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Maintaining Family Engagement During Home Visitor Turnover: a Mixed Methods Study of Best Practices
Sarah Kaye1, Stephanie Hood1, Deborah Cragun2
1Kaye Implementation and Evaluation, Tacoma, USA.
Families may stay engaged with evidence-based home visiting services (EBHV) during staff transitions if given advance notice of a home visitor
Area of Science:
- Child Development
- Public Health
- Social Work
Background:
- Evidence-based home visiting services (EBHV) aim to improve child developmental outcomes and parenting.
- Family attrition, often linked to staff turnover, can undermine EBHV benefits.
- Understanding factors influencing continued family engagement during staff transitions is crucial.
Purpose of the Study:
- To investigate conditions that promote family retention in home visiting programs following home visitor resignation.
- To identify key factors for maintaining family engagement during staff transitions.
Main Methods:
- Mixed methods design.
- Coincidence Analysis to examine family engagement.
- Assessment of family retention at 3 and 6 months post-transition.
Main Results:
- Providing at least one month's advance notice of resignation supports continued family engagement.
- A strong working alliance with the new home visitor independently promotes family retention.
- Both advance notice and a strong alliance with the new visitor independently impact engagement.
Conclusions:
- Managing staff turnover effectively is key to mitigating family withdrawal from EBHV.
- Proactive communication and relationship-building during transitions can sustain program benefits.
- Strategies to support continuity of care are vital for the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program.
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