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.
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Alonso-Marsden, S., Dodge, K. A., O’Donnell, K. J., Murphy, R. A., Sato, J. M., & Christopoulos, C. (2013). Family risk as a predictor of initial engagement and follow-through in a universal nurse home visiting program to prevent child maltreatment. Child Abuse and Neglect, 37(8), 555–565. https://doi.org/10.1016/j.chiabu.2013.03.012.
Avellar, S. A., & Supplee, L. H. (2013). Effectiveness of home visiting in improving child health and reducing child maltreatment. Pediatrics, 132(Suppl 2), S90–S99. https://doi.org/10.1542/peds.2013-1021G.
Axford, N., Lehtonen, M., Kaoukji, D., Tobin, K., & Berry, V. (2012). Engaging parents in parenting programs: Lessons from research and practice.Child and Youth Services Review, 34(10), 2061–2071. https://doi.org/10.1016/j.childyouth.2012.06.011.
Azzi-Lessing, L. (2011). Home visitation programs: critical issues and future directions. Early Childhood Research Quarterly, 26(4), 387–398. https://doi.org/10.1016/j.ecresq.2011.03.005.
Baker, C. N., Arnold, D. H., & Meagher, S. (2011). Enrollment and attendance in a parent training prevention program for conduct problems. Prevention Science, 12(2), 126–138. https://doi.org/10.1007/s11121-010-0187-0.
Beasley, L. O., Silovsky, J. F., Ridings, L. E., Smith, T. J., & Owora, A. (2014). Understanding ProgramEngagement and Attrition in Child Abuse Prevention. Journal of Family Strengths, 14(1), Art.20. Retrieved from http://digitalcommons.library.tmc.edu/jfs/vol14/iss1/20/?utm_source=digitalcommons.library.tmc.edu/jfs/vol14/iss1/20&utm_medium=PDF&utm_campaign=PDFCoverPages.
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, 528–537. https://doi.org/10.1007/s11121-017-0846-5.
Bigelow, K. M., Carta, J. J., & Lefever, J. B. (2008). Txt u ltr: Using cellular phone technology to enhance a parenting intervention for families at risk for neglect. Child Maltreatment, 13(4), 362–367. https://doi.org/10.1177/1077559508320060.
Boller, K., Daro, D., Del Grosso, P., Cole, R., Paulsell, D., Hart, B., … Hargreaves. (2014). Making replication work: Building infrastructure to implement, scale-up, ans sustain evidence-based early childhood home visiting programs with fidelity. Princeton, NJ: Mathematica Policy Research. http://communications.mathematica-mpr.com/publications/pdfs/earlychildhood/EBHV_brief3.pdf
Booth, A., Munsell, E.P., & Doyle, O. (2014). Maternal engagement in a home visiting intervention: What lies beneath psychological resources?. Journal of Community Psychology, 42(1), 29–46.
Carta, J., Burke, J., Bigelow, K. M., Borkowski, J. G., & Warren, S. F. (2013). Randomized trials of a cellular phone-enhanced home visitation parenting intervention. Pediatrics International: Official Journal of the American Academy of Pediatrics, 132, s167–s173. https://doi.org/10.1542/peds.2013-1021Q.
Chaffin, M., Valle, L. A., Funderburk, B., Gurwich, R., Silovsky, J., Bard, D., & Kees, M. (2009). A motivational intervention can improve retention in PCIT for low-motivation child welfare clients. Child Maltreatment, 14(4), 356–368.
Chen, M., & Chan, K. L. (2016). Effects of parenting programs on child maltreatment prevention a meta-analysis. Trauma Violence Abuse, 17(1), 88–104. https://doi.org/10.1177/1524838014566718.
Corso, P. S., Fang, X., Begle, A. M., & Dumas, J. (2010). Predictors of engagement in a parenting intervention designed to prevent child maltreatment. The Western Journal of Emergency Medicine, 11(3), 235–241.
Damashek, A., Bard, D., & Hecht, D. (2012). Provider cultural competency, client satisfaction, and engagement in home-based programs to treat child abuse and neglect. Child Maltreatment, 17(1), 56–66. https://doi.org/10.1177/1077559511423570.
