Triadic Interactions in MIECHV: Relations to Home Visit Quality
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Triadic Interactions in MIECHV: Relations to Home Visit Quality Carla A. Peterson1,2 · Kere Hughes‑Belding1 · Neil Rowe1 · Liuran Fan1 · Melissa Walter1 · Leslie Dooley1 · Wen Wang1 · Chloe Steffensmeier1 Published online: 12 June 2018 © The Author(s) 2018, Corrected publication August/2018
Abstract Objectives This study was conducted to look inside home visits to examine active intervention ingredients used and their relations with ratings of home visit quality. In particular, triadic interactions that engage the home visitor, parent, and child together and provide a context for home visitors to facilitate parent-child interactions by observing, modeling and coaching behaviors that promote optimal child development were examined. Methods Observations were conducted to describe intervention activities (with the HVOF-R) and rate quality of home visit practices and engagement (with the HOVRS A+). Results Analyses revealed the majority of home visit time (71%) was spent in home visitor-parent interactions with only a small proportion of home visit time (17%) spent in triadic interactions and an even smaller proportion of time (2%) during which home visitors actively coached parent-child interactions. Amount of time spent in triadic interactions was related positively to quality ratings of home visit practices and engagement. Moreover, time spent coaching parent-child interactions uniquely predicted home visit quality after accounting for visit length and home visitor time spent observing and modeling. Conclusions for Practice Increasing the percentage of home visitors engage the parent and child in triadic interaction should be a focus for home visiting programs. Home visitors will likely need professional development and supervisory support to enhance their skills in coaching parent-child interactions during triadic interactions. Keywords Home visiting quality · Triadic interactions · Evaluation
Significance What is already known on this topic? Home visiting programs that support parenting practices for families facing risks have been linked to gains in positive parenting practices and reductions in child maltreatment. In addition, participation in evidence informed home visiting programs improves children’s developmental outcomes. What does this study add? This manuscript includes a detailed examination of the relations among specific interactions among home visitors, parents and children and home visit quality. Results of this study provide a significant contribution to professional development efforts by elucidating
* Carla A. Peterson [email protected] 1
Human Development and Family Studies, Iowa State University, 4380 Palmer, Ames, IA 50011, USA
1331 Palmer Building, 2222 Osborn Drive, Ames, IA 50011‑1084, USA
2
specific interactions differentially associated with home visit quality.
Introduction Home visiting programs are designed to promote child health and developmental outcomes among populations facing risks by increasing parent support for learning and development, promoting parent well-bein
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