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Implementation of coaching and peer learning collaboratives to support home visiting practices
Lorraine M McKelvey1, Angela Rau2, Tasha L Olson3
1Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Infant Mental Health Journal
|July 10, 2026
Summary
Home visiting programs improve child development by enhancing parental skills. A professional development initiative boosted home visitors
Area of Science:
- Child Development
- Social Work
- Education
Background:
- Home visiting programs are crucial for enhancing parental capacities and supporting child development.
- Home visitors balance program goals with individual family needs, emphasizing relationship-building.
- Professional development is key to fostering essential competencies in home visitors.
Purpose of the Study:
- To evaluate an initiative aimed at strengthening home visitors' self-awareness, reflective capacity, and practice skills.
- To assess the impact of reflective, performance-based coaching and peer learning on home visiting practices.
Main Methods:
- The study involved 30 home visitors across five models in one US state.
- Participants received training on a quality assessment tool, self-recording equipment, and coaching.
- A one-group design was used, comparing initial and final recorded home visits.
Main Results:
- Home visitors reported high satisfaction with coaching and enhanced reflective practice skills.
- A marginally significant improvement was observed in the Relationship Building with Families scale.
- The initiative demonstrated potential for strengthening key competencies in home visiting.
Conclusions:
- Reflective, performance-based coaching can enhance home visitors' skills and family relationship-building.
- Professional development initiatives are vital for optimizing home visiting program effectiveness.
- Further research can explore the broader impact of such interventions on child development outcomes.
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