The Impact of COVID-19 on the Delivery of an Evidence-Based Child Maltreatment Prevention Program: Understanding the Perspectives of SafeCare® Providers

Self‐Brown, Shannon; Reuben, Katherine; Perry, Elizabeth W.; Bullinger, Lindsey Rose; Osborne, Melissa; Bielecki, JoAnne; Whitaker, Daniel J.

doi:10.1007/s10896-020-00217-6

Cited by 46 publications

(46 citation statements)

References 43 publications

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“…Families adhered to and were highly satisfied with the telehealth counseling sessions, the wireless scale and weight graph to track child weight, and the pedometer to track child physical activity. These findings are consistent with emerging research documenting that families are responding well to SafeCare delivery via technology, a delivery approach that was implemented as a result of the COVID-19 pandemic [ 8 ]. Integrating the intervention into a comprehensive smartphone app or website may enable a more seamless delivery system of both self-monitoring tools and ongoing remote interaction with the counselor.…”

Section: Discussionsupporting

confidence: 87%

“…However, the family must have the necessary equipment including an internet-enabled device (eg, smartphone, tablet, or computer that is connected to the internet via either a cellular network or WiFi). A recent study of the virtual delivery of SafeCare indicated that many families experienced limited broadband access and technology fatigue, resulting in the need to deliver shorter counseling sessions less than 30 minutes in length [ 8 ]. Online interactions may also lessen rapport between the provider and family due to limited ability to see nonverbal cues such as body language.…”

Section: Discussionmentioning

confidence: 99%

“…SafeCare is a parent support program delivered by trained providers that focuses on parent-child interactions to mitigate the risk of abuse or neglect. SafeCare is predominantly delivered in the home, but sessions can also be delivered via technology, over video chat and telephone [ 8 ]. SafeCare has been disseminated in more than 25 US states and internationally.…”

Section: Introductionmentioning

confidence: 99%

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Digital Tools to Support Family-Based Weight Management for Children: Mixed Methods Pilot and Feasibility Study

Staiano¹,

Shanley²,

Kihm³

et al. 2021

JMIR Pediatr Parent

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Background Family-based behavioral therapy is an efficacious approach to deliver weight management counseling to children and their parents. However, most families do not have access to in-person, evidence-based treatment. We previously developed and tested DRIVE (Developing Relationships that Include Values of Eating and Exercise), a home-based parent training program to maintain body weight among children at risk for obesity, with the intent to eventually disseminate it nationally alongside SafeCare, a parent support program that focuses on parent-child interactions. Currently the DRIVE program has only been tested independently of SafeCare. This study created the “mHealth DRIVE” program by further adapting DRIVE to incorporate digital and mobile health tools, including remotely delivered sessions, a wireless scale that enabled a child-tailored weight graph, and a pedometer. Telehealth delivery via mHealth platforms and other digital tools can improve program cost-effectiveness, deliver long-term care, and directly support both families and care providers. Objective The objective of this study was to examine preliminary acceptability and effectiveness of the mHealth DRIVE program among children and parents who received it and among SafeCare providers who potentially could deliver it. Methods Study 1 was a 13-week pilot study of a remotely delivered mHealth family-based weight management program. Satisfaction surveys were administered, and height and weight were measured pre- and post-study. Study 2 was a feasibility/acceptability survey administered to SafeCare providers. Results Parental and child satisfaction (mean of 4.9/6.0 and 3.8/5.0, respectively) were high, and children’s (N=10) BMI z-scores significantly decreased (mean –0.14, SD 0.17; P=.025). Over 90% of SafeCare providers (N=74) indicated that SafeCare families would benefit from learning how to eat healthily and be more active, and 80% of providers reported that they and the families would benefit from digital tools to support child weight management. Conclusions Pediatric mHealth weight management interventions show promise for effectiveness and acceptability by families and providers. Trial Registration Clinicaltrials.gov NCT03297541, https://clinicaltrials.gov/ct2/show/NCT03297541.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Digital Tools to Support Family-Based Weight Management for Children: Mixed Methods Pilot and Feasibility Study

Staiano¹,

Shanley²,

Kihm³

et al. 2021

JMIR Pediatr Parent

Self Cite

View full text Add to dashboard Cite

show abstract

“…Although some digital interventions have been developed and implemented (Honda et al, 2020 ), social services workers have expressed mixed opinions about family engagement and improvement levels (Self-Brown et al, 2020 ). It has been argued that face-to-face meetings are irreplaceable (Jentsch & Schnock, 2020 ).…”

Section: The Shutdown Of Formal Systemsmentioning

confidence: 99%

“…Additionally, child protection services face various challenges in adapting CM prevention to the COVID-19 reality. A recent study examined the implementation of the Safe-Care preventive initiative during the pandemic in an online platform (Self-Brown et al, 2020 ). Along with recognizing the success of this attempt, the researchers indicated that this solution was only relevant to families with access to computers and the internet, which is not the reality for many children and their families across the globe.…”

Section: The Shutdown Of Formal Systemsmentioning

confidence: 99%

What Happened to the Prevention of Child Maltreatment During COVID-19? A Yearlong into the Pandemic Reflection

Katz

2021

Int. Journal on Child Malt.

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Transitioning to virtual interaction during the COVID‐19 pandemic: Impact on the Family Connects postpartum home visiting program activity

Rybińska

Best

Goodman

et al. 2022

Infant Mental Health Journal

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In this paper, we analyze program activity for Family Connects (FC), an evidence‐based postpartum home‐visiting intervention, during the COVID‐19 pandemic. When the pandemic began, FC transitioned to a virtual protocol which maintains key psychosocial components of the in‐person protocol and adjusts health assessments to address the lack of in‐person contact. Program performance is contrasted for periods before the pandemic onset (April 2019–March 2020) and after the onset (April 2020–March 2021), involving 10,280 scheduled visits and 6696 visited families (46% non‐Hispanic white; 20% non‐Hispanic Black; 23% Hispanic; and 10% other race). Post‐pandemic onset, FC program participation rates were at 89.8% of pre‐pandemic levels. Home visitors observed post‐onset increases in families’ concerns about home safety but declines in families’ needs related to infant care. Community connections were facilitated for 42.9% of visited families post‐pandemic onset compared to 51.1% pre‐pandemic onset. We conclude that post‐pandemic onset virtual delivery rates of FC declined but are high enough to merit continued implementation during a period when some families will decline in‐person visits. When in‐person visits are deemed safe per public health guidelines, the findings suggest a hybrid approach that could maximize program outreach by prioritizing in‐person contact and offering virtual delivery as a second choice.

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The Impact of COVID-19 on the Delivery of an Evidence-Based Child Maltreatment Prevention Program: Understanding the Perspectives of SafeCare® Providers

Cited by 46 publications

References 43 publications

Digital Tools to Support Family-Based Weight Management for Children: Mixed Methods Pilot and Feasibility Study

Digital Tools to Support Family-Based Weight Management for Children: Mixed Methods Pilot and Feasibility Study

What Happened to the Prevention of Child Maltreatment During COVID-19? A Yearlong into the Pandemic Reflection

Transitioning to virtual interaction during the COVID‐19 pandemic: Impact on the Family Connects postpartum home visiting program activity

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