ArticlePrevention science : the official journal of the Society for Prevention Research2018
A Qualitative Evaluation of Engagement and Attrition in a Nurse Home Visiting Program: From the Participant and Provider Perspective.
Article in Prevention science : the official journal of the Society for Prevention Research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed.
- Challenges of home visit practice and perceived solutions for improvement in Ghanaian context: perspectives of healthcare professional and community informants.Health research policy and systems · 2026Article
- A Qualitative Study of Internal Engagement Factors in Home Visiting Programs.Maternal and child health journal · 2026Article
- Coordination and Integration of Providers Across Sectors Improves Referrals to and Connections With Services for Clients Engaged in Home Visiting.Health services research · 2025Observational
- A Qualitative Inquiry into Nurse-Family Partnership Black Client Perspectives.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Sociocultural Responsive Frameworks to Increase Engagement in Service Systems Through a Peer-to-Peer Model.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Maintaining Family Engagement During Home Visitor Turnover: a Mixed Methods Study of Best Practices.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Cross-sector Collaboration Between Public Health, Healthcare and Social Services Improves Retention: Findings from a Nurse Home Visiting Program.Prevention science : the official journal of the Society for Prevention Research · 2023Article
- Service Coordination in Early Childhood Home Visiting: a Multiple-Case Study.Prevention science : the official journal of the Society for Prevention Research · 2023Article
- Improving connections to early childhood systems of care via a universal home visiting program in Massachusetts.Children and youth services review · 2023Article
- Pilot test of a measure to assess clients' perceptions of their home visitors.Infant mental health journal · 2023Article
- Development of an Electronic Screening and Brief Intervention to Address Perinatal Substance Use in Home Visiting: Qualitative User-Centered Approach.JMIR formative research · 2022Article
- Encountering Child Abuse and Neglect in Home Visiting: a Qualitative Study of Visitor and Supervisor Experiences.Prevention science : the official journal of the Society for Prevention Research · 2021Article
- A Qualitative Study of Mothers' Perspectives on Enrolling and Engaging in an Evidence-Based Nurse Home Visiting Program.Prevention science : the official journal of the Society for Prevention Research · 2021Article
- Early Impacts of Room to Grow: A Multifaceted Intervention Supporting Parents and Children Age Zero to Three.Children and youth services review · 2021Article
- Understanding Initial and Sustained Engagement of Spanish-Speaking Latina Mothers in the Legacy for Children Program™: A Qualitative Examination of a Group-Based Parenting Program.Early childhood research quarterly · 2021Article
- Parent Involvement in Maternal, Infant, and Early Childhood Home Visiting Programs: an Integrative Review.Prevention science : the official journal of the Society for Prevention Research · 2020Review
- Maternal Engagement in a Home Visiting Program as a Function of Fathers' Formal and Informal Participation.Prevention science : the official journal of the Society for Prevention Research · 2020Article
- Engagement in home visiting: An overview of the problem and how a coalition of researchers worked to address this cross-model concern.Journal of child and family studies · 2020Article
- Best Practices for Engaging Pregnant and Postpartum Women at Risk of Substance Use in Longitudinal Research Studies: a Qualitative Examination of Participant Preferences.Adversity and resilience science · 2020Article
- Addressing Maternal Depression, Substance Use, and Intimate Partner Violence in Home Visiting: a Quasi-Experimental Pilot Test of a Screen-and-Refer Approach.Prevention science : the official journal of the Society for Prevention Research · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Beginning parenting programs in the prenatal and early postnatal periods have a large potential for impact on later child and maternal outcomes. Home-based parenting programs, such as the Nurse Family Partnership (NFP), have been established to help address this need. Program reach and impact is dependent on successful engagement of expecting mothers with significant risks; however, NFP attrition rates remain high. The current study qualitatively examined engagement and attrition from the perspectives of NFP nurses and mothers in order to identify mechanisms that enhance service engagement. Semi-structured interviews were conducted in focus groups composed of either engaged (27 total mothers) or unengaged (15 total mothers) mothers from the NFP program. NFP nurses (25 total nurses) were recruited for individual semi-structured interviews. Results suggest that understanding engagement in the NFP program requires addressing both initial and sustained engagement. Themes associated with enhanced initial engagement include nurse characteristics (e.g., flexible, supportive, caring) and establishment of a solid nurse-family relationship founded on these characteristics. Factors impacting sustained engagement include nurse characteristics, provision of educational materials on child development, individualized services for families, and available family support. Identified barriers to completing services include competing demands and lack of support. Findings of this study have direct relevance for workforce planning, including hiring and training through integrating results regarding effective nurse characteristics. Additional program supports to enhance parent engagement may be implemented across home-based parenting programs in light of the current study's findings.
Indexed as
Identifiers
29022144What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.