Dissertations / Theses on the topic 'Home visiting'
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Kwok, Yuen Wai-yee Victoria. "An exploration of an integrated service delivery model for the home help service in Hong Kong." [Hong Kong : University of Hong Kong], 1986. http://sunzi.lib.hku.hk/hkuto/record.jsp?B12325818.
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Williamson, Kathleen M. "Home health care nurses' perceptions of empowerment." Access to citation, abstract and download form provided by ProQuest Information and Learning Company; downloadable PDF file, 150 p, 2005. http://proquest.umi.com/pqdweb?did=954038861&sid=5&Fmt=2&clientId=8331&RQT=309&VName=PQD.
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Trivette, Carol M. "Making Home Visiting Inspiring for Families Facing Many Challenges." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/4430.
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Sometimes when a home visit is over, practitioners and families feel it was great and sometimes they feel it was not. This presentation explores strengthen-based strategies developed from a capacity-building model that deepens the families' home visit experiences so families with serious challenges feel they can help their children learn.
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Wright, Julia A. "Parents' perspective of a home visiting parent education program." Huntington, WV : [Marshall University Libraries], 2002. http://www.marshall.edu/etd/descript.asp?ref=68.
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Wong, Man-fong Mariana. "Caregivers' perception of the effect of home help service on family with an infirm elderly : an exploratory study /." [Hong Kong : University of Hong Kong], 1986. http://sunzi.lib.hku.hk/hkuto/record.jsp?B12325946.
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Kwok, Yuen Wai-yee Victoria, and 郭原慧儀. "An exploration of an integrated service delivery model for the home help service in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1986. http://hub.hku.hk/bib/B31974776.
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Bouman, Anneke Ida Emilie. "Home visiting program for older persons with poor health status." Maastricht : Maastricht : Universitaire Pers Maastricht ; University Library, Universiteit Maastricht [host], 2008. http://arno.unimaas.nl/show.cgi?fid=11314.
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Black, Tracy L. "Home Visiting for Children with Developmental Delays: An Empirical Evaluation." DigitalCommons@USU, 1996. https://digitalcommons.usu.edu/etd/6073.
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Home visiting services have become an important and common component of early intervention for children with developmental delays. Currently, this group of children is the most frequent target of home visiting programs throughout the nation, although research evaluating the effectiveness of these programs is less pervasive. For this reason, a comprehensive analysis of studies within the home visiting literature that specifically focused on children with developmental delays and their families has been conducted. This effort has been accomplished through the process of meta-analysis. In addition to the computation of standardized mean difference effect sizes, emphasis was also placed on identifying the salient sample, intervention, and outcome characteristics of this group of studies.
Results are discussed in terms of ecological validity or how well the findings of the study generalize to the world of practice, policy, additional research, and training in the field of home visiting. Overall, much of what we are observing in the research is applicable to current practice, specifically in regard to the home visiting procedure. However, discrepancies between research and practice have been found in regard to the target of the intervention and the training of the home visitor.
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Gurumurthy, Prakash. "Dynamic stochastic vehicle routing model in home healthcare scheduling /." free to MU campus, to others for purchase, 2004. http://wwwlib.umi.com/cr/mo/fullcit?p1426064.
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Peers, Gordon H. "Home visiting: The effect of a hospital based nurse home visiting programme on the rehabilitation of children following their discharge from a child psychiatry inpatient unit." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1997. https://ro.ecu.edu.au/theses/898.
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The purpose of this study was to examine the effect of a nurse home visiting programme on the rehabilitation of children following their discharge from a dedicated child psychiatry hospital. The research was based on the premise that a nurse home visiting programme may have a positive influence on the outcomes of the rehabilitation of children following their discharge from hospital, if it reduced the need of outpatient appointments with the psychiatrist and the need for children to be re-admitted to hospital.
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Stewart-Moore, Jill. "Postnatal home visiting : are midwives in Northern Ireland meeting women's need?" Thesis, University of Manchester, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.495736.