Damashek, A., Doughty, D., Ware, L., & Silovsky, J. (2011). Predictors of client engagement and attrition in home-based child maltreatment prevention services. Child Maltreatment, 16(1), 9–20. https://doi.org/10.1177/1077559510388507.
Damashek, A., Kothari, C. L., Berman, A., Chahin, S., Lutzker, J. R., Guastaferro, K., … Self-Brown, S. (2019). Engagement in home visiting services during the perinatal period: A prospective mixed method pilot study. Journal of Child and Family Studies, 28.
Daro, D., Hart, B., Boller, K., & Bradley, M. C. (2012). Replicating home visiting programs with fidelity: Baseline data and preliminary findings. http://communications.mathematica-mpr.com/publications/pdfs/earlychildhood/EBHV_brief3.pdf
Dawson, K., & Berry, M. (2002). Engaging families in child welfare services: An evidence-based approach to best practice. Child Welfare, 81(2), 293–317. 0009-4021/2002/020293-25.
Dorsey, S., Pullmann, M. D., Berliner, L., Koschmann, E., McKay, M., & Deblinger, E. (2014). Engaging foster parents in treatment: A randomized trial of supplementing trauma-focused cognitive behavioral therapy with evidence-based engagement strategies. Child Abuse and Neglect, 38(9), 1508–1520. https://doi.org/10.1016/j.chiabu.2014.03.020.
Duggan, A., Minkovitz, C. S., Chaffin, M., Korfmacher, J., Brooks-Gunn, J., Crowne, S., & Harwood, R. (2013). Creating a national home visiting research network. Pediatrics, 132 Suppl, S82–9. https://doi.org/10.1542/peds.2013-1021F.
Duggan, A., Windham, A., McFarlane, E., Fuddy, L., Rohde, C., Bouchbinder, S., & Sia, C. (2000). Hawaii’s Healthy Start program of home visiting for at-risk families: Evaluation of family identification, family engagement, and service delivery. Pediatrics, 105(1), 250 https://doi.org/10.1542/peds.105.1.S2.250.
Dumas, J. E., Nissley-Tsiopinis, J., & Moreland, A. D. (2007). From intent to enrollment, attendance, and participation in preventive parenting groups. Journal of Child and Family Studies, 16(1), 1–26. https://doi.org/10.1007/s10826-006-9042-0.
Eisner, M., & Meidert, U. (2011). Stages of parental engagement in a universal parent training program. Journal of Primary Prevention, 32(2), 83–93. https://doi.org/10.1007/s10935-011-0238-8.
Fabiano, G. A. (2007). Father participation in behavioral parent training for ADHD: Review and recommendations for increasing inclusion and engagement. Journal of Family Psychology, 21(4), 683–693. https://doi.org/10.1037/0893-3126.96.36.1993.
Fernandez, M. A., & Eyberg, S. M. (2009). Predicting treatment and follow-up attrition in parent-child interaction therapy. Journal of Abnormal Child Psychology, 37(3), 431–441. https://doi.org/10.1007/s10802-008-9281-1.
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.
Forgatch, M., Patterson, G., & Gewirtz, A. (2013). Looking forward: The promise of widespread implementation of parent training programs. Perspectives on Psychological Science, 8(6), 682–694. https://doi.org/10.1177/1745691613503478.
Garvey, C., Julion, W., Fogg, L., Kratovil, A., & Gross, D. (2006). Measuring participation in a prevention trial with parents of young children. Research in Nursing and Health, 29(3), 212–222.
Gomby, D. S. (2005). Home visitation in 2005: Outcomes for children and parents. (Invest in Kids Working Paper No.7).
Gomby, D. S. (2007). The promise and limitations of home visiting: Implementing effective programs. Child Abuse and Neglect, 31(8), 793–799. https://doi.org/10.1016/j.chiabu.2007.07.001.
Gopalan, G., Goldstein, L., Klingenstein, K., Sicher, C., Blake, C., & McKay, M. M. (2010). Engaging families into child mental health treatment: updates and special considerations. Journal of the Canadian Academy of Child and Adolescent Psychiatry=Journal de l’Académie Canadienne de Psychiatrie de l’enfant et de l’adolescent, 19, 182–196.
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. https://doi.org/10.1097/OGX.0000000000000041.
