Women's Health Issues
Volume 18, Issue 2 , Pages 118-129 , March 2008

Engagement in Paraprofessional Home Visitation: Families’ Reasons for Enrollment and Program Response to Identified Reasons

  • S. Darius Tandon, PhD

      Affiliations

    • The Johns Hopkins University School of Medicine, Department of Pediatrics & Johns Hopkins Bloomberg School of Public Health, Department of Population, Family, & Reproductive Health, Baltimore, Maryland
    • S. Darius Tandon, PhD, is an Assistant Professor in the Department of Pediatrics at the Johns Hopkins University School of Medicine with a joint appointment in the Bloomberg School of Public Health’s Department of Population, Family, & Reproductive Health. He is a community psychologist who conducts research on perinatal health as well as adolescent and young adult mental health.
    • Corresponding Author InformationCorrespondence to: S. Darius Tandon, PhD, Johns Hopkins University School of Medicine, Department of Pediatrics & Johns Hopkins Bloomberg School of Public Health, Department of Population, Family, & Reproductive Health, 200 North Wolfe Street, Suite 2025, Baltimore, MD 21287; Phone: 410-614-5281; fax: 410-502-5440.
  • ,
  • Kathleen Parillo, MA

      Affiliations

    • The Johns Hopkins University School of Medicine, Department of Pediatrics, Baltimore, Maryland
    • Kathleen Parillo, MA, is a graduate of Towson University’s Masters of Arts program in Experimental Psychology. She is currently employed by NOVA Research Company in Bethesda, Maryland.
  • ,
  • Constance Mercer, BA

      Affiliations

    • The Johns Hopkins University School of Medicine, Department of Pediatrics, Baltimore, Maryland
    • Constance Mercer, BA, has a degree in Early Childhood Education and has worked as a home visitor in Baltimore City and Howard County, Maryland. She is currently a Senior Research Assistant in the Department of Pediatrics at the Johns Hopkins University School of Medicine.
  • ,
  • Maureen Keefer, BA

      Affiliations

    • The Johns Hopkins University School of Medicine, Department of Pediatrics, Baltimore, Maryland
    • Maureen Keefer, BA, has a degree in English and Psychology from the University of Virginia. She is currently a Data Analyst in the Department of Pediatrics at the Johns Hopkins University School of Medicine.
  • ,
  • Anne K. Duggan, ScD

      Affiliations

    • The Johns Hopkins University School of Medicine, Department of Pediatrics & Johns Hopkins Bloomberg School of Public Health, Department of Population, Family, & Reproductive Health, Baltimore, Maryland
    • Anne K. Duggan, ScD, is a Professor in the Department of Pediatrics at the Johns Hopkins University School of Medicine with a joint appointment in the Bloomberg School of Public Health’s Department of Health Policy and Management. She has conducted extensive research on the effectiveness of home visiting programs for pregnant women and women with young children in preventing child abuse and neglect.

Received 24 February 2007 ,Revised 11 October 2007 ,Accepted 11 October 2007.

