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Early childhood home visiting's initial transition to virtual visits in response to the COVID-19 pandemic.

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Title: Early childhood home visiting's initial transition to virtual visits in response to the COVID-19 pandemic.
Authors: O'Neill, Kay1 (AUTHOR) koneill@jhu.edu, Burrell, Lori1 (AUTHOR), Peplinski, Kyle2 (AUTHOR), Korfmacher, Jon3 (AUTHOR), Spinosa, Ciara Z.1 (AUTHOR), McGready, John1 (AUTHOR), Duggan, Anne1 (AUTHOR)
Source: Children & Youth Services Review. Dec2023, Vol. 155, pN.PAG-N.PAG. 1p.
Subject Terms: *Communities, *Early intervention (Education), *COVID-19 pandemic, *Labor supply, Home care services, Cross-sectional method, Medical care, Evaluation of human services programs, Internet, Telemedicine, Surveys, Technology, Videoconferencing
Abstract: • A reliance on in-home service delivery rendered early childhood home visiting vulnerable to COVID-19 pandemic disruptions. • This national, cross-sectional web-based study was one of the first to assess program adaptation and challenges faced. • Local programs swiftly transitioned to alternatives to in-home visits to maintain contact with families. • While programs quickly transitioned to remote visits, they reported challenges in connecting with families via IVC. A reliance on in-home service delivery rendered early childhood home visiting vulnerable to the disruptions caused by the COVID-19 pandemic. Local programs transitioned rapidly from in-home visits to virtual contact with families. To assess how local programs adapted to changes in staffing, supervision, and connecting with families and the prevalence and strength of associations of program, home visitor, and family-level factors influencing local programs' transition to virtual visits using interactive video conferencing (IVC). The study also assessed whether adaptations and factors for IVC varied by use of an evidence-based model of home visiting and federal funding. This national, cross-sectional study used a short, web-based survey to elicit local programs' operational adaptations to social distancing policies, and challenges they encountered in transitioning to virtual contact with families. A total of 1154 program managers completed the survey, reporting on 1310 unduplicated, model-specific, local programs. Responding programs were located throughout the United States and represented over 30 different home visiting models. Local programs swiftly transitioned to alternatives to in-home visits to maintain contact with families. While programs quickly transitioned to remote visits, they reported challenges in connecting with families via IVC. Major challenges in local program resources, visitor and family receptivity and technology were associated with significantly fewer families reached by IVC. Implementing an evidence-based model and federal funding support were associated with adapting to changes in staffing, supervision, and connecting with families by IVC. While programs reported more technology challenges for families than for visitors, major challenges in visitor technology also impacted the percent of families reached by IVC. With its reach into communities experiencing disparities, home visiting is well-positioned to serve the families most adversely impacted by COVID-19. This survey demonstrated that programs swiftly transitioned to alternatives to in-home visits to maintain contact with families. This study highlighted major challenges in access to technology for families and the significant impacts of visitor and family technology challenges on reaching families by IVC. Strategies for ensuring access to technology are necessary to decrease disparities in access to home visiting. As home visiting programs adopt IVC as a more permanent option for service delivery, additional research is needed to determine the implications for reaching families, achieving model fidelity, addressing staff and family concerns, preparing the workforce to deliver IVC services effectively, and addressing enduring challenges to the use of IVC. [ABSTRACT FROM AUTHOR]
Copyright of Children & Youth Services Review is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Early childhood home visiting's initial transition to virtual visits in response to the COVID-19 pandemic.
