Mindfulness among Home Visitors in Head Start and the Quality of Their Working Alliance with Parents

Becker, Brenda D.; Patterson, Freda; Fagan, Jay; Whitaker, Robert C.

doi:10.1007/s10826-015-0352-y

Cited by 8 publications

(3 citation statements)

References 47 publications

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“…Home visitor-participant relationship was measured using a short version of the Working Alliance Inventory (WAI), a valid and reliable tool for measuring therapeutic alliance (30)(31)(32). The WAI has been used in home visiting and measures three domains of the home visitor-participant alliance: 1) agreement between participant and home visitor on the goals of the treatment (Goal); 2) agreement between participant and home visitor about the tasks to achieve these goals (Task); and 3) the quality of the bond between the participant and home visitor (Bond) (33,34). Possible scores for each item on the WAI ranged from 1 "Never" to 7 "Always" and are summed for a total score.…”

Section: Primary Outcomes Measuresmentioning

confidence: 99%

Towards Precision Home Visiting: Results at Six Months Postpartum from a Randomized Pilot Implementation Trial to Assess the Feasibility of a Precision Approach to Family Spirit

Ingalls

Rebman

Martin

et al. 2022

Preprint

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Background: Shared implementation challenges at scale in early childhood home visiting have led researchers to explore precision home visiting as a promising service delivery mechanism to better address families’ unique needs and build greater program efficiencies. This randomized controlled pilot study aimed to assess the acceptability of a precision approach to one home visiting model, Family Spirit® and explore potential differences between Precision Family Spirit (PFS) and Standard Family Spirit (Standard FS) on participant-home visitor relationship and maternal outcomes. Methods: Participants (N=60) were at least 14 years old, pregnant or within two months postpartum, and enrolled in Family Spirit. Four sites in Michigan were randomized 1:1 to deliver PFS (up to 17 core lessons plus up to 13 additional lessons as needed) or Standard FS (home visiting services as usual). Primary (program acceptability, participant satisfaction, home visitor-participant relationship quality, retention, adherence) and secondary (knowledge, quality of life, difficulty with parenting problems, substance use, depression, stress) outcomes at 6 months postpartum are presented. PFS participants only were assessed during home visits on a subset of secondary measures that informed which lessons they should receive. Results: Mothers in both groups reported positive program acceptability, satisfaction, and home visitor-participant relationships at 6 months postpartum. However, open-ended feedback from Standard FS participants indicates that some lesson content may not be applicable to all participants. At six months, retention was 82.3% for PFS and 66.7% for Standard FS, and adherence was 30.1% for PFS and 20.6% for Standard FS. Conclusions: Preliminary findings indicate that precision home visiting may be acceptable and feasible, yet more research is needed to understand its impact as an implementation strategy. Trial registration: ClinicalTrials.gov NCT03975530 (first posted on 05/06/2019)

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Section: Primary Outcomes Measuresmentioning

confidence: 99%

Towards Precision Home Visiting: Results at Six Months Postpartum from a Randomized Pilot Implementation Trial to Assess the Feasibility of a Precision Approach to Family Spirit

Ingalls

Rebman

Martin

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…For instance, the psychotherapy literature (for children and adults alike) has paid significant attention to the role of the relationship, which they refer to as the therapeutic alliance (Elvins & Green, 2008) -and more recently, to the alliance formed via virtual psychotherapy (Lederman & Alfonso, 2021). Similarly, the Working Alliance Inventory tool has been used to measure home visitor-family relationship factors, including their bond or alignments on goals (Becker et al, 2016;Burrell et al, 2018).…”

Section: Consultative Relationshipmentioning

confidence: 99%

The Evidence Base for How and Why Infant and Early Childhood Mental Health Consultations Works

Tidus,

Davis Schoch,

Perry

et al. 2022

HS Dialog

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Infant and Early Childhood Mental Health Consultation (IECMHC) is an evidence-based service in which consultants build capacity for early childhood professionals and programs to promote the social-emotional development of infants and young children. This paper describes the current state of the evidence for IECMHC, mapping the evidence to a new theory of change from the Center of Excellence (CoE) for IECMHC. There is a substantial literature base regarding the effects of consultation on outcomes for infants and young children; yet the evidence for consultation’s specific mechanisms of change, moderators of impact, and reductions in disparities have been understudied. The authors identify gaps in the scholarly literature, articulate next steps for research, and conclude with a call to action for IECMHC researchers to expand rigorous studies to the range of settings in which IECMHC is implemented and to center social justice in the research questions, methods, and dissemination.

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“…Some studies have used the Working Alliance Inventory (WAI; Horvath & Greenberg, 1989) to assess the client‐provider alliance in home visiting services (e.g., Becker et al., 2016; Sharp et al., 2003). The WAI is a 36‐item self‐report measure that contains three subscales including, Goals (i.e., consensus on treatment goals), Tasks (i.e., consensus on treatment tasks), and Bond [(i.e., development of a bond that sustains the work) Horvath, 1981; Horvath & Greenberg, 1989].…”

Section: Introductionmentioning

confidence: 99%

Pilot test of a measure to assess clients’ perceptions of their home visitors

Damashek

Berman

Belachew

et al. 2022

Infant Mental Health Journal

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Home visiting services for caregivers of infants and young children have been found to be an effective method for promoting child development. Unfortunately, such services suffer from high rates of attrition, suggesting the need to identify factors related to client retention in services. Research has indicated that the client‐provider relationship is an important predictor of client retention in home visiting services; however, measures to assess this relationship are limited. This study reports on a pilot test of the Client Perceptions of Home Visitors Questionnaire, developed to assess home visiting clients’ perceptions of their relationship with their home visitor. The measure was completed by 39 diverse home visiting clients during pregnancy in a midwestern town in the United States. The scale was found to have good internal consistency. Validity analyses found that the scale was positively associated with client satisfaction with services and perceived provider cultural sensitivity. The scale was also positively associated with retention in services at an 8‐month follow‐up. Additional research should examine the measure's psychometrics with larger samples.

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Mindfulness among Home Visitors in Head Start and the Quality of Their Working Alliance with Parents

Abstract: The effectiveness of home-

Cited by 8 publications

References 47 publications

Towards Precision Home Visiting: Results at Six Months Postpartum from a Randomized Pilot Implementation Trial to Assess the Feasibility of a Precision Approach to Family Spirit

Towards Precision Home Visiting: Results at Six Months Postpartum from a Randomized Pilot Implementation Trial to Assess the Feasibility of a Precision Approach to Family Spirit

The Evidence Base for How and Why Infant and Early Childhood Mental Health Consultations Works

Pilot test of a measure to assess clients’ perceptions of their home visitors

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