, J. S. (2015). Identity and involvement among resident and nonresident fathers. Journal of Family Issues, 36, 852–879. https://doi.org/10.1177/0192513X13500963.
Goldberg, J., Greenstone Winestone, J., Fauth, R., Colón, M., & Mingo, M. V. (2018). Getting to the warm hand-off: A study of home visitor referral activities. Maternal and Child Health Journal, 22, 22–32. https://doi.org/10.1007/s10995-018-2529-7.
Goyal, N. K., Hall, E. S., Meinzen-Derr, J. K., Kahn, R. S., Short, J. A., Van Ginkel, J. B., & Ammerman, R. T. (2013). Dosage effect of prenatal home visiting on pregnancy outcomes in at-risk, first-time mothers. Pediatrics, 132, S118–S125.
Guterman, N. B., Bellamy, J. L., & Banman, A. (2018). Promoting father involvement in early home visiting services for vulnerable families: Findings from a pilot study of “Dads Matter”. Child Abuse & Neglect, 76, 261–272. https://doi.org/10.1016/j.chiabu.2017.10.017.
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. https://doi.org/10.1007/s11121-017-0829-6.
Holmberg, J. R., & Olds, D. L. (2015). Father attendance in nurse home visitation. Infant Mental Health Journal, 36, 128–139. https://doi.org/10.1002/imhj.21490.
Holmes, E. K., Cowan, P. A., Cowan, C. P., & Hawkins, A. J. (2013). Marriage, fatherhood, and parenting programming. In N. J. Cabrera & C. S. Tamis-LeMonda (Eds.), Handbook of father involvement: Multidisciplinary perspectives (2nd ed., pp. 438–454). https://doi.org/10.4324/9780203101414.ch24.
Korfmacher, J., Green, B., Staerkel, F., Peterson, C., Cook, G., Roggman, L., et al. (2008). Parent involvement in early childhood home visiting. Child & Youth Care Forum, 37, 171–196. https://doi.org/10.1007/s10566-008-9057-3.
Lewin, A., Hodgkinson, S., Waters, D. M., Prempeh, H. A., Beers, L. S., & Feinberg, M. E. (2015). Strengthening positive coparenting in teen parents: A cultural adaptation of an evidence-based intervention. The Journal of Primary Prevention, 36, 139–154. https://doi.org/10.1007/s10935-015-0388-1.
McGinnis, S., Lee, E., Kirkland, K., Smith, C., Miranda-Julian, C., & Greene, R. (2018). Engaging at-risk fathers in home visiting services: Effects on program retention and father involvement. Child and Adolescent Social Work Journal. https://doi.org/10.1007/s10560-018-0562-4.
McGuigan, W. M., Katzev, A. R., & Pratt, C. C. (2003). Multi-level determinants of retention in a home-visiting child abuse prevention program. Child Abuse & Neglect, 27, 363–380. https://doi.org/10.1016/S0145-2134(03)00024-3.
Nievar, M. A., Van Egeren, L. A., & Pollard, S. (2010). A meta-analysis of home visiting programs: Moderators of improvements in maternal behavior. Infant Mental Health Journal, 31(5), 499–520. https://doi.org/10.1002/imhj.20269.
Nygren, P., Green, B., Winters, K., & Rockhill, A. (2018). What’s happening during home visits? Exploring the relationship of home visiting content and dosage to parenting outcomes. Maternal and Child Health Journal, 1–10. https://doi.org/10.1007/s10995-018-2547-5.
Osbourne, C., Dillon, D., Craver, J. W., & Hovey, I. (2016). Making good on fatherhood: A review of the fatherhood research. Child & Family Research Partnership, The University of Texas at Austin.
Panter-Brick, C., Burgess, A., Eggerman, M., McAllister, F., Pruett, K., & Leckman, J. F. (2014). Practitioner review: Engaging fathers—recommendations for a game change in parenting interventions based on a systematic review of the global evidence. Journal of Child Psychology and Psychiatry, 55, 1187–1212. https://doi.org/10.1111/jcpp.12280.
Raikes, H., Summers, J., & Roggman, L. (2005). Father involvement in early head start programs. Fathering: A Journal of Theory, Research, and Practice about Men as Fathers, 3, 29–58. https://doi.org/10.3149/fth.0301.29.
Raikes, H., Green, B. L., Atwater, J., Kisker, E., Constantine, J., & Chazan-Cohen, R. (2006). Involvement in Early Head Start home visiting services: Demographic predictors and relations to child and parent outcomes. Early Childhood Research Quarterly, 21, 2–24. https://doi.org/10.1016/j.ecresq.2006.01.006.
Ramchandani, P., & Iles, J. (2014). Commentary: Getting fathers into parenting programmes—a reflection on Panter-Brick et al. (2014). Journal of Child Psychology and Psychiatry, 55, 1213–1214. https://doi.org/10.1111/jcpp.12321.
Roggman, L. A., Cook, G. A., Peterson, C. A., & Raikes, H. H. (2008). Who drops out of early head start home visiting programs? Early Education and Development, 19, 574–599. https://doi.org/10.1080/10409280701681870.
Roisman, G. I., Masten, A. S., Coatsworth, J. D., & Tellegen, A. (2004). Salient and emerging developmental tasks in the transition to adulthood. Child Development, 75, 123–133. https://doi.org/10.1111/j.1467-8624.2004.00658.x.
Ryan, R. M., Kalil, A., & Ziol-Guest, K. M. (2008). Longitudinal patterns of nonresident fathers’ involvement: The role of resources and relations. Journal of Marriage and Family, 70, 962–977. https://doi.org/10.1111/j.1741-3737.2008.00539.x.
Sandstrom, H., Healy, O., Gearing, M., Pratt, E., Peters, H. E., & Heller, C. (2015). Approaches to father engagement and fathers’ experiences in home visiting programs (No. 103). Office of Planning, Research, and Evaluation (OPRE).
Sarkadi, A., Kristiansson, R., Oberklaid, F., & Bremberg, S. (2008). Fathers’ involvement and children’s developmental outcomes: A systematic review of longitudinal studies. Acta Paediatrica, 97, 153–158. https://doi.org/10.1111/j.1651-2227.2007.00572.x.
Supplee, L. H., Parekh, J., & Johnson, M. (2018). Principles of precision prevention science for improving recruitment and retention of participants. Prevention Science, 19, 689–694. https://doi.org/10.1007/s11121-018-0884-7.
Sweet, M. A., & Appelbaum, M. I. (2004). Is home visiting an effective strategy? A meta-analytic review of home visiting programs for families with young children. Child Development, 75, 1435–1456. https://doi.org/10.1111/j.1467-8624.2004.00750.x.
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This study was funded by the Commonwealth of Massachusetts (Grants MA5014 & MA7441).
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Stargel, L.E., Fauth, R.C., Goldberg, J.L. et al. Maternal Engagement in a Home Visiting Program as a Function of Fathers’ Formal and Informal Participation. Prev Sci 21, 477–486 (2020). https://doi.org/10.1007/s11121-020-01090-x
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DOI: https://doi.org/10.1007/s11121-020-01090-x