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A Qualitative Approach to Understanding Provider Behaviors that Promote Enrollment, Engagement, and Retention in Home Visiting Services.

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Title: A Qualitative Approach to Understanding Provider Behaviors that Promote Enrollment, Engagement, and Retention in Home Visiting Services.
Authors: Beasley, Lana O., Milojevich, Helen, Fuller, Stormie, Bard, David
Source: Journal of Child & Family Studies. Oct2024, Vol. 33 Issue 10, p3119-3129. 11p.
Subjects: Home care services, Patients' families, Medical personnel, Research funding, Qualitative research, Resource allocation, Interviewing, Judgment sampling, Parenting, Goal (Psychology), Thematic analysis, Attitudes of medical personnel, Research methodology, Communication, Social support, Health promotion, Psychosocial factors, Patient participation, Labor supply
Abstract: Home visiting programs are an evidence-based approach to reducing adversity exposure and promoting well-being in children experiencing high-risk factors. Despite decades of research demonstrating the benefits of these programs, barriers continue to impact enrollment, engagement, and retention over time. The present qualitative study explored home visiting providers' perceptions of the behaviors they use to promote enrollment and engagement and reduced attrition for families. Twenty-one providers of three home visiting models (Nurse-Family Partnership, Parents as Teachers, and SafeCare) completed in-depth, semi-structured interviews to probe into provider behaviors that might improve program outcomes. Qualitative data analysis of interviews was conducted using NVivo software with a template approach used to identify broad themes. Findings indicated differences in provider behaviors across enrollment (provider approach and outreach), engagement (provider support and communication), and retention (provider sharing resources and setting goals). Across all three, providers emphasized the importance of building rapport. Implications suggest that workforce structure and training include behavioral strategies to improve enrollment, engagement, and retention in programs to promote program and familial success. Highlights: Provider approach and outreach are related to the promotion of enrollment in home visiting programs focused on families experiencing high-risk factors. Provider support and communication promote the engagement of families in home visiting programs. Sharing resources and setting goals with families were strategies reported by providers to promote the retention of families in home visiting programs. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Child & Family Studies is the property of Springer Nature 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: Psychology and Behavioral Sciences Collection
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  Data: A Qualitative Approach to Understanding Provider Behaviors that Promote Enrollment, Engagement, and Retention in Home Visiting Services.
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  Data: <searchLink fieldCode="DE" term="%22Home+care+services%22">Home care services</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+families%22">Patients' families</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+personnel%22">Medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Resource+allocation%22">Resource allocation</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Judgment+sampling%22">Judgment sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Parenting%22">Parenting</searchLink><br /><searchLink fieldCode="DE" term="%22Goal+%28Psychology%29%22">Goal (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes+of+medical+personnel%22">Attitudes of medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Communication%22">Communication</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Health+promotion%22">Health promotion</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+participation%22">Patient participation</searchLink><br /><searchLink fieldCode="DE" term="%22Labor+supply%22">Labor supply</searchLink>
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  Data: Home visiting programs are an evidence-based approach to reducing adversity exposure and promoting well-being in children experiencing high-risk factors. Despite decades of research demonstrating the benefits of these programs, barriers continue to impact enrollment, engagement, and retention over time. The present qualitative study explored home visiting providers' perceptions of the behaviors they use to promote enrollment and engagement and reduced attrition for families. Twenty-one providers of three home visiting models (Nurse-Family Partnership, Parents as Teachers, and SafeCare) completed in-depth, semi-structured interviews to probe into provider behaviors that might improve program outcomes. Qualitative data analysis of interviews was conducted using NVivo software with a template approach used to identify broad themes. Findings indicated differences in provider behaviors across enrollment (provider approach and outreach), engagement (provider support and communication), and retention (provider sharing resources and setting goals). Across all three, providers emphasized the importance of building rapport. Implications suggest that workforce structure and training include behavioral strategies to improve enrollment, engagement, and retention in programs to promote program and familial success. Highlights: Provider approach and outreach are related to the promotion of enrollment in home visiting programs focused on families experiencing high-risk factors. Provider support and communication promote the engagement of families in home visiting programs. Sharing resources and setting goals with families were strategies reported by providers to promote the retention of families in home visiting programs. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Child & Family Studies is the property of Springer Nature 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.)
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        Value: 10.1007/s10826-024-02907-x
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 3119
    Subjects:
      – SubjectFull: Home care services
        Type: general
      – SubjectFull: Patients' families
        Type: general
      – SubjectFull: Medical personnel
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Resource allocation
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Judgment sampling
        Type: general
      – SubjectFull: Parenting
        Type: general
      – SubjectFull: Goal (Psychology)
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Attitudes of medical personnel
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      – SubjectFull: Research methodology
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      – SubjectFull: Communication
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      – SubjectFull: Social support
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      – SubjectFull: Health promotion
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      – SubjectFull: Psychosocial factors
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      – SubjectFull: Patient participation
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      – SubjectFull: Labor supply
        Type: general
    Titles:
      – TitleFull: A Qualitative Approach to Understanding Provider Behaviors that Promote Enrollment, Engagement, and Retention in Home Visiting Services.
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              Text: Oct2024
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