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28-12-2019 | Original Paper

Parent and Caregiver Active Participation Toolkit (PACT): Adaptation for a Home Visitation Program

Auteurs: Rachel Haine-Schlagel, Danielle L. Fettes, Natalie Finn, Michael Hurlburt, Gregory A. Aarons

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 1/2020

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Abstract

Objectives

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.

Methods

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 1 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.

Results

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.

Conclusions

Results suggest that enhancing HV programs with an engagement toolkit may improve parents’ participation in services and providers’ assignment of homework between sessions.
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Metagegevens
Titel
Parent and Caregiver Active Participation Toolkit (PACT): Adaptation for a Home Visitation Program
Auteurs
Rachel Haine-Schlagel
Danielle L. Fettes
Natalie Finn
Michael Hurlburt
Gregory A. Aarons
Publicatiedatum
28-12-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 1/2020
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-019-01659-3