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The aim of this study was to explore whether professional home postnatal care in n Northern Ireland (NI) and the Republic of Ireland (ROI) meets women's expectations and needs. s. This was the first study of Irish community postnatal services in a Border area. The study site was a hospital tmst located in Northem Ireland in a Border area that serves pregnant women from either side of the Border. In NI midwives care for all women for a period not less than 10 days and longer if necessary. In the ROI. a different model of care exists whereby the public health nurse visits less often initially but provides care for families with infants over a longer period up to and including the school years. Key findings were that some ROI mothers received the minimum of two visits by the public health nurse. ROI mothers valued home visits up to three months after the birth but wanted more visits in the early postoatal peiiod. More advice about maternal health was needed and more help with infant feeding was required.
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Öresland, Stina. "Nurses go visiting : ethics and gender in home-based nursing care." Doctoral thesis, Umeå universitet, Institutionen för omvårdnad, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-43796.
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The overall aim of this thesis is to explore how nursing is constructed in home-based nursing care from the viewpoint of patients and nurses who are receiving or giving care. Since nursing both constructs and is in turn constructed by the context in which it serves, language plays a central part in those constructions and in this thesis. The thesis has been guided by social constructionism, meaning that the positions the patients and the nurses inhabits have been considered as social phenomenon constructed in discursive processes. There are two ideas that guided this thesis. One idea was that home-based nursing care promotes the association of caring abilities in relation to nursing, women and the private sphere. Another idea was that the place where the care was carried out has ethical implications. Data was collected from interviews with 10 home-based nurses (study I) working in community in the western part of Sweden and 10 patients cared for in their home by these nurses (study II). Nurses and patients were interviewed about their experiences of giving respectively receiving home-based nursing care. The interviews were transcribed verbatim and analyzed with a discourse analytic method in study I and II. The findings in study I show that the nurses described their subject positions as "guests" and "professionals" and that they have to make a choice between these positions, as it is impossible to perform both positions at the same time. Dependent on the situation, both an ethics of care and an ethics of justice were applied by the nurses, that is, to perform according to the subject positions of "guest" or "professional." In study II, the patients describe their own subject position as "safeguard" and the nurses‟ positions as "substitutes". These subject positions provided the opportunities, and the obstacles, for the patients‟ possibilities to receive care in their home which included which kind of strategies, habits and activities the patients described and what tasks and how they considered or expected the nurses to perform. These findings are discussed within a theoretical framework, i.e. a gendered dichotomy of the private spheres versus the public spheres. Inherent in this framework is a discussion of the findings related to the habits that are essential in the nurses‟ and the patients‟ constructions of subject positions. In study III, metaphors used by home-based nurses‟ were explored as a means to discover values and norms held by nurses working in home-based nursing care. Ten interviews with nurses working in home-based nursing care (the same interviews as in study I) were analyzed and interpreted with a metaphor analytic method. In the analysis metaphoric linguistic expressions (MLE) were explored and patterns of MLEs formed two entailments. After exploring MLEs and entailments on an explicit surface level the analysis went to a broader underlying dimension of conceptual metaphors identifying the overall metaphor: "Home-based nursing care is an endless journey". The metaphor "Home-based nursing care is an endless journey" exposed home-based nursing care in constant motion, thereby requiring nurses to adjust to circumstances. This adjustment required ethical maturity based on experience, knowledge, and creativity. The study III focuses on the importance of further developing reflections over experiences related to everyday ethical issues. In study IV, the findings from study I were the starting point for a philosophical exploration of the concept "guest" and its relation to other adjacent concepts such as hosts and hospitality. The question to be answered was as follows: In what ways can home-based nurses‟ description of being "guests" in patients‟ home be understood? The exploration was based on Derrida‟s philosophy of unconditional and conditional hospitality, Levinas‟ philosophy of "face" and "the Other" and Arendt‟s philosophy of "go visiting". The findings indicated that the concept "guest" was not appropriate for the nurses to use when describing their position in home-based nursing care, since the concept was problematic for the content and the complexity of home-based nursing care. The findings also showed that exposing concepts as binaries is fruitful since they show relationship between concepts. Just illuminating the concept "guest" did not reveal the power relationship between the "guest" and the "host" and their relationship to hospitality. The distinction between diverse ethical perspectives could be seen as problematic or as an opportunity. According to this study, the nurses used a plurality of different ethical ideas, such as an ethics of care, an ethics of justice, an ethics of virtue and an "everyday ethics." A possible interpretation could be that this was a sign of a difficulty to maintain distinction between ethical theories in clinical practice. Ethical issues in the private sphere are less commonly explored compared to ethical issues in the public sphere, for example in hospital care. As showed in this thesis, the distinction between the private and the public spheres was problematic. It does not describe two spatially separate spheres, but rather it describes functionally dependent activities, interests and relations, such as diverse areas of ethical ideas and "feminine" and "masculine" positions. Home-based nursing care is a complex area and discourse analysis of the relation between home-based nursing care, subject positions, ethics and gender is more or less lacking. Exploring home-based nursing care outgoing from discourse analytic perspectives and methods is rewarding for nurses‟ practice, education and research as it opens up new perspectives of home-based nursing care.
