Roggman Lori A, Cook Gina A, Innocenti Mark S, Jump Norman Vonda, Boyce Lisa K, Christiansen Katie, Peterson Carla A
Utah State University.
Iowa State University.
Infant Ment Health J. 2016 May;37(3):193-207. doi: 10.1002/imhj.21565. Epub 2016 Apr 15.
Home-visiting programs aiming to improve early child development have demonstrated positive outcomes, but processes within home visits to individual families are rarely documented. We examined family-level variations in the home-visiting process (N = 71) from extant video recordings of home visits in two Early Head Start programs, using an observational measure of research-based quality indicators of home-visiting practices and family engagement, the Home Visit Rating Scales (HOVRS). HOVRS scores, showing good interrater agreement and internal consistency, were significantly associated with parent- and staff-reported positive characteristics of home visiting as well as with parenting and child language outcomes tested at program exit. When home-visiting processes were higher quality during the program, home visit content was more focused on child development, families were more involved in the overall program, and most important, scores on measures of the parenting environment and children's vocabulary were higher at the end of the program. Results showed that home visit quality was indirectly associated with child language outcomes through parenting outcomes. Observation ratings of home visit quality could be useful for guiding program improvement, supporting professional development, and increasing our understanding of the links between home-visiting processes and outcomes.
旨在促进幼儿早期发展的家访项目已展现出积极成果，但针对单个家庭的家访过程却鲜有记录。我们利用家访实践和家庭参与度的基于研究的质量指标观测指标——家访评分量表（HOVRS），对两个早期开端项目现存家访视频记录中的家访过程（N = 71）进行了家庭层面的差异分析。HOVRS评分具有良好的评分者间一致性和内部一致性，与家长和工作人员报告的家访积极特征以及项目结束时测试的育儿和儿童语言成果显著相关。当项目期间家访过程质量较高时，家访内容更关注儿童发展，家庭更多地参与到整个项目中，最重要的是，在项目结束时，育儿环境和儿童词汇量测量指标的得分更高。结果表明，家访质量通过育儿成果与儿童语言成果间接相关。家访质量的观察评分有助于指导项目改进、支持专业发展，并增进我们对家访过程与成果之间联系的理解。
