Locally Designed Home Visiting Program Has Sustained Impacts on Child Development and Parenting Quality
Home visiting is a long-standing service delivery strategy used to promote positive maternal and child health and development. We conducted a longitudinal study using a quasi-experimental design to determine the impacts of a locally designed nine-month long home visiting program on child development, developmental screening, and maternal and child engagement, among other outcomes.
This six-year evaluation employs mixed methods to assess program implementation and outcomes. Findings presented here are based on a survey designed to examine outcomes at 12, 24 and 36 months postpartum. The study includes an intervention group of mothers who received home visiting (n = 454) and a comparison group of mothers from the same community who were not offered the program (n = 280). A majority of the sample are low-income Latino immigrants with less than a high school education.
At 12 months we find that participants have higher quality home environments with more learning materials, higher engagement in home learning activities, and children at reduced risk of social-emotional delay. Several measures are sustained at 24 months, where the intervention group continues to demonstrate higher quality home environments and engagement in home learning activities, greater social competence and communication skills, and a higher rate of early identification for speech and language delays. Additionally, at 24-months the intervention group demonstrates stronger maternal responsiveness and encouragement. A 36-month survey is currently underway.
Significant parenting and child development findings demonstrate that the home visiting program is having a measurable and sustaining impact for this at-risk population.
Learning Areas:Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Other professions or practice related to public health
Social and behavioral sciences
Identify potential child development benefits of this home visiting program (Welcome Baby) Evaluate benefits of low-medium intensity home visiting on parenting quality Describe the impacts of this locally designed home visiting program.
Keyword(s): Risk Factors/Assesment, Child Health
Qualified on the content I am responsible for because: I am deputy project director of the six year evaluation of this home visiting program and primary author on the research report. I have evaluated several maternal and child health programs related to birth, breastfeeding, and development outcomes as well as health care access, eligibility, and enrollment.
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.