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Henwood, Tom. "Children's language development and supplementary gesture production following a home visiting programme." Thesis, Cardiff University, 2018. http://orca.cf.ac.uk/115120/.
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This thesis explores the impact that Home Visiting Programmes (HVPs) have on the language development of young children. Paper one reports a systematic review conducted to explore whether HVPs have an effect on the language development of the children they support. This process yielded 11 studies, all of which were rated using a quality appraisal tool. Data was extracted from each of these studies and analysed in order to identify which programs have supported children’s language development and why this might be. The findings illustrated that the HVP model of intervention are able to make positive changes to children’s language development, but not all programs achieve this outcome. The variance in the ways in which HVP are delivered makes for cautious conclusions, but the review suggests that the frequency and duration of visits might play an important role. Paper two describes an empirical study that measured 24-month-old children’s supplementary gesture-speech production. The data was analysed to investigate whether there was a difference in language ability of the children, half of whom had received support from the Family Nurse Partnership program HVP (UK). 483, three-minute long video recordings of mother-child dyads were coded for the child’s gesture production, with a particular focus on their use of supplementary gesture-speech combinations (an advanced form of gesture production associated with children’s language development). The study did not find a difference between the two groups with regards to supplementary gesture production, but did find a significant association between supplementary gesture production and children’s Mean Length of Utterance (MLU) score across the whole sample. Furthermore, children born to younger mothers were less likely to produce a supplementary gesture. Paper three provides a reflective and critical evaluation of the above papers. The paper reflects on the research processes and decisions made, as well as the clinical implications for the findings.
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Flemington, Tara Jane. "Maternal involvement in a nurse home visiting program to prevent child maltreatment." Thesis, The University of Sydney, 2013. http://hdl.handle.net/2123/9346.
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This thesis aimed to explore key maternal characteristics and program factors related to maternal involvement in a nurse home visiting program to prevent child maltreatment. The relationship between maternal involvement and program outcomes was also examined. Ecological Systems Theory and the Integrated Theory of Parental Involvement were used to contextualise the study design and shape research questions. Secondary data analysis was performed using data collected during an earlier randomised controlled trial, in which 40 women who met criteria placing them at risk of potential child abuse or neglect were enrolled in either the standard nurse home visiting program or the augmented intervention. Primary data related to maternal involvement were collected via chart audit. Statistical analysis focused on measures of clinical significance, and correlations examined the relationships between maternal involvement and the program outcomes of measurement of the home environment (HOME) scores and maternal responsivity to the infant. No clinically significant relationships were found between program augmentation and maternal involvement in the home visiting program. Women categorised as being at-risk received more home visits than other women. One notable exception to this finding is that women in relationships characterised by intimate partner violence were more likely to leave the program early and to receive less home visits. A positive relationship emerged in which women who received more home visits had a higher level of responsivity to their infant and also scored highly on HOME total scores. This study provides a valuable addition to the growing body of literature investigating how home visiting can contribute to positive outcomes for at-risk families. It highlights the importance of further, theoretically based research to disentangle antecedents of maternal involvement and the subsequent impact on program outcomes.
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Essex, Rebecca Cathryn Louise. "Parental experiences of the 'time together' home visiting intervention : an attachment theory perspective." Thesis, University of East London, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.536614.
