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A Qualitative Study of Internal Engagement Factors in Home Visiting Programs
Gayane A Baziyants1, Nicole Barton2, David Bard2
1Department of Psychology and Neuroscience, Sanford School of Public Policy, Duke University, 201 Science Drive, Duke Box 90239, Durham, NC, 27708, USA. gayane.baziyants@duke.edu.
Maternal and Child Health Journal
|July 19, 2026
Summary
Home visiting services aim to improve child and family well-being but are underutilized. Enhancing enrollment with more provider information and simpler processes can increase family engagement.
Area of Science:
- Child and Family Health
- Public Health Interventions
- Parenting Support Programs
Background:
- Home visiting (HV) services are crucial for child and family well-being, particularly for at-risk populations.
- Despite their benefits, HV services face challenges with underutilization and high dropout rates among eligible families.
- Existing services often fail to reach or retain families effectively, limiting their impact.
Purpose of the Study:
- To explore internal factors influencing caregiver decisions regarding evidence-based home visiting services.
- To apply the family engagement framework from the Cross-Model Collaboration and Data Sharing (MODS) project.
- To understand caregiver perspectives on enrollment and participation in home visiting programs.
Main Methods:
- Qualitative study involving 19 parents (ages 21-43, all female).
- Semi-structured interviews conducted via Zoom and transcribed.
- Thematic analysis performed using NVivo 14 to identify key themes.
Main Results:
- Parents found the in-home model and support offered by HV appealing.
- While satisfied with current parenting, parents sought new strategies.
- Key barriers to enrollment included a need for more information on HV providers and complex enrollment procedures.
Conclusions:
- Improving family engagement with HV services requires addressing enrollment barriers.
- Providing comprehensive information about provider qualifications is essential.
- Simplifying administrative processes can enhance service accessibility and uptake.
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