Abstract
Two exploratory studies using different samples investigated how multiple factors impact engagement and retention in home-visiting child abuse prevention programs. To investigate engagement data came from 4057 mothers with newborns. A two-level hierarchical linear model revealed that poor community health and maternal isolation reduced the likelihood that mothers with newborns would engage in home-visiting services. A lack of engagement was defined as mothers who failed to participate in services after 90 days of creative outreach by home visitors. To investigate retention data came from 1093 mothers and 71 home visitors who resided in 12 different counties. Using a three-level hierarchical model of analysis showed that families were less likely to remain in a home-visiting program beyond 1 year if they lived in an area that had high community violence. Mothers were more likely to remain in the program if the home visitor received more hours of direct supervision. Older mothers were more likely to remain than younger mothers, and Hispanic mothers were more likely to remain than white non-Hispanic mothers. Implications for programming and study limitations are discussed.
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Barth, R., Ash, J., & Hacking, S. (1986). Identifying, screening and engaging high-risk clients in private non-profit child abuse prevention programs. Child Abuse & Neglect, 10, 99–106.
Belsky, J., & Rovine, M. (1990). Patterns of marital change across the transition to parenthood. Journal of Marriage and the Family, 52, 5–19.
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge: Harvard University Press.
Bureau of the Census. (1999). USA counties 1998 on CD-ROM (machine-readable data files) prepared by the Bureau of the Census. Washington: The Bureau (Producer and distributor). http://govinfo.library.orst.edu/stateis.html. Accessed 1 May 2001.
Clark, J., & Winje, C. (1998). Participant engagement and retention in health related programs: Literature review. Unpublished manuscript, National Committee to Prevent Child Abuse, Chicago, IL.
Coulton, C., Korbin, J., Su, M., & Chow, J. (1995). Community level factors and child maltreatment rates. Child Development, 66, 1262–1276.
Damashek, A., Doughty, D., Ware, L., & Silovsky, J. (2011). Predictors of client engagement and attrition in home-based child maltreatment prevention services. Child Maltreatment, 16, 9–20.
Daro, D., & Gelles, R. J. (1992). Public attitudes and behaviors with respect to child abuse prevention. Journal of Interpersonal Violence, 7, 517–531.
Daro, D., & Harding, K. (1999). Healthy families America: Using research to enhance practice. Future of Children, 9, 152–176.
Daro, D., McCurdy, K., Falconnier, L., & Stojanovic, D. (2003). Sustaining new parents in home visitation services: Key participant and program factors. Child Abuse & Neglect, 27, 1101–1125.
Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44, 113–126.
Duggan, A., Windham, A., McFarlane, E., Fuddy, L., Rohde, C., Buchbinder, S., & Sia, C. (2000). Hawaii’s healthy start program of home visiting for at-risk families: Evaluation of family identification, family engagement, and service delivery. Pediatrics, 105(1), 250–260.
Dumka, L., Garza, C., Roosa, M., & Stoerzinger, H. (1997). Recruitment and retention of high-risk families into a preventive parent training intervention. The Journal of Primary Prevention, 18(1), 25–39.
Garbarino, J., & Kostelny, K. (1992). Child maltreatment as a community problem. Child Abuse & Neglect, 16, 455–464.
Garbarino, J., & Sherman, D. (1980). High-risk neighborhoods and high-risk families: The human ecology of child maltreatment. Child Development, 51, 188–198.
Gomby, D., Culross, P., & Behrman, R. (1999). Home visiting: Recent program evaluations—Analysis and recommendations. The Future of Children, 9, 4–26.
Guterman, N. B. (2000). Enrollment strategies in early home visitation to prevent physical child abuse and neglect and the “universal versus targeted” debate: A meta-analysis of population-based and screening-based programs. Child Abuse & Neglect, 23, 863–890.
Hawaii Family Stress Center. (1994). Early identification training materials: Healthy families America. Honolulu: Hawaii Family Stress Center.
Josten, L., Mullett, S., Savik, K., Campbell, R., & Vincent, P. (1995). Client characteristics associated with not keeping appointments for public health nursing home visits. Public Health Nursing, 12(5), 305–311.
Katzev, A. R., Pratt, C. C., & McGuigan, W. (2001). Oregon healthy start 1999–2000 status report. Corvallis: Oregon State University.
Korfmacher, J. (2000). The Kempe Family Stress Inventory: A review. Child Abuse & Neglect, 24(1), 129–140.
Korfmacher, J., O’Brien, R., Hiatt, S., & Olds, D. (1999). Differences in program implementation between nurses and paraprofessionals providing home visits during pregnancy and infancy: A randomized trial. American Journal of Public Health, 89(12), 1847–1851.