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Attachment theory proposes that the early parent-child relationship forms the foundation for the way in which a child learns about people and the world around them (Bowlby, 1969a). Poor attachment experiences are shown to have significant implications for children's development and society as a whole. One solution posed is that professionals support parents early on to promote a positive parent-child interaction. The current qualitative study was carried out to understand the experiences of seven parents who had taken part in the UK based Time Together home visiting intervention. All parents had been referred to the intervention due to concerns about the parent being socially isolated and/or having difficulties in their relationship with their child. All parents were interviewed after they had taken part, and key themes were identified based upon an Interpretative Phenomenological Analysis (IPA) using a social constructionist epistemology. The key findings were that, through the intervention, parents experienced a change within their notion of self, seeing their child as a separate self and seeing the world through their child's eyes. Play activities promoted greater levels of attunement and fun within the parent-child relationship. Fundamental to the success of the intervention was the parent's relationship with their home visitor, which often empowered parents. Social isolation was seen as a self devised strategy used to limit social interactions that evoked feelings of fear. The creation of a conceptual model represented the process of how more socially isolated parents experiencing difficulties within the parent-child relationship can be supported to become more involved with their community. The implications for Educational Psychologists were discussed.
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Brind'Amour, Katherine. "Maternal and Child Health Home Visiting Evaluations Using Large, Pre-Existing Data Sets." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1468965739.
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Rector, Edna J. "Early Head Start : home visiting and parenting group program uptake : an implementation study /." Thesis, Connect to this title online; UW restricted, 2002. http://hdl.handle.net/1773/8132.
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Morris, Christopher H. "Meta-Analysis of Home Visiting Research with Low-Income Families: Client, Intervention, and Outcome Characteristics." DigitalCommons@USU, 1995. https://digitalcommons.usu.edu/etd/6077.
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Leaders in the field of home visiting and family support research have indicated that the inclusion of home visiting in comprehensive services for low-income families with young children can play a key role in improving a wide variety of outcomes for at-risk children and their families. These recommendations have been based in part on selected empirical findings from the home visiting literature. However, synthesis of empirical findings has proven difficult, due to the heterogeneity of this population and the diverse applications of home visiting as a service delivery strategy.
The present meta-analysis examined a representative sample of the peer-reviewed literature to provide a comprehensive, quantified description of the features and findings of this literature. The four research questions addressed by the meta-analysis provide a framework for this description. The first research question concerned a description of research designs and methodological features found in the literature. The second and third research questions concerned, respectively, descriptions of the samples and interventions employed in primary studies. The final research question concerned the examination of those domains in which primary studies measured outcomes, and the quantification of outcomes in terms of standardized mean difference effect sizes.
Summarization of primary studies' methodological features illustrated specific issues that may be addressed in the design of future home visiting research, and laid a basis for the examination of meta-analysis findings. The composition of primary studies' samples reflected the heterogeneity expected from a population defined by a parameter as broad as "low-income," yet included lacunae that may represent subgroups among the poor that are not being studied. Data providing an assessment of several types of intervention features have implications for questions of treatment efficacy, and for future home visiting research. Mean effect sizes in several domains were found to have a magnitude of practical significance for child and family outcomes. Findings of this project provide a structure for continued meta-analysis of this body of literature, and highlight potential areas for further primary research. Meta-analysis data lend support to previous recommendations, as well as point out gaps in our knowledge.
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Schull, Christine Pegorraro. "An assessment of a home-visiting intervention on rural, low-income children's school readiness." College Park, Md. : University of Maryland, 2006. http://hdl.handle.net/1903/3736.
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Thesis (Ph. D.) -- University of Maryland, College Park, 2006.Thesis research directed by: Family Studies. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.
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Burns, Diane Sutton. "A financial analysis of a Southern California Coalition of Visiting Nurse Associations." CSUSB ScholarWorks, 1994. https://scholarworks.lib.csusb.edu/etd-project/922.