Hackworth, N. J., Matthews, J., Westrupp, E. M., Nguyen, C., Phan, T., Scicluna, A., & Nicholson, J. M. (2018). What influences parental engagement in early intervention? Parent, program and community predictors of enrolment, retention and involvement.Prevention Science, 19, 880–893. https://doi.org/10.1007/s11121-018-0897-2.
Haggerty, K. P., MacKenzie, E. P., Skinner, M. L., Harachi, T. W., & Catalano, R. F. (2006). Participation in “parents who care”: Predicting program initiation and exposure in two different program formats. Journal of Primary Prevention, 27(1), 47–65. https://doi.org/10.1007/s10935-005-0019-3.
Haine-Schlagel, R., Fettes, D. L., Finn, N., Hurlburt, M. S., & Aarons, G. A. (2019). Adaptation and pilot testing of a toolkit to enhance parent participation in home visitation programs. Journal of Child and Family Studies, 28.
Hurlburt, M., Aarons, G. A., Fettes, D., Willging, C., Gunderson, L., & Chaffin, M. J. (2014). Interagency Collaborative Team model for capacity building to scale-up evidence-based practice.Child and Youth Services Review, 39, 160–168. https://doi.org/10.1016/j.childyouth.2013.10.005.
Ingoldsby, E. M. (2010). Review of interventions to improve family engagement and retention in parent and child mental health programs. Journal of Child and Family Studies, 19(5), 629–645. https://doi.org/10.1007/s10826-009-9350-2.
Ingoldsby, E. M., Baca, P., McClatchey, M. W., Luckey, D. W., Ramsey, M. O., Loch, J. M., & Olds, D. L. (2013). Quasi-experimental pilot study of intervention to increase participant retention and completed home visits in the Nurse-Family Partnership. Prevention Sciences, 14(6), 525–534. https://doi.org/10.1007/s11121-013-0410-x.
Jiang, Y., Tully, L. A., Burn, M. T., Piotrowska, P., Collins, D. A. J., Moul, C., & Dadds, M. R. (2018). Development and psychometric evaluation of the father engagement questionnaire.Journal of Child and Family Studies, 27, 3457–3467. https://doi.org/10.1007/s10826-018-1195-0.
Karoly, L. A., Kilburn, M. R., & Cannon, J. S. (2011). Early childhood interventions: Proven results, future promise. Arlington, VA: RAND Corporation.
Korfmacher, J., Green, B., Staerkel, F., Peterson, C., Cook, G., Roggman, L., & Schiffman, R. (2008). Parent involvement in early childhood home visiting. Child and Youth Care Forum, 37(4), 171–196. https://doi.org/10.1007/s10566-008-9057-3.
Korfmacher, J., O'Brien, R. A., Hiatt, S., & Olds, D. L. (1999). Differences in program implementation between nurses and paraprofessionals providing home visits during pregancy and infancy: A randomized trial. American Journal of Public Health, 89, 1847–1851.
Kyzer, A., Whiteside-Mansell, L., McKelvey, L., & Swindle, T. (2016). Supporting family engagement in home visiting with the Family Map Inventories. Infants and Young Children, 29(1), 37–52. https://doi.org/10.1016/S2214-109X(16)30265-0.
Latimore, A. D., Burrell, L., Crowne, S., Ojo, K., Cluxton-Keller, F., Gustin, S., & Duggan, A. (2017). Exploring multilevel factors for family engagement in home visiting across two national models. Prevention Science, 18(5), 577–589. https://doi.org/10.1007/s11121-017-0767-3.
Lefever, J. E. B., Bigelow, K. M., Carta, J. J., Borkowski, J. G., Grandfield, E., McCune, L., & Warren, S. F. (2017). Long-term impact of a cell phone-enhanced parenting intervention. Child Maltreatment, 22(4), 107755951772312 https://doi.org/10.1177/1077559517723125.
Lundahl, B. W., Nimer, J., & Parsons, B. (2006). Preventing child abuse: A meta-analysis of parent training programs. Research on Social Work Practice, 16(3), 251–262. https://doi.org/10.1177/1049731505284391.
Lutzker, J. R. (1984). Project 12-Ways: Treating child abuse and neglect from an ecobehavioral perspective. In R. Dangel & R. Polster (Eds.), Parent training: Foundations of research and practice (pp. 260–291). New York, NY: Guilford Press.