Larner, M., Halpern, R., & Harkavy, O. (1992). The fair start story: An overview. In M. Larner, R. Halpern, & O. Harkavy (Eds.), Fair start for children: Lessons learned from seven demonstration projects (pp. 3–22). New Haven: Yale University Press.
Luker, K. A., & Chalmers, K. I. (1990). Gaining access to clients: The case of health visiting. Journal of Advanced Nursing, 15, 74–82.
Lynch, M., & Cicchetti, D. (1998). An ecological-transactional analysis of children and contexts: The longitudinal interplay among child maltreatment, community violence, and children’s symptomatology. Development and Psychopathology, 10, 235–257.
Marcenko, M., & Spence, M. (1994). Home visitation services for at-risk pregnant and postpartum women: A randomized trial. American Journal of Orthopsychiatry, 64, 468–478.
McCurdy, K., & Daro, D. (2001). Parent involvement in family support programs: An integrated theory. Family Relations, 50, 113–121.
McGuigan, W. M., & Pratt, C. C. (2001). The predictive impact of domestic violence on three types of child maltreatment. Child Abuse & Neglect, 25, 869–883.
McGuigan, W. M., Katzev, A. R., & Pratt, C. C. (2003a). Multi-level determinants of retention in a home-visiting child abuse prevention program. Child Abuse & Neglect, 27, 363–380.
McGuigan, W. M., Katzev, A. R., & Pratt, C. C. (2003b). Multi-level determinants of mothers’ engagement in home visitation services. Family Relations, 52, 271–278.
Myers-Walls, J. A., Elicker, J., & Bandyk, J. (1997). Which families stay and which ones leave an early home visiting program? Paper presented at the 105th annual convention of the American Psychological Association, Chicago.
National Committee to Prevent Child Abuse. (1996). Intensive home visitation: A randomized trial, follow-up and risk assessment study of Hawaii’s healthy start program. Chicago: National Committee to Prevent Child Abuse (now known as Prevent Child Abuse America).
Navaie-Waliser, M., Martin, S. L., Campbell, M. K., Tessaro, I., Kotelchuck, M., & Cross, A. W. (2000). Factors predicting completion of a home visitation program by high-risk pregnant women: The North Carolina maternal outreach worker program. American Journal of Public Health, 90, 121–124.
Olds, D., & Kitzman, H. (1993). Review of research on home visiting for pregnant women and parents of young children. The Future of Children, 3(3), 53–92.
Olds, D., Henderson, C., Kitzman, H., Eckenrode, J., Cold, R., & Tatelbaum, R. (1999). Prenatal and infancy home visitation by nurses: Recent findings. The Future of Children, 1, 44–65.
Oregon Department of Human Services. (1999). Oregon’s 1998 county profiles. Office of alcohol and drug abuse programs. Salem: Oregon Department of Human Services.
Osofsky, J. D. (1995). The effects of exposure to violence on young children. American Psychologist, 50(9), 782–788.
Powell, D. (1984). Social network and demographic predictors of length of participation in a parent education program. Journal of Community Psychology, 12, 13–20.
Prevent Child Abuse America. (1999). Healthy families America: A snapshot view. Chicago: Prevent Child Abuse America.
Raudenbush, S., Bryk, A., Cheong, Y. F., & Congdon, R. (2000). HLM5 hierarchical linear and nonlinear modeling. Lincolnwood: Scientific Software International, Inc.
Sweet, M. A., & Applebaum, M. I. (2004). Is home visiting an effective strategy? A meta-analytic review of home visiting programs for families with young children. Child Development, 75, 1435–1456.
Taafee-Young, K., Davis, K., & Schoen, C. (1996). The Commonwealth fund survey of parents with young children. New York: The Commonwealth Fund.
US Department of Health and Human Services. (2000). Child maltreatment 1998: Reports from the states to the National Child Abuse and Neglect Data System. Administration on children, youth, and families. Washington, DC: US Government Printing Office.
Vig, S. (1996). Young children’s exposure to community violence. Journal of Early Intervention, 20, 319–328.
Wagner, M., & Clayton, S. (1999). The parents as teachers program: Results from two demonstrations. The Future of Children, 9, 91–115.
Wallach, V. A., & Lister, L. (1995). Stages in the delivery of home-based services to parents at risk of child abuse: A healthy start experience. Scholarly Inquiry for Nursing Practice: An International Journal, 9(2), 159–173.
Wasik, B. H. (1993). Staffing issues for home visiting programs. The Future of Children, 3(3), 140–157.
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McGuigan, W., Gassner, B. (2016). Engagement and Retention in Home Visiting Child Abuse Prevention Programs. In: Roggman, L., Cardia, N. (eds) Home Visitation Programs. Springer, Cham. https://doi.org/10.1007/978-3-319-17984-1_7
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