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Jiang, Lian. "Visiting parents from China their conversion experiences in America and contributions to Christianity at home /." Fort Worth, Tex. : Texas Christian University, 2006. http://etd.tcu.edu/etdfiles/available/etd-01122007-102839/unrestricted/jiang.pdf.
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Thesis (D.Min.)--Brite Divinity School, Texas Christian University, 2006.Title from dissertation title page (viewed Feb. 9, 2007). Includes abstract. "A project report and thesis submitted to the Faculty of Brite Divinity School in partial fulfillment of the requirement for the degree of Doctor of Ministry." Includes bibliographical references.
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Lowe, Jennifer D. "Effects of nursing involvement in lay home visiting on child development in socioeconomically disadvantaged populations." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0020/MQ54470.pdf.
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Macha, Kedibonye Dundu. "The relationship between home visiting and parental behaviour in a community based prevention research project." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ61924.pdf.
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Fraser, Jennifer Anne, and n/a. "The Role of Home Visiting as an Early Intervention Strategy for Prevention of Child Abuse and Neglect." Griffith University. School of Applied Psychology, 2000. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20050915.140055.
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Burgeoning numbers of child abuse and neglect reports throughout the developed world has prompted calls for preventive and early intervention measures to support and prepare families for parenting. Nurse home visiting is one form of service delivery gaining acceptance as an appropriate strategy. Although home visiting is not a new concept in service delivery, enthusiasm for home-visitation programmes has re-emerged not only in Australia in recent years, but in many other developed countries with initiatives being launched or recommended at state, national and international levels. This thesis presents a review of the tenets of home visiting and examines a home visiting intervention programme targeting children born into families with child abuse or neglect risk factors. A randomised controlled trial using a cohort of 181 families was undertaken to evaluate the impact of this home visiting programme. Mothers were recruited in the immediate postnatal period and allocated either into the home visiting programme or into a comparison group. The research design required self-identification into the study by providing positive responses to a range of risk factors. This procedure was shown to have utility in the context of recruitment to a research trial, in that respondents were willing to disclose sensitive personal issues using this form of screening as the basis for targeted intervention. The home visiting programme examined by this study was also shown to have social validity, with mothers willing to accept this form of intervention from the immediate postnatal period. High retention and satisfaction rates strengthened this conclusion. The ability of this study to evaluate the effectiveness of the home visiting intervention programme may have been compromised by a range of contextual factors influencing programme outcomes detailed in this thesis. Nonetheless, the study found that, for a group of families reporting risk factors for child abuse and neglect potential, provision of an intensive home visiting intervention using nurses, social workers, and parent aides was not effective in producing more favourable adjustment to the parenting role over time compared with nonintervention or clinic based service provision. The intervention programme group participants gained knowledge of child development and child management skills during the early postnatal weeks while the comparison group participants developed knowledge and skills later in the first year of their infant's lift. Early adaptation to the parenting role, parenting knowledge, and skill acquisition bodes well for parent-infant attachment and the children's long-term health and developmental outcomes. However, a 12-month assessment of maternal, family, and child development variables did not demonstrate maintenance of a positive intervention impact on parenting stress, parenting competence, or quality of the home environment. Finally, predictive analysis of fictors measured in the immediate postnatal period revealed an absence of any predictive value to demographic characteristics, which secondary prevention efforts typically target. These results not only demonstrate that there is a relationship between maternal, family and enviromnental factors identified in the immediate postnatal period, and adjustment to the parenting role, but also challenge demographic targeting for child abuse and neglect risk. Findings are discussed and placed within the context of previous research and reference is made to implications for future child health practice, development, and research. Recommendations arising from this discussion relate to both future research and community child health practice.
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Fraser, Jennifer Anne. "The Role of Home Visiting as an Early Intervention Strategy for Prevention of Child Abuse and Neglect." Thesis, Griffith University, 2000. http://hdl.handle.net/10072/365313.
