A Qualitative Study of Internal Engagement Factors in Home Visiting Programs.

backgroundHome visiting (HV) services promote child and family well-being, with most services targeting families at risk of experiencing health disparities. Yet, services remain underutilized by eligible populations. Moreover, those who do enroll in services often drop out before receiving the full dosage of home visits.

objectivesThe present study utilized the family engagement framework developed by the Cross-Model Collaboration and Data Sharing project (MODS) to examine internal constructs of engagement. Specifically, the primary study aim was to understand internal factors that may influence caregivers' decision-making when offered evidenced-based home visiting services.

methodsParticipants included 19 parents ages 21 through 43 years, all identifying as female. Semi-structured qualitative interviews were conducted on Zoom and then transcribed. Thematic analysis was conducted to draw out themes and subthemes using NVivo 14.

resultsParents perceived the in-home service model and HV provision of support as appealing aspects of HV. Most parents were satisfied with their current areas of parenting but expressed interest in learning new parenting strategies. Parents needed more information about HV providers to aid their decision to enroll and simplified enrollment processes. CONCLUSIONS FOR PRACTICE: Results suggest enhancing the enrollment process by providing more information about provider qualifications and minimizing administrative burdens, which in turn may increase family engagement with HV.