References 

  1. American Academy of Pediatrics Council on Child and Adolescent Health. The role of home-visitation programs in improving health outcomes for children and families. Pediatrics. 1998;101:486–489
  2. Baker AJL, Piotrkowski CS, Brooks-Gunn J. The Home Instruction Program for Preschool Youngsters (HIPPY). The Future of Children. 1999;9:116–133
  3. Baltimore Neighborhood Indicators Alliance. Vital signs: Measuring Baltimore’s progress toward strong neighborhoods and a thriving city. Baltimore, MD: Baltimore Neighborhood Indicators Alliance; 2005;
  4. Bennett HA, Einarson A, Taddio A, Koren G, Einarson TR. Prevalence of depression during pregnancy: Systematic review. Obstetrics and Gynecology. 2004;103:698–709
  5. Bilukha O, Hahn RA, Crosby A, Fullilove MT, Liberman A, Moscicki E, et al. The effectiveness of early childhood home visitation in preventing violence: a systematic review. American Journal of Preventive Medicine. 2005;28:11–39
  6. Daro D, McCurdy K, Falconnier L, Stojanovic D. Sustaining new parents in home visitation services: key participant and program factors. Child Abuse & Neglect. 2003;27:1101–1125
  7. Daro DA, Harding KA. Healthy families America: Using research to enhance practice. The Future of Children. 1999;9:152–176
  8. Devaney B, Howell E, McCormick M, Moreno L. Reducing infant mortality: Lessons learned from Healthy Start. Princeton, NJ: Mathematica Policy Research, Inc; 2000;
  9. Duggan AK, Caldera D, Rodriguez K, Burrell L, Shea S. Evaluation of the Healthy Families Alaska program: Final report. Baltimore, MD: The Johns Hopkins University; 2005;Unpublished manuscript.
  10. Duggan A, Windham A, McFarlane E, Fuddy L, Rohde C, Buchbinder S, et al. Hawaii’s Healthy Start Program of home visiting for at-risk families: evaluation of family identification, family engagement and service delivery. Pediatrics. 2000;105:250–259
  11. Duggan AK, McFarlane E, Fuddy L, Burrell L, Higman SM, Windham A, et al. Randomized trial of a statewide home visiting program to prevent child abuse: Impact in preventing child abuse and neglect. Child Abuse & Neglect. 2004;28:597–622
  12. Duggan AK, McFarlane EC, Windham AM, Rohde CA, Salkever DS, Fuddy L, et al. Evaluation of Hawaii’s Healthy Start Program. The Future of Children. 1999;9:66–90
  13. Gomby D, Culross P, Behrman R. Home visiting: recent program evaluation—analysis and recommendations. The Future of Children. 1999;9:4–26
  14. Guterman N. Enrollment strategies in early home visitation to prevent physical child abuse and neglect and the “universal versus targeted” debate: a meta-analysis of population-based and screening-based programs. Child Abuse & Neglect. 1999;23:863–890
  15. Guterman N. Stopping child maltreatment before it starts: Emerging horizons in early home visitation services. Thousand Oaks, CA: Sage; 2001;
  16. Isaacs JB. Cost-effective interventions in children. Washington, D. C.: The Brookings Institution; 2007;
  17. Kendrick D, Elkan R, Hewitt M, Dewey M, Blair M, Robinson J, et al. Does home visiting improve parenting and the quality of the home environment? (A Systematic review and meta analysis). Archives of Disease in Childhood. 2000;82:443–451
  18. MacLeod J, Nelson G. Programs for the promotion of family wellness and the prevention of child maltreatment: a meta-analytic review. Child Abuse & Neglect. 2000;24:1127–1149
  19. Mayfield D, McLeod G, Hall P. The CAGE Questionnaire: validation of a new alcoholism screening instrument. American Journal of Psychiatry. 1974;131:1121–1123
  20. McCurdy K, Jones L. Supporting families: Lessons from the field. Thousand Oaks, CA: Sage; 2000;
  21. McCurdy K, Daro D. Parent involvement in family support programs: an integrated theory. Family Relations. 2001;50:113–121
  22. McGuigan WM, Katzev AR, Pratt CC. Multi-level determinants of retention in a home-visiting child abuse prevention program. Child Abuse & Neglect. 2003;27:363–380
  23. McHorney C, Ware J. Construction and validation of an alternate form general mental health scale for the Medical Outcomes Study Short-Form 36-Item Health Survey. Medical Care. 1995;33:15–28
  24. Misra DP, Grason H. Achieving safe motherhood: applying a life course and multiple determinants perinatal health framework in public health. Women’s Health Issues. 2006;16:159–175
  25. National Commission to Prevent Infant Mortality. Home visiting: opening doors for America’s pregnant women and children. Washington, D. C.: National Commission to Prevent Infant Mortality; 1989;
  26. Navaie-Waliser M, Martin S, Campbell M, Tessaro I, Kotelchuck M, Culp AM. Factors predicting completion of a home visitation program by high-risk pregnant women: The North Carolina Maternal Outreach Worker Program. American Journal of Public Health. 2000;90:121–124
  27. Olds DL, Eckenrode J, Henderson CR, Kitzman H, Powers J, Cole R, et al. Long-term effects of home visitation on maternal life course and child abuse and neglect: fifteen-year follow-up of a randomized trial. Journal of the American Medical Association. 1997;278:637–643
  28. Olds DL, Henderson CR, Kitzman HJ, Eckenrode JJ, Cole RE, Tatelbaum RC. Prenatal and infancy home visits by nurses: recent findings. The Future of Children. 1999;9:44–65
  29. Olds DL, Hill P, Robinson J, Song N, Little C. Update on home visiting for pregnant women and parents of young children. Current Problems in Pediatrics. 2000;109–141April
  30. Olds DL, Robinson J, O’Brien R, Luckey D, Pettitt LM, Henderson CR, et al. Home visiting by paraprofessionals and nurses: A randomized, controlled trial. Pediatrics. 2002;110:486–496
  31. Prinz RJ, Smith EP, Dumas JE, Laughlin JE, White DW, Barron R. Recruitment and retention of participants in prevention trials involving family-based interventions. American Journal of Preventive Medicine. 2001;20:31–37
  32. Radloff LS. The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement. 1977;1:385–401
  33. Raikes H, Green B, Atwater J, Kisker E, Constantine J, Chazan-Cohen R. Involvement in Early Head Start home visiting services: demographic predictors and relations to child and parent outcomes. Early Childhood Research Quarterly. 2006;21:2–24
  34. Robert Wood Johnson Foundation. National program project report: Intensive home visiting services for new parents. Princeton, NJ: Robert Wood Johnson Foundation; 2002;
  35. Smith P, Earp J, DeVellis R. Measuring battering: development of the women’s experience with battering (WEB) scale. Women’s Health: Research on GenderBehaviorand Policy. 1995;1:273–288
  36. Snell-Johns J, Mendez J, Smith B. Evidence-based solutions for overcoming access barriers, decreasing attrition, and promoting change with underserved families. Journal of Family Psychology. 2004;18:19–35
  37. Spoth R, Redmond C. Research on family engagement in preventive interventions: toward improved use of scientific findings in primary prevention practice. Journal of Primary Prevention. 2000;21:267–284
  38. Sweet M, Appelbaum M. Is home visiting an effective strategy? (A meta-analytic review of home visiting programs for families with young children). Child Development. 2004;75:1435–1456
  39. Wagner M, Clayton S. The parents as teachers program: results from two demonstrations. The Future of Children9. 1999;91–115

 Supported by the Safe and Sound Campaign of Baltimore, Maryland.

PII: S1049-3867(07)00150-8

doi: 10.1016/j.whi.2007.10.005

Women's Health Issues
Volume 18, Issue 2 , Pages 118-129 , March 2008