Skip to main content

Engagement in Home Visiting: An Overview of the Problem and How a Coalition of Researchers Worked to Address this Cross-model Concern


Home visiting is a widely supported intervention strategy for parents of young children who are in need of parenting skill improvement. However, parental engagement limits the potential public health impact of home visiting, as these programs often have low enrollment rates, as well as high attrition and low completion rates for those who enroll in these programs. The Coalition for Research on Engagement and Well-being (CREW) provided support for three pilot projects representing different home visiting models and aspects of engagement. The results of these pilot projects are presented in this special section. The purpose of this commentary is to introduce CREW and highlight the importance of a cross-model project to improve engagement among home visiting programs.

This is a preview of subscription content, access via your institution.

Fig. 1


Download references


The authors would like to thank Ambra Noble, Marissa Hicks, and Matthew C. Jackson for contributions to this project.

Author Contributions

K.G.: Conceptualized the manuscript, conducted literature review and synthesis, and wrote the manuscript. J.R.L.: Oversaw the execution of the manuscript, wrote sections of the manuscript, and collaborated in the preparation of the final manuscript. S.S.B., J.S., & D.W.: collaborated on the conceptualization of the manuscript, assisted in the editing of the final manuscript.


This research was supported by a grant from the Annie E. Casey Foundation, PI: J.R. Lutzker (#215.0034). K. Guastaferro was supported in part by the National Institute on Drug Abuse of the National Institutes of Health under award number P50 DA039838 and the National Center for Advancing Translational Sciences through Grant UL1 TR000127 and TR002014. K. Guastaferro and J. Shanley were supported by the Eunice Kennedy Shriver National Institute on Child Health and Human Development under award P50HD089922. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or the Annie E. Casey Foundation.

Author information

Authors and Affiliations


Corresponding author

Correspondence to Kate Guastaferro.

Ethics declarations

Conflict of Interest

J.R. Lutzker is the developer of SafeCare. The authors have no other conflicts of interest.

Ethical Approval

This article does not contain any studies with human participants performed by any of the authors.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Guastaferro, K., Self-Brown, S., Shanley, J.R. et al. Engagement in Home Visiting: An Overview of the Problem and How a Coalition of Researchers Worked to Address this Cross-model Concern. J Child Fam Stud 29, 4–10 (2020).

Download citation

  • Published:

  • Issue Date:

  • DOI:


  • Home visiting
  • Engagement