Supporting the Paraprofessional Home Visitor

Korfmacher, Jon

doi:10.1007/978-3-319-17984-1_6

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…Facilitators were encouraged during their training to be responsive to personal (e.g., psychological, financial) issues that clients may be dealing with during group sessions, which may have led to frequent deviations from the way a session agenda was presented in the instructor manuals. This focus on attending to clients' personal issues is a hallmark of community health workers, particularly paraprofessional home visitors (Korfmacher 2016), who are encouraged to be clientcentered in their approach.…”

Section: Discussionmentioning

confidence: 99%

Comparing Fidelity Outcomes of Paraprofessional and Professional Delivery of a Perinatal Depression Preventive Intervention

Diebold

Ciolino

Johnson

et al. 2020

Adm Policy Ment Health

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Mothers and Babies (MB), a perinatal depression preventive intervention, has proven effective in decreasing depressive symptoms and preventing onset of major depression. An ongoing cluster-randomized trial is comparing the effectiveness of the six-session MB group intervention led by paraprofessionals versus mental health professionals. Twenty percent of all audio-recorded intervention sessions were randomly selected for fidelity checks. Analyses assessed mean facilitator adherence and competency overall, by study arm, and by session; and, examined site, facilitator, and client-specific effects. There were no significant differences found between study arms. Findings show paraprofessionals can deliver MB with similar fidelity as mental health professionals.

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Section: Discussionmentioning

confidence: 99%

Comparing Fidelity Outcomes of Paraprofessional and Professional Delivery of a Perinatal Depression Preventive Intervention

Diebold

Ciolino

Johnson

et al. 2020

Adm Policy Ment Health

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“…In addition, the dosage of Child First delivered virtually may not have been sufficient to impact outcomes that may require intensive, in-person clinical services to move. Research done early in the pandemic found that it was challenging for young children to participate in any type of virtual home visiting service (Korfmacher et al, 2021), meaning that children in particular may have experienced little direct intervention via the virtual supports. Nationally, home visitors reported difficulty keeping children engaged and in view during virtual visits, and about 60% of home visitors agreed that they needed to use more strategic coaching of caregiver-child interaction during visits (Korfmacher et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…Research done early in the pandemic found that it was challenging for young children to participate in any type of virtual home visiting service (Korfmacher et al, 2021), meaning that children in particular may have experienced little direct intervention via the virtual supports. Nationally, home visitors reported difficulty keeping children engaged and in view during virtual visits, and about 60% of home visitors agreed that they needed to use more strategic coaching of caregiver-child interaction during visits (Korfmacher et al, 2021). It is possible that children enrolled in Child First were not as receptive to virtual therapeutic interventions, like CPP, as they would have been if provided via in-person services, and it may have taken time for staff to adapt to this mode of administration.…”

Section: Discussionmentioning

confidence: 99%

Home visiting impacts during the pandemic: Evidence from a randomized controlled trial of child first.

Xia,

Hefyan,

McCormick

et al. 2023

Journal of Family Psychology

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Existing research has found that home visiting programs for families with young children can improve children’s development and strengthen caregiver and family well-being. However, the pandemic created numerous challenges for home visiting programs, forcing them to deliver services online or in a hybrid format to respond to pandemic-related challenges. Questions remain about the impacts of these programs when delivered at-scale via a hybrid model, especially during this uniquely challenging time. The present study reports 12-month impacts from a randomized controlled trial of Child First—an evidence-based home visiting program that provides psychotherapeutic, parent–child intervention (children ages 0–5) embedded in a coordinated system of care—when implemented as a hybrid service. This study estimates impacts within four domains: families’ receipt of services, caregiver psychological well-being and parenting, child behavior, and family economic well-being. After randomly assigning families (N = 226) to receive Child First or typical community services, the research team surveyed caregivers (N = 183) about a year after study enrollment. Results from regression models with site fixed effects revealed suggestive evidence that Child First reduced caregivers’ job loss, residential mobility, and self-reported substance abuse, and increased receipt of virtual services during the pandemic. There were null impacts on caregivers’ psychological well-being, families’ involvement with the child welfare system, children’s behaviors, and other indicators of economic well-being. Implications for future research and policy are discussed.

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Providing High-Quality Support Services to Home-Based Child Care: A Conceptual Model and Literature Review

Bromer

Korfmacher

2016

Early Education and Development

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Supporting the Paraprofessional Home Visitor

Cited by 3 publications

References 11 publications

Comparing Fidelity Outcomes of Paraprofessional and Professional Delivery of a Perinatal Depression Preventive Intervention

Comparing Fidelity Outcomes of Paraprofessional and Professional Delivery of a Perinatal Depression Preventive Intervention

Home visiting impacts during the pandemic: Evidence from a randomized controlled trial of child first.

Providing High-Quality Support Services to Home-Based Child Care: A Conceptual Model and Literature Review

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