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Burgeoning numbers of child abuse and neglect reports throughout the developed world has prompted calls for preventive and early intervention measures to support and prepare families for parenting. Nurse home visiting is one form of service delivery gaining acceptance as an appropriate strategy. Although home visiting is not a new concept in service delivery, enthusiasm for home-visitation programmes has re-emerged not only in Australia in recent years, but in many other developed countries with initiatives being launched or recommended at state, national and international levels. This thesis presents a review of the tenets of home visiting and examines a home visiting intervention programme targeting children born into families with child abuse or neglect risk factors. A randomised controlled trial using a cohort of 181 families was undertaken to evaluate the impact of this home visiting programme. Mothers were recruited in the immediate postnatal period and allocated either into the home visiting programme or into a comparison group. The research design required self-identification into the study by providing positive responses to a range of risk factors. This procedure was shown to have utility in the context of recruitment to a research trial, in that respondents were willing to disclose sensitive personal issues using this form of screening as the basis for targeted intervention. The home visiting programme examined by this study was also shown to have social validity, with mothers willing to accept this form of intervention from the immediate postnatal period. High retention and satisfaction rates strengthened this conclusion. The ability of this study to evaluate the effectiveness of the home visiting intervention programme may have been compromised by a range of contextual factors influencing programme outcomes detailed in this thesis. Nonetheless, the study found that, for a group of families reporting risk factors for child abuse and neglect potential, provision of an intensive home visiting intervention using nurses, social workers, and parent aides was not effective in producing more favourable adjustment to the parenting role over time compared with nonintervention or clinic based service provision. The intervention programme group participants gained knowledge of child development and child management skills during the early postnatal weeks while the comparison group participants developed knowledge and skills later in the first year of their infant's lift. Early adaptation to the parenting role, parenting knowledge, and skill acquisition bodes well for parent-infant attachment and the children's long-term health and developmental outcomes. However, a 12-month assessment of maternal, family, and child development variables did not demonstrate maintenance of a positive intervention impact on parenting stress, parenting competence, or quality of the home environment. Finally, predictive analysis of fictors measured in the immediate postnatal period revealed an absence of any predictive value to demographic characteristics, which secondary prevention efforts typically target. These results not only demonstrate that there is a relationship between maternal, family and enviromnental factors identified in the immediate postnatal period, and adjustment to the parenting role, but also challenge demographic targeting for child abuse and neglect risk. Findings are discussed and placed within the context of previous research and reference is made to implications for future child health practice, development, and research. Recommendations arising from this discussion relate to both future research and community child health practice.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Applied Psychology
Griffith Health
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Mitrani, Susan. "A descriptive study of the nature of mothers' involvement in a parent-infant home visiting programme." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/11079.
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Includes bibliographical references.In this qualitative study mothers’ perceptions of their experience of a local parent-infant home visiting programme were described. Research has shown positive results for home visiting programmes which are being implemented increasingly throughout the world. International and local research on home visiting programmes, psychodynamic theory including attachment theory, and systems theory underpin this research.
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Warner, Nell. "Home visiting support for parents in adverse situations : the nature of support and parental emotional well-being." Thesis, Cardiff University, 2018. http://orca.cf.ac.uk/118777/.
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Evidence suggests that for some families home visiting support can be effective for enabling parents in adverse situations to cope with their emotional well-being and other issues. However the circumstances in which home visiting is effective are less well understood. The administrative data from one home visiting organisation, Home-Start, was analysed to identify how the nature of support, adverse family situations and the interrelationship between them were related to changes in parental emotional well-being. The effects of adverse situations were explored by looking at individual risk factors, multiple risks, levels of need and life events that occur during support. Variables describing the average rate at which parental emotional well-being improves over the course of support were developed. Multiple linear regression models were then used to explore the relationships between the nature of support and the family's situation and that rate of improvement. Several aspects of the way support was provided were related to faster improvements; including more frequent visits, and support being provided by paid workers. Longer individual visits were associated with families improving more slowly. These different aspects of support affected families in different adverse situations differently. Paid worker support was particularly related to faster improvements in families with domestic abuse, disabled parents and multiple risks. However volunteer support seemed just as effective for families with disabled children and large families. Overall the family's situation was only very weakly associated with the rate at which emotional well-being improved. Though effects were small, families with more malleable risks were more likely to improve more quickly: Domestic abuse was associated with faster improvements whereas large family sizes, disabled parents and parental mental health problems were associated with slower improvements. Bereavements occurring during the course of support also slow down the rate of improvement.
