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Published on: September 22, 2023
Understanding maternal intentions to engage in home visiting programs.
Karen McCurdy1, Deborah Daro, Elizabeth Anisfeld
1Human Development and Family Studies, University of Rhode Island, 2 Lower College Road, Kingston, RI 02881 USA.
Maternal intentions to use home visiting services are influenced by factors like infant birth weight and comfort with providers. Intentions strongly predict actual service receipt, highlighting the importance of understanding parental engagement in these programs.
Area of Science:
- Public Health
- Maternal and Child Health
- Behavioral Science
Background:
- Understanding parental engagement in voluntary home visitation services is crucial for improving child welfare.
- Factors influencing the decision to accept or decline these services remain largely unknown.
- This study addresses the gap in knowledge regarding maternal intentions and service utilization.
Purpose of the Study:
- To investigate factors predicting maternal intentions to engage in home visitation services.
- To examine the relationship between maternal intentions and the actual receipt of home visits.
- To identify characteristics of mothers who intend to use versus decline services.
Main Methods:
- A diverse sample of 343 at-risk mothers were interviewed regarding their intentions towards home visitation services.
- Interviews were conducted within 2 weeks of service offer and again at 3 months.
- Statistical analysis explored predictors of maternal intention and the link between intention and behavior.
Main Results:
- Mothers intending to use services differed significantly from those who did not.
- Lower infant birth weight and increased comfort with in-home providers predicted higher intentions to use services.
- Expressed intention was a significant predictor of receiving a home visit.
Conclusions:
- Maternal intentions are a key determinant of engagement in home visitation programs.
- Factors such as infant health and provider comfort influence these intentions.
- Understanding and addressing these factors can enhance service uptake and effectiveness.
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