Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
Prevention Science
Published in: Prevention Science 4/2018

01-05-2018

A Qualitative Evaluation of Engagement and Attrition in a Nurse Home Visiting Program: From the Participant and Provider Perspective

Authors: Lana O. Beasley, Leigh E. Ridings, Tyler J. Smith, Jennifer D. Shields, Jane F. Silovsky, William Beasley, David Bard

Published in: Prevention Science | Issue 4/2018

Login to get access

Abstract

Beginning parenting programs in the prenatal and early postnatal periods have a large potential for impact on later child and maternal outcomes. Home-based parenting programs, such as the Nurse Family Partnership (NFP), have been established to help address this need. Program reach and impact is dependent on successful engagement of expecting mothers with significant risks; however, NFP attrition rates remain high. The current study qualitatively examined engagement and attrition from the perspectives of NFP nurses and mothers in order to identify mechanisms that enhance service engagement. Semi-structured interviews were conducted in focus groups composed of either engaged (27 total mothers) or unengaged (15 total mothers) mothers from the NFP program. NFP nurses (25 total nurses) were recruited for individual semi-structured interviews. Results suggest that understanding engagement in the NFP program requires addressing both initial and sustained engagement. Themes associated with enhanced initial engagement include nurse characteristics (e.g., flexible, supportive, caring) and establishment of a solid nurse-family relationship founded on these characteristics. Factors impacting sustained engagement include nurse characteristics, provision of educational materials on child development, individualized services for families, and available family support. Identified barriers to completing services include competing demands and lack of support. Findings of this study have direct relevance for workforce planning, including hiring and training through integrating results regarding effective nurse characteristics. Additional program supports to enhance parent engagement may be implemented across home-based parenting programs in light of the current study’s findings.
Literature
Aarons, G. A., Sommerfeld, D., Hecht, D., Silovsky, J. F., & Chaffin, M. (2009). The impact of evidence-based practice implementation and fidelity monitoring on staff turnover: Evidence for a protective effect. Journal of Consulting and Clinical Psychology., 77, 270–280.CrossRefPubMedPubMedCentral
Beasley, L. O., Silovsky, J. F., Ridings, L. E., Smith, T. J., & Owora, A. (2014). Understanding program engagement and attrition in child abuse prevention. Journal of Family Strengths, 14, 1–24.
Chaffin, M., Valle, L. A., Funderburk, B., Gurwitch, R., Silovsky, J., Bard, D., et al. (2009). A motivational intervention can improve retention in PCIT for low-motivation child welfare clients. Child Maltreatment, 14, 356–368.CrossRefPubMed
Damashek, A., Doughty, D., Ware, L., & Silovsky, J. F. (2011). Predictors of client engagement and attrition in home-based child maltreatment prevention services. Child Maltreatment, 16, 9–20.CrossRefPubMed
Dawley, K., Loch, J., & Bindrich, I. (2007). The Nurse Family Partnership. The American Journal of Nursing, 107, 60–68.CrossRefPubMed
Fifolt, M., Lanzi, R.G., Johns, E., Strichik, T., & Preskitt, J. (2017). Retention and attrition in a home visiting programme: Looking back and moving forward. Early Child Development and Care, 1–13.
Folger, A. T., Brentley, A. L., Goyal, N. K., Hall, E. S., Sa, T., Peugh, J. L., et al. (2016). Evaluation of a community-based approach to strengthen retention in early childhood home visiting. Prevention Science, 17, 52–61.CrossRefPubMedPubMedCentral
Ingoldsby, E. M., Baca, P., McClatchey, M. W., Luckey, D. W., Ramsey, M. O., Loch, J. M., & Smith, B. J. (2013). Quasi-experimental pilot study of intervention to increase participant retention and completed home visits in the nurse–family partnership. Prevention Science, 14, 525–534.CrossRefPubMedPubMedCentral
Kitzman, H., Olds, D. L., Henderson Jr., C. R., Hanks, C., Cole, R., Tatelbaum, R., et al. (1997). Effect of prenatal and infancy home visitation by nurses on pregnancy outcomes, childhood injuries, and repeated childbearing. A randomized controlled trial. The Journal of the American Medical Association, 27, 644–652.CrossRef
Kitzman, H., Olds, D. L., Sidora, K., Henderson Jr., C. R., Hanks, C., Cole, R., et al. (2000). Enduring effects of nurse home visitation on maternal life course: A 3-year follow-up of a randomized trial. The Journal of the American Medical Association, 283, 1983–1989.CrossRefPubMed
Korfmacher, J., Green, B., Staerkel, F., Peterson, C., Cook, G., Roggman, L., Faldowski, R., & Schiffman, R. (2008). Parent involvement in early childhood home visiting. Child & Youth Care Forum, 37, 171–196.CrossRef