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Mawhinney, Belinda. "Safeguarding children at risk of maltreatment: Role of the Australian Child and Family Health Nurse." Thesis, The University of Sydney, 2019. https://hdl.handle.net/2123/21885.
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Introduction In New South Wales, Child and Family Health Nurses (CFHNs) are community-based specialist nurses working with families that have children under five years of age. Working from a universal health service, they are placed in a position of profound responsibility to prevent child maltreatment. Research interest is growing in the ways that services are responding to meet this preventative objective as part of the public health approach to child protection. Aim To examine what actions are used by CFHNs to continually support families through the process of considering, suspecting, and reporting child maltreatment? Practice strategies and practice drivers used to retain families were explored. Methods A sequential exploratory mixed methods research design using McCurdy and Daro’s (2001) conceptual model of the Integrated Theory of Parent Involvement was used. A cohort of 129 CFHNs completed a comprehensive questionnaire in phase 1. Qualitative data from focus group discussions with 27 participants were collected in phase 2. Results Participants were experienced, knowledgeable and confident in their practice, though commonly sought consultation to guide practice. Little variation was found in practice when families disengaged. The emotional toll on nurses had implications in all phases of family involvement even when engagement was fractured. An extension to the Model of Parent Involvement was proposed to consider ways to reconcile service delivery when families disengage hastily. Conclusion The study has contributed valuable knowledge of safeguarding practice used with families. Engagement of families relies on practice that is also multifaceted, advanced and flexible. A practice response requires nurses to integrate knowledge and confidence by drawing on experience, education, policy and support to meet the needs of families accessing universal health services.
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Felemban, Ohood Othman. "Infection Prevention and Control Programs in Community-Based Home Visiting Nursing in Southeast Queensland, Australia: A Case Study." Thesis, Griffith University, 2015. http://hdl.handle.net/10072/367412.
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In Australia, healthcare settings are required to obtain and maintain formal accreditation by the Australian Council on Health Care Standards. One area of this accreditation is infection prevention and control. In addition to accreditation, healthcare settings are required to appoint an infection control professional to coordinate the local infection control programs. In addition to these requirements, healthcare settings in Queensland are required by law to implement an infection control management plan and take reasonable precautions to minimise the risk of Healthcare-Associated Infections [HAIs] through the identification of the infection risks and measures to be taken to prevent or minimise these risks. Such efforts must be consistent with relevant national infection control guidelines for healthcare settings. The National Health and Medical Research Council [NHMRC] published the Australian Guidelines for the Prevention and Control of Infection in Healthcare in which they established six key elements of a successful infection prevention and control program. The NHMRC guidelines are considered to be fundamental because they are based on the best available evidence and address the critical aspects of infection prevention and control in healthcare settings. The NHMRC guidelines are hospital-based. Donabedian’s theory was used as a conceptual structure for this study. The structure, processes and outcome strategies of infection prevention and control programs in CBHVN was explored in each organisation. The findings reveal that infection prevention and control programs were informally structured in CBHVNThesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing and Midwifery
Griffith Health
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Wong, Man-fong Mariana, and 黃孟芳. "Caregivers' perception of the effect of home help service on family with an infirm elderly: an exploratorystudy." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1986. http://hub.hku.hk/bib/B31247738.
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Puryear, James E., Tegwyn Brickhouse, and Caroline Carrico. "Social Determinants of Participation in a Home Visitation Fluoride Varnish Program." VCU Scholars Compass, 2016. http://scholarscompass.vcu.edu/etd/4129.
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Purpose: The purpose of this study is to examine the social determinants of CHIP (Child Health Investment Partnership) of Roanoke Valley children who participated in the preventive oral health program compared to those who did not.
Methods: This is a retrospective cohort study of children (n=2,425) enrolled in CHIP of Roanoke Valley from September 2008-September 2014. Bivariate analysis and multivariable logistic regression models were used to compare age, gender, race, locality, parents’ education level, age at enrollment, and length of enrollment for oral health program participants versus those who did not participate.
