Haine-Schlagel Rachel, Fettes Danielle L, Finn Natalie, Hurlburt Michael, Aarons Gregory A
San Diego State University and CASRC, San Diego, CA.
University of California, San Diego and CASRC, San Diego, CA.
J Child Fam Stud. 2020 Jan;29(1):29-43. doi: 10.1007/s10826-019-01659-3. Epub 2019 Dec 28.
Parent engagement poses a persistent challenge to home visitation (HV) programs. Previous work on parent engagement in HV has focused primarily on enrollment, attendance, and retention, with less attention on participation. The purpose of this study was to adapt an engagement toolkit originally developed for child mental health treatment settings, the Parent And Caregiver Active Participation Toolkit (PACT), and test the adapted toolkit in a HV program, SafeCare® (SC), with a focus on parent participation.
Toolkit adaptation was informed by interviews/focus groups with parents and home visitors. Next, home visitors (n = 6) were trained to use adapted PACT for SC as part of SC delivery to 18 parents. A comparison group included 24 parents who received SC one year prior to this study. Analyses compared PACT for SC participants to the comparison group on parent participation and home visitor fidelity to assignment of homework. Qualitative and quantitative data from parents, home visitors, and supervisors (n = 4) assessed the acceptability, utility, appropriateness, and feasibility of PACT for SC.
Parents receiving PACT for SC had higher participation and reported greater home visitor fidelity to homework assignment than comparison parents. Parents found PACT for SC acceptable and useful as part of SC. Home visitors and supervisors identified some limitations in PACT for SC's utility but generally found it to be a positive, feasible addition to HV services.
Results suggest that enhancing HV programs with an engagement toolkit may improve parents' participation in services and providers' assignment of homework between sessions.
家长参与对家访（HV）项目来说一直是一项挑战。以往关于家长参与家访的研究主要集中在登记、出勤和留存率上，而对参与度的关注较少。本研究的目的是改编一个最初为儿童心理健康治疗环境开发的参与工具包——家长和照顾者积极参与工具包（PACT），并在一个家访项目“安全关爱”（SC）中测试改编后的工具包，重点关注家长的参与度。
通过与家长和家访人员进行访谈/焦点小组讨论来为工具包改编提供依据。接下来，对6名家访人员进行培训，使其在提供SC服务时使用改编后的适用于SC的PACT，服务对象为18名家长。一个对照组包括在本研究前一年接受SC服务的24名家长。分析比较了接受适用于SC的PACT的参与者与对照组在家长参与度以及家访人员对家庭作业布置的忠实度方面的差异。来自家长、家访人员和主管（共4人）的定性和定量数据评估了适用于SC的PACT的可接受性、实用性、适用性和可行性。
接受适用于SC的PACT的家长参与度更高，并且与对照组家长相比，他们报告说家访人员对家庭作业布置的忠实度更高。家长们发现适用于SC的PACT作为SC服务的一部分是可接受且有用的。家访人员和主管指出了适用于SC的PACT在实用性方面的一些局限性，但总体上认为它是家访服务中一项积极且可行的补充。
结果表明，用一个参与工具包来加强家访项目可能会提高家长对服务的参与度以及服务提供者在各次家访之间布置家庭作业的情况。