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  Data: <searchLink fieldCode="AR" term="%22O'Neill%2C+Kay%22">O'Neill, Kay</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> koneill@jhu.edu</i><br /><searchLink fieldCode="AR" term="%22Burrell%2C+Lori%22">Burrell, Lori</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Peplinski%2C+Kyle%22">Peplinski, Kyle</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Korfmacher%2C+Jon%22">Korfmacher, Jon</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Spinosa%2C+Ciara+Z%2E%22">Spinosa, Ciara Z.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McGready%2C+John%22">McGready, John</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Duggan%2C+Anne%22">Duggan, Anne</searchLink><relatesTo>1</relatesTo> (AUTHOR)
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  Data: *<searchLink fieldCode="DE" term="%22Communities%22">Communities</searchLink><br />*<searchLink fieldCode="DE" term="%22Early+intervention+%28Education%29%22">Early intervention (Education)</searchLink><br />*<searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink><br />*<searchLink fieldCode="DE" term="%22Labor+supply%22">Labor supply</searchLink><br /><searchLink fieldCode="DE" term="%22Home+care+services%22">Home care services</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+human+services+programs%22">Evaluation of human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Internet%22">Internet</searchLink><br /><searchLink fieldCode="DE" term="%22Telemedicine%22">Telemedicine</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Technology%22">Technology</searchLink><br /><searchLink fieldCode="DE" term="%22Videoconferencing%22">Videoconferencing</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: • A reliance on in-home service delivery rendered early childhood home visiting vulnerable to COVID-19 pandemic disruptions. • This national, cross-sectional web-based study was one of the first to assess program adaptation and challenges faced. • Local programs swiftly transitioned to alternatives to in-home visits to maintain contact with families. • While programs quickly transitioned to remote visits, they reported challenges in connecting with families via IVC. A reliance on in-home service delivery rendered early childhood home visiting vulnerable to the disruptions caused by the COVID-19 pandemic. Local programs transitioned rapidly from in-home visits to virtual contact with families. To assess how local programs adapted to changes in staffing, supervision, and connecting with families and the prevalence and strength of associations of program, home visitor, and family-level factors influencing local programs' transition to virtual visits using interactive video conferencing (IVC). The study also assessed whether adaptations and factors for IVC varied by use of an evidence-based model of home visiting and federal funding. This national, cross-sectional study used a short, web-based survey to elicit local programs' operational adaptations to social distancing policies, and challenges they encountered in transitioning to virtual contact with families. A total of 1154 program managers completed the survey, reporting on 1310 unduplicated, model-specific, local programs. Responding programs were located throughout the United States and represented over 30 different home visiting models. Local programs swiftly transitioned to alternatives to in-home visits to maintain contact with families. While programs quickly transitioned to remote visits, they reported challenges in connecting with families via IVC. Major challenges in local program resources, visitor and family receptivity and technology were associated with significantly fewer families reached by IVC. Implementing an evidence-based model and federal funding support were associated with adapting to changes in staffing, supervision, and connecting with families by IVC. While programs reported more technology challenges for families than for visitors, major challenges in visitor technology also impacted the percent of families reached by IVC. With its reach into communities experiencing disparities, home visiting is well-positioned to serve the families most adversely impacted by COVID-19. This survey demonstrated that programs swiftly transitioned to alternatives to in-home visits to maintain contact with families. This study highlighted major challenges in access to technology for families and the significant impacts of visitor and family technology challenges on reaching families by IVC. Strategies for ensuring access to technology are necessary to decrease disparities in access to home visiting. As home visiting programs adopt IVC as a more permanent option for service delivery, additional research is needed to determine the implications for reaching families, achieving model fidelity, addressing staff and family concerns, preparing the workforce to deliver IVC services effectively, and addressing enduring challenges to the use of IVC. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Children & Youth Services Review is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=173608257
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1016/j.childyouth.2023.107213
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 1
        StartPage: N.PAG
    Subjects:
      – SubjectFull: Communities
        Type: general
      – SubjectFull: Early intervention (Education)
        Type: general
      – SubjectFull: COVID-19 pandemic
        Type: general
      – SubjectFull: Labor supply
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      – SubjectFull: Home care services
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      – SubjectFull: Cross-sectional method
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      – SubjectFull: Medical care
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      – SubjectFull: Evaluation of human services programs
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      – SubjectFull: Internet
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      – SubjectFull: Telemedicine
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      – SubjectFull: Surveys
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      – SubjectFull: Technology
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      – SubjectFull: Videoconferencing
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      – TitleFull: Early childhood home visiting's initial transition to virtual visits in response to the COVID-19 pandemic.
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              Text: Dec2023
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