259514 Association of family service needs and level of access difficulty with home visiting services: Oregon's findings from a survey of pregnant women and parents of young children

Tuesday, October 30, 2012 : 1:10 PM - 1:30 PM

Jin Song, MBA , Office of Family Health, Oregon Health Authority, Portland, OR
Kathleen Anger, PhD , Office of Family Health, Oregon Health Authority, Portland, OR
Wendy Morgan, MSW , Office of Family Health, Oregon Health Authority, Portland, OR
Tenzing Sherpa, MPH , Student, School of Nursing, Oregon Health & Science University, Portland, OR
Kristen Becker, MS, MPH , Office of Family Health, Oregon Health Authority, Portland, OR
Background: As part of a multi-component home visiting needs assessment in 2011, a survey of pregnant women and parents of young children was conducted throughout Oregon. The survey asked about families' needs for 32 services and their level of difficulty accessing services. The analysis reported here examines differences between families who received home visiting and those who did not. Methods: The survey was completed by 4,628 respondents (2,375 received home visiting; 1,958 did not). Most respondents were recruited through WIC and home visiting programs and completed a paper survey; however, some respondents were reached through internet social media and completed an online survey. Exploratory factor analysis (principal components analysis) was used to extract a smaller set of factors from the 32 service items. For each factor, multiple linear regression analysis was used to examine the relationship between (a) levels of need and access difficulty, and (b) receipt of home visiting services and demographic characteristics (e.g., race/ethnicity, poverty level). Results: Families who received home visiting services reported more needs in all service factors except health care, but had less access difficulty across all 10 factors. Conclusions: Findings suggest that home visiting programs are serving families with substantial needs, and that they are likely successful in facilitating access to services. Although further confirmation is needed due to the use of cross-sectional data, the findings provide corroboration of positive outcomes reported in the home visiting literature and suggest that one mode of achieving outcomes may be through connecting families to needed services.

Learning Areas:
Assessment of individual and community needs for health education
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
Identify the main categories of services needed by the families targeted by home visiting programs. Assess the success of home visiting programs in reaching families in needs of services and facilitating access to services.

Keywords: Home Visiting, Needs Assessment

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a research analyst working in the field of public health for more than 18 years. I have been involved in researching and evaluating a variety of projects including home visiting programs, an integrative child wellness promotion program (Project LAUNCH), a child care health consultation program, juvenile crime and domestic violence prevention programs and HIV prevention outreach programs.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.