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A realist model for home visitation program evaluation.

Jeniece S Roane1, Terry L Jones2

  • 1Virginia Commonwealth University School of Nursing, Sadie Heath Cabaniss Hall, 1100 East Leigh Street, Richmond, VA 23298, United States of America.

Journal of Pediatric Nursing
|February 18, 2022
PubMed
Summary
This summary is machine-generated.

Home visitation programs aim to reduce child maltreatment but lack clear understanding of their mechanisms. Realist theory can evaluate how, for whom, and under what conditions these programs effectively support families.

Keywords:
Child maltreatmentHome visitation programRealism

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Area of Science:

  • Child development and public health interventions.
  • Nursing science and social program evaluation.

Background:

  • Home visitation programs are widely adopted for child maltreatment reduction.
  • Rapid adoption outpaces understanding of underlying mechanisms, leading to inconsistent program structures and outcomes.
  • Identifying these mechanisms is crucial for effective policy and practice.

Purpose of the Study:

  • To propose realist theory as a framework for understanding home visitation program mechanisms.
  • To inform policy and practice by identifying factors influencing program success or failure in addressing child maltreatment.

Main Methods:

  • Discuss theoretical foundations of home visitation.
  • Review evidence on program effectiveness and key components.
  • Propose a realist model for program evaluation.

Main Results:

  • Realist theory offers a suitable approach for investigating complex social programs like home visitation.
  • A proposed realist model can guide evaluations to understand program effectiveness contextually.

Conclusions:

  • Understanding the mechanisms of home visitation is essential for consistent and effective child maltreatment prevention.
  • Realist evaluation can elucidate how, for whom, and under what conditions home visitation programs succeed.