Paraprofessional home visitation: Conceptual and pragmatic considerations

Hiatt, Susan W.; Sampson, Darlene; Baird, Diane

doi:10.1002/(sici)1520-6629(199701)25:1<77::aid-jcop6>3.0.co;2-#

Cited by 46 publications

(46 citation statements)

References 13 publications

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“…The paraprofessional supervisors emphasized parent-child interactions during case conferences, often dealing with the discomforts that paraprofessionals voiced about these aspects of the program content. 12 It is also possible that the reported differences in program emphasis reflect not differences in orientation between the 2 types of visitor, but simply differences in how visitors recorded visit content. Although the interrater agreement between visitors within programs lends credence to the interpretation of an orientation difference, it was not possible in this study to comes,3'5'9 these differences in implementation may take on increased relevance as program outcomes are studied.…”

Section: Program Implementation Variablesmentioning

confidence: 99%

Differences in program implementation between nurses and paraprofessionals providing home visits during pregnancy and infancy: a randomized trial.

Korfmacher

O’Brien²,

Hiatt³

et al. 1999

Am J Public Health

139

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OBJECTIVES: This study examined differences between nurses and paraprofessionals in implementation of a home visiting program for low-income, first-time parents during pregnancy and the first 2 years of the child's life. METHODS: Mothers were randomly assigned to either a nurse-visited (n = 236) or a paraprofessional-visited (n = 244) condition. Nurse- and paraprofessional-visited families were compared on number and length of visits, topics covered, number of program dropouts, and relationship with home visitor. RESULTS: On average, nurses completed more visits than paraprofessionals (28 vs 23; P < .001) and spent a greater proportion of time on physical health issues during pregnancy (38% vs 27%; P < .001) and on parenting issues during infancy (46% vs 32%; P < .001). Paraprofessionals conducted visits that lasted longer and spent a greater proportion of time on environmental health and safety issues (15% vs 7% pregnancy; 15% vs 8% infancy; P < .001). While home visitors were viewed equally positively by mothers, nurses had fewer dropouts than did paraprofessionals (38% vs 48%; P = .04). More paraprofessional-visited families than nurse-visited families experienced staff turnover. CONCLUSIONS: Nurses and paraprofessionals, even when using the same model, provide home visiting services in different ways.

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Section: Program Implementation Variablesmentioning

confidence: 99%

Differences in program implementation between nurses and paraprofessionals providing home visits during pregnancy and infancy: a randomized trial.

Korfmacher

O’Brien²,

Hiatt³

et al. 1999

Am J Public Health

139

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“…This characteristic has been already highlighted as essential for the visiting agent. In this sense, Hiatt et al (1997), points out the importance of common experiences as an aspect permitting to establish and maintain a relationship with the users and increase the self-effectiveness feeling.…”

Section: Quality Of Servicementioning

confidence: 65%

Home Visits to Mothers with Children Between the Ages 0 to 4 Years: A Mental Health Intervention Strategy in Emerging Countries

Aracena¹,

Undurraga²,

Gómez³

et al. 2012

Essential Notes in Psychiatry

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“…Many of the stakeholders·-' helieve the paraprofessionals lacked the formal training necessary to establish credibility. This finding is not surprising and parallels work conducted by Hiatt, Sampson, and Baird (1997) who compared nurse and paraprofessional home visitations and found that "given their often limited formal education and training, paraprofessionals encountered questions about their ability from established service professionals" (p. 81). As a result, Hiatt et al reported that paraprofessionals also drew resistance when they were trying to obtain or relay information regarding the families they were serving during home visitations to health care professionals.…”

Section: Sustainabilitymentioning

confidence: 99%

Implementing paraprofessional strength-based early intervention home visitations

Mykota

2008

Evaluation and Program Planning

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The purpose of the present study is to evaluate the implementation process for Parenting Plus, the early intervention program of the Pipestone Health District. Parenting Plus, as modeled after Hawaii Healthy Start, provides strength-based paraprofessional home visitations to overburdened parents of newborns. The goal of the program is to strengthen families through the personal development of young parents that includes their ability to use community-based resources to affect positive parenting outcomes.A utilization-focused evaluation involving stakeholders that followed an implementation framework was designed. In so doing, the objectives of the study were iii ACKNOWLEDGEMENTS

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Paraprofessional home visitation: Conceptual and pragmatic considerations

Cited by 46 publications

References 13 publications

Differences in program implementation between nurses and paraprofessionals providing home visits during pregnancy and infancy: a randomized trial.

Differences in program implementation between nurses and paraprofessionals providing home visits during pregnancy and infancy: a randomized trial.

Home Visits to Mothers with Children Between the Ages 0 to 4 Years: A Mental Health Intervention Strategy in Emerging Countries

Implementing paraprofessional strength-based early intervention home visitations

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