Landy, C. K., Jack, S. M., Wahoush, O., Sheehan, D., & MacMillan, H. L. (2012). Mothers’ experiences in the Nurse-Family Partnership program: A qualitative case study. BMC Nursing, 11, 1–12.CrossRef
Lombard, M., Snyder-Duch, J., & Bracken, C. C. (2002). Content analysis in mass communication: Assessment and reporting intercoder reliability. Human Communication Research, 8, 587–604.CrossRef
McCurdy, K., & Daro, D. (2001). Parent involvement in family support programs: An integrated theory. Family Relations, 50, 113–121.CrossRef
McFarlane, E., Crowne, S. S., Burrell, L., & Duggan, A. (2014). Home visiting service delivery and outcomes for depressed mothers. Zero to Three, 34, 53–60.
Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change (2nd ed.). New York: Guilford.
Navaie-Waliser, M., Martin, S. L., Campbell, M. K., Tessaro, I., Kotelchuck, M., & Cross, A. W. (2000). 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, 90, 121–124.CrossRefPubMedPubMedCentral
Nock, M. K., & Photos, V. (2006). Parent motivation to participate in treatment: Assessment and prediction of subsequent participation. Journal of Child and Family Studies, 15, 333–346.CrossRef
O’Brien, R. A., Moritz, P., Luckey, D. W., McClatchey, M. W., Ingoldsby, E. M., & Olds, D. L. (2012). Mixed methods analysis of participant attrition in the Nurse-Family Partnership. Prevention Science, 13, 219–228.CrossRefPubMedPubMedCentral
Olds, D. L. (2002). Prenatal and infancy home visiting by nurses: From randomized trials to community replication. Prevention Science, 3, 153–172.CrossRefPubMed
Olds, D. L., Henderson Jr., C. R., Chamberlin, R., & Tatelbaum, R. (1986). Preventing child abuse and neglect: A randomized trial of nurse home visitation. Pediatrics, 78, 65–78.PubMed
Olds, D. L., Eckenrode, J., Henderson Jr., C. R., Kitzman, H., Powers, J., Cole, R., et al. (1997). Long-term effects of home visitation on maternal life course and child abuse and neglect: Fifteen-year follow-up of a randomized trial. The Journal of the American Medical Association, 278, 637–643.CrossRefPubMed
Olds, D., Henderson Jr., C., Kitzman, H., Eckenrode, J., Cole, R., & Tatelbaum, R. (1998). The promise of home visitation: Results of two randomized trials. Journal of Community Psychology, 26, 5–21.CrossRef
Olds, D. L., Kitzman, H., Cole, R., Robinson, J., Sidora, K., Luckey, D. W., & Holmberg, J. (2004). Effects of nurse home-visiting on maternal life course and child development: Age 6 follow-up results of a randomized trial. Pediatrics, 114, 1550–1559.CrossRefPubMed
Olds, D. L., Kitzman, H., Hanks, C., Cole, R., Anson, E., Sidora-Arcoleo, K., & Bondy, J. (2007). Effects of nurse home visiting on maternal and child functioning: Age-9 follow-up of a randomized trial. Pediatrics, 120, 832–845.CrossRef
Patton, M. Q. (2002). Qualitative research & evaluation methods (3rd ed.). Thousand Oaks: Sage.
Price, S. K., Gray, L. A., & Thacker, L. R. (2015). Enhanced engagement: An intervention pilot for mental health promotion among low-income women in a community home visiting program. Best Practices In Mental Health: An International Journal, 11, 69–82.
Stemler, S.E. (2004). A comparison of consensus, consistency, and measurement approaches to estimating inter-rater reliability. Practical Assessment, Research, and Evaluation, 9, 1–11.
Wagner, M., Spiker, D., Inman Linn, M., & Hernandez, F. (2003). Dimensions of parental engagement in home visiting programs: Exploratory study. Topics in Early Childhood Special Education, 23, 171–187.CrossRef
Metadata
Title
A Qualitative Evaluation of Engagement and Attrition in a Nurse Home Visiting Program: From the Participant and Provider Perspective
Authors
Lana O. Beasley
Leigh E. Ridings
Tyler J. Smith
Jennifer D. Shields
Jane F. Silovsky
William Beasley
David Bard
Publication date
01-05-2018
Publisher
Springer US
Published in
Prevention Science / Issue 4/2018
Print ISSN: 1389-4986
Electronic ISSN: 1573-6695
DOI
https://doi.org/10.1007/s11121-017-0846-5

Other articles of this Issue 4/2018

Prevention Science 4/2018 Go to the issue

Correction

Correction to: After Deployment, Adaptive Parenting Tools: 1-Year Outcomes of an Evidence-Based Parenting Program for Military Families Following Deployment

OriginalPaper

Associations Between Peer Network Gender Norms and the Perpetration of Intimate Partner Violence Among Urban Tanzanian Men: a Multilevel Analysis

OriginalPaper

Using Facebook to Recruit Parents to Participate in a Family Program to Prevent Teen Drug Use

OriginalPaper

Understanding Who Benefits from Parenting Interventions for Children’s Conduct Problems: an Integrative Data Analysis

OriginalPaper

Predicting the Emergence of Sexual Violence in Adolescence

OriginalPaper

The Impact of Family-Centered Prevention on Self-Regulation and Subsequent Long-Term Risk in Emerging Adults