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  11. Possibilities And Power During Early Head Start Home Visits: Comparing Family- And Home Visitor-opened Decision-making

Possibilities and power during early Head Start Home visits: Comparing family- and home visitor-opened decision-making

Christine L Hancock1

  • 1Teacher Education Division, Wayne State University, Detroit, Michigan, USA.

Infant Mental Health Journal
|October 4, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Home visitors in Early Head Start (EHS) programs predominantly controlled decision-making during home visits, despite families actively participating more when they initiated discussions about child development. This highlights a need for more equitable collaboration.

Area of Science:

  • Child Development
  • Family Support Programs
  • Socioeconomic Studies

Background:

  • Home visits are crucial for supporting child development, particularly in programs like Early Head Start (EHS) for families facing poverty.
  • Understanding decision-making dynamics between home visitors and families is key to optimizing program effectiveness.

Purpose of the Study:

  • To investigate the types and participation levels in decision-making regarding child development during Early Head Start home visits.
  • To analyze how home visitors and families collaborate and share control in these decisions.

Main Methods:

  • Convergent mixed methods research design utilizing frequency counts and discourse analysis of home visit transcripts.
  • Involved 12 families and 4 home visitors in a US-based Early Head Start program.
Keywords:
Early Head StartEarly Head Start (De un comienzo temprano)EntscheidungsfindungFamilienpartnerschaften

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  • Identified 66 decisions concerning child development, analyzing initiation and participation patterns.

    • Main Results:

    • Home visitors initiated 49 decisions, while families initiated 17.
    • Families exhibited higher engagement and active roles when they initiated decisions.
    • Despite increased family participation in family-initiated decisions, home visitors maintained predominant control throughout the visits.

    Conclusions:

    • Home visitors largely controlled decision-making processes in Early Head Start home visits.
    • While families become more active when initiating decisions, home visitors tend to gradually assume more control.
    • Enhancing equitable decision-making requires strategies to sustain family engagement and shared control in home-based interventions.
    Hausbesuche
    colaboraciones de familias
    decision‐making
    discourse analysis
    family partnerships
    home visiting
    investigación con métodos mixtos
    mixed methods Forschung
    mixed methods research
    toma de decisiones
    visitas a casa
    الكلمات المفتاحيةالزيارة المنزلية، صنع القرار، الشراكات الأسرية، برنامج هيد ستارت، أبحاث الأساليب المختلطة
    家庭訪問、意思決定、家族パートナーシップ、アーリーヘッドスタート、混合研究法、
    家访, 决策, 家庭伙伴关系, 早期启蒙计划, 混合方法研究