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01.01.2016

Evaluation of a Community-Based Approach to Strengthen Retention in Early Childhood Home Visiting

verfasst von: Alonzo T. Folger, Anita L. Brentley, Neera K. Goyal, Eric S. Hall, Ting Sa, James L. Peugh, Angelique R. Teeters, Judith B. Van Ginkel, Robert T. Ammerman

Erschienen in: Prevention Science | Ausgabe 1/2016

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Abstract

Home visiting (HV) is a strategy for delivering services designed to promote positive parenting and prevent exposure to toxic stress during a critical period of child development. Home visiting programs are voluntary and family engagement and retention in service can influence outcomes. Most participants receive less home visits and for a shorter time than prescribed by evidence-based models. The purpose of this study was to evaluate community-based enrichment of HV (CBE-HV), an approach that was developed and implemented to increase engagement and retention in HV. CBE-HV strategies included (1) community engagement, (2) ancillary supports for families in HV, and (3) enhancements to a HV program. A retrospective, quasi-experimental study was conducted to estimate the effect of CBE-HV on the retention of families in a HV program. Comparisons of study participants were made post-implementation of CBE-HV (n = 2191) and over time (n = 3786)—pre- versus post-CBE-HV implementation in the study communities. The CBE-HV effect was statistically significant and protective (hazards ratio [HR] 0.77, 95 % confidence interval [CI]: 0.67, 0.88), indicating that attrition from HV was 23 % less in the CBE-HV group relative to the post-implementation comparison group. In the temporal comparison of study communities, CBE-HV was also associated with a significantly lower risk of HV attrition (HR: 0.71, 95 % CI: 0.56, 0.89). The study demonstrated that CBE-HV is a promising approach to achieve stronger retention and engagement in HV. Further research is needed to identify the components of CBE-HV approaches that are most effective.

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Titel: Evaluation of a Community-Based Approach to Strengthen Retention in Early Childhood Home Visiting
verfasst von: Alonzo T. Folger
Anita L. Brentley
Neera K. Goyal
Eric S. Hall
Ting Sa
James L. Peugh
Angelique R. Teeters
Judith B. Van Ginkel
Robert T. Ammerman
Publikationsdatum: 01.01.2016
Verlag: Springer US
Erschienen in: Prevention Science / Ausgabe 1/2016
Print ISSN: 1389-4986
Elektronische ISSN: 1573-6695
DOI: https://doi.org/10.1007/s11121-015-0600-9

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