Appendix 4. Common program elements Table A6. Successful outcomes and corresponding program elements: Home visiting programs PROGRAM SUCCESSFUL OUTCOME Manual/ Parenting Link to Supervision Research Training Fidelity Periodic Measurable Home Target Prenatal Protocol intervention development matched informed monitoring child/family outcome visitors adolescent need curricula outcomes indicators culturally mothers services assessment matched to clients Hawaii Healthy Decreased Maternal IVP Y Y Y Y Y N Y N Y N N N N (physical assault) perpetration and victimization. Cognitively use of corporal Y Y Y Y Y Y Y Y N N Y N N based extension punishment, greater to the Healthy safety maintenance in the Start home home, and fewer visitation reported child injuries. program Healthy Better developmental Y Y Y Y Y N Y N Y Y N N Y Families Alaska and behavioural (HFAK) outcomes. Greater parenting self-efficacy. Greater use of mild forms of physical punishment. Among non-depressed mothers decreased maternal stress and increased sensitivity to infants’ cues. Among depressed mothers with low to moderate attachment insecurity decreased depression and partner violence.
Appendix 4. Common program elements Table A6. Successful outcomes and corresponding program elements: Home visiting programs PROGRAM SUCCESSFUL OUTCOME Manual/ Protocol Parenting intervention development Link to matched need services Supervision Research informed curricula Training Fidelity monitoring Periodic child/family outcomes assessment Measurable outcome indicators Home visitors culturally matched to clients Target adolescent mothers Prenatal Hawaii Healthy Decreased Maternal IVP (physical assault) perpetration and victimization. Y Y Y Y Y N Y N Y N N N N Cognitively based extension to the Healthy Start home visitation program use of corporal punishment, greater safety maintenance in the home, and fewer reported child injuries. Y Y Y Y Y Y Y Y N N Y N N Healthy Families Alaska (HFAK) Better developmental and behavioural outcomes. Greater parenting self-efficacy. Greater use of mild forms of physical punishment. Among non-depressed mothers decreased maternal stress and increased sensitivity to infants’ cues. Among depressed mothers with low to moderate attachment insecurity decreased depression and partner violence. Y Y Y Y Y N Y N Y Y N N Y
improving_service_responses_to_vulnerable_families_during_pregnancy_and_infancy.docx