McCurdy, K., & Daro, D. (2001). Parent involvement in family support systems: An integrated theory. Family Relations, 50(2), 113–121. https://doi.org/10.1111/j.1741-3729.2001.00113.x/.
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 and Neglect, 27(4), 363–380. https://doi.org/10.1016/S0145-2134(03)00024-3.
McKay, M. M., Hibbert, R., Hoagwood, K., Rodriguez, J., Murray, L., Legerski, J., & Fernandez, D. (2004). Integrating evidence-based engagement interventions into “real world” child mental health settings. Briefing Treatment and Crisis Intervention, 4(2), 177–186. https://doi.org/10.1093/brief-treatment/mhh014.
McKay, M. M., Stoewe, J., McCadam, K., & Gonzales, J. (1998). Increasing access to child mental health services for urban children and their caregivers. Health & Social Work, 23(1), 9–15.
Morawska, A., & Sanders, M. R. (2006). A review of parental engagement in parenting interventions and strategies to promote it. Journal of Children’s Services, 1(1), 29–40. https://doi.org/10.1108/17466660200600004.
National Home Visiting Resource Center. (2018). Data Supplement to the 2017 Home Visiting Yearbook. Arlington, VA. Retrieved from https://www.nhvrc.org/yearbook/2017-home-visiting-yearbook/
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.
O'Brien, R. A., Moritz, P., Luckey, D. W., McClatchey, M. W., Ingoldsby, E. M., & Olds, D. L. (2012). Mixed methods analysis of participant attrition in the Nurse-Family Partnership. Prevention Science, 13(3), 219–228. https://doi.org/10.1007/s11121-012-0287-0.
Olds, D. (2003). Reducing program attrition in home visiting: What do we need to know? Child Abuse and Neglect, 27(4), 359–361. https://doi.org/10.1016/S0145-2134(03)00022-X.
Paulsell, D., Del Grosso, P., & Supplee, L. (2014). Supporting replication and scale-up of evidence-based home visiting programs: Assessing the implementation knowledge base. American Journal of Public Health, 104(9), 1624–1632. https://doi.org/10.2105/AJPH.2014.301962.
Peacock, S., Konrad, S., Watson, E., Nickel, D., & Muhajarine, N. (2013). Effectiveness of home visiting programs on child outcomes: a systematic review. BMC Public Health, 13(17), 1–14. https://doi.org/10.1186/2046-1682-4-13.
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 Child Research Quarterly, 21(1), 2–24. https://doi.org/10.1016/j.ecresq.2006.01.006.
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(4), 574–599. https://doi.org/10.1080/10409280701681870.
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(5), 1435–1456. https://doi.org/10.1111/j.1467-8624.2004.00750.x.
The Pew Center on The States. (2011). Policy Framework to Strengthen Home Visiting Programs. Washington, D.C: The Pew Center on the States.
Traube, D. E., Hsiao, H.-Y., Rau, A., Hunt-O’Brien, D., & Islam, N. (2019). Advancing home visitation through the use of telehealth technology. Journal of Child and Family Studies, 28.
Wagner, M., Spiker, D., Gerlach-Downie, S., & Hernandez, F. (2000). Parental engagement in home visiting programs: Findings from the Parents as Teachers multisite evaluation. Menlo Park, CA: SRI International.
Wagner, M., Spiker, D., Inman Linn, M., Gerlach-Downie, S., & Hernandez, F. (2003). Dimensions of parental engagement in home visiting programs: Exploratory study. Topics in Early Childhood Special Education, 23(4), 171–187. https://doi.org/10.1177/02711214030230040101.
Yatchmenoff, D. K. (2005). Measuring client engagement from the client's perspective in nonvoluntary child protective services. Research on Social Work Practice, 15(2), 84–96. https://doi.org/10.1177/1049731504271605.
The authors would like to thank Ambra Noble, Marissa Hicks, and Matthew C. Jackson for contributions to this project.
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.
Conflict of Interest
J.R. Lutzker is the developer of SafeCare. The authors have no other conflicts of interest.
This article does not contain any studies with human participants performed by any of the authors.
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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). https://doi.org/10.1007/s10826-018-1279-x
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