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Triadic Interactions in MIECHV: Relations to Home Visit Quality
Carla A Peterson1,2, Kere Hughes-Belding3, Neil Rowe3
1Human Development and Family Studies, Iowa State University, 4380 Palmer, Ames, IA, 50011, USA. carlapet@iastate.edu.
Maternal and Child Health Journal
|June 28, 2018
Summary
Home visiting programs should increase triadic interactions involving parents and children. Enhancing home visitor coaching skills in these interactions is key to improving overall home visit quality and child development outcomes.
Area of Science:
- Child Development
- Family Studies
- Social Work
Background:
- Home visits are crucial for supporting optimal child development.
- Understanding the active ingredients of home visits, particularly triadic interactions, is essential for program effectiveness.
- Current practices may not fully leverage the potential of triadic interactions for facilitating parent-child engagement.
Purpose of the Study:
- To examine the active intervention components within home visits.
- To investigate the relationship between triadic interactions and home visit quality.
- To identify specific behaviors, like coaching, that enhance parent-child interactions.
Main Methods:
- Observations were conducted using the Home Visit Observation Fidelity-Revised (HVOF-R) tool.
- Home visit quality and engagement were rated using the Home Observation of the Quality of Early Childhood Programs (HOVRS A+).
- Time spent in different interaction types (e.g., home visitor-parent, triadic) was analyzed.
Main Results:
- Most home visit time (71%) involved home visitor-parent interactions.
- Triadic interactions constituted a smaller portion (17%), with active coaching of parent-child interactions being minimal (2%).
- Increased time in triadic interactions positively correlated with higher home visit quality ratings.
Conclusions:
- Home visiting programs should prioritize increasing triadic interactions.
- Professional development and supervision are needed to enhance home visitors' coaching skills in triadic settings.
- Focusing on coaching parent-child interactions during triadic engagement is a unique predictor of home visit quality.
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