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The development of the Promoting First Relationships home visiting program and caregivers' comments about their
Monica Oxford1, Tess Abrahamson-Richards2, Rae O'Leary3
1Child, Family, and Population Health Nursing, University of Washington, Seattle, Washington, USA.
Promoting First Relationships (PFR) is a home-visiting program enhancing caregiver-child interactions. Caregivers reported positive experiences, including stronger relationships with their children and personal growth.
Area of Science:
- Child Development
- Family Studies
- Psychology
Background:
- Promoting First Relationships (PFR) is an evidence-based home-visiting intervention.
- The program targets caregivers and children from birth to 5 years.
- PFR focuses on caregiver-child interaction, attachment, and relationship quality.
Purpose of the Study:
- To evaluate caregiver experiences with the Promoting First Relationships (PFR) program.
- To analyze qualitative data from caregivers participating in PFR.
- To assess the alignment of PFR experiences with its theoretical framework.
Main Methods:
- Qualitative thematic analysis of 222 caregivers' comments.
- Data collected from satisfaction surveys and interviews.
- Caregivers participated in randomized controlled trials across diverse settings.
Main Results:
- Caregivers reported positive experiences with PFR.
- Key themes included strong provider relationships, program endorsement, improved child-parent relationships, and personal growth.
- Qualitative findings support PFR's core components and theory of change.
Conclusions:
- Caregiver feedback validates the effectiveness of the Promoting First Relationships program.
- PFR fosters positive caregiver-child relationships and promotes caregiver development.
- The program's impact is consistent across various cultural and service contexts.
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