Results: Children who were Hispanic as well as children who enrolled in CHIP at an earlier age were more likely to enroll in the oral health program.
Conclusions: By focusing on enrolling children at earlier ages, there is the potential to increase the use of dental care to match the recommended periodicity of dental care for young children.
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Trivette, Carol M., and Hongxia Zhao. "Home Visiting Can Be Challenging or Inspiring for Parents: Inspire Parents by Building Parents Confidence and Competence to Promote Child Learning." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/4424.
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Dickson, Deborah. "Coming home : a study of values change among Chinese postgraduates and visiting scholars who encountered Christianity in the U.K." Thesis, University of Nottingham, 2013. http://eprints.nottingham.ac.uk/13458/.
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This thesis examines changes in core values held by postgraduate students and visiting scholars from China who professed belief in Christianity while studying in UK universities. It is the first study to ascertain whether changes remain after return to China. Employing a theoretical framework constructed from work by James Fowler, Charles Taylor, Yuting Wang and Fenggang Yang, it identifies both factors contributing to initial change in the UK and factors contributing to sustained change after return to China. It shows that lasting values change occurred. As a consequence, tensions were experienced at work, socially and in church. However, these were outweighed by benefits, including inner security, particularly after a distressed childhood. Benefits were also experienced in personal relationships and in belonging in a new community, the Church. This was a qualitative, interpretive study employing ethnographic interviews with nineteen people, from eleven British universities, in seven Chinese cities. It was based on the hypotheses that Christian conversion leads to change in values and that evidence for values can be found in responses to major decisions and dilemmas, in saddest and happiest memories and in relationships. Conducted against a backdrop of transnational movement of people and ideas, including a recent increase in mainland Chinese studying abroad which has led to more Chinese in British churches, it contributes new insights into both the contents of sustained Christian conversion amongst Chinese abroad who have since returned to China and factors contributing to it. Bringing the afore-mentioned theories together for the first time it provides an illuminating, original lens for further study of conversion amongst returned Chinese. It also adds to knowledge of the effects of Chinese students’ UK education experience on their values.
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Indavong, Vongchanh. "The Lao American Diaspora and its Changing Relations with the Ethnic Homeland." Ohio University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1248808797.
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Sawan, Mouna Jamil. "Investigating organisational culture to understand psychotropic prescribing practices in nursing homes: The perspective of on-site and visiting staff." Thesis, The University of Sydney, 2017. http://hdl.handle.net/2123/17317.
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Psychotropic medicines have a role in the management of behavioural and psychological disturbances to treat distressing symptoms. However, a balance is required to be achieved between benefits of these medicines, which are often modest, and the risk of harm, which has the potential to be significantly detrimental to the resident. Controversy exists over the high-level use of psychotropic medicines and there is significant variation in the use of psychotropic medicines across nursing homes. Organisational culture has been proposed as a factor influencing psychotropic prescribing decisions in nursing homes. However, what is known of culture and the use of psychotropic medicines is limited. The overall aim of the research was to identify how and why organisational culture influences psychotropic prescribing practices in nursing homes from the perspective of on-site (nursing home managers, licensed registered nurses, enrolled nurses and nursing assistants) and visiting staff (GPs, community pharmacists, accredited pharmacists, specialist medical practitioners, nurse practitioners and clinical nurse consultant). The research presented in this thesis was underpinned by a detailed theoretical framework – Schein’s Theory of Organisational Culture. This theory conceptualises culture into three levels: i) artifacts (visible artifacts and organisational climate), ii) espoused values and iii) basic assumptions. Findings from the systematic review confirmed that a more in-depth understanding of how and why organisational culture influences psychotropic prescribing was required. Three qualitative studies that involved on-site and visiting staff from diverse backgrounds and roles established an in-depth understanding of the role of organisational culture in the use of psychotropic medicines. The research showed that visible artifacts of culture that influenced the use of psychotropic medicines were drugs and therapeutics committee meetings, pharmacist led medication management reviews and formal and informal meetings with residents and their families. The investigation of organisational climate identified a number of factors which played an important role in the use of psychotropic medicines: perceptions of staffing, managerial expectations and teamwork and communication among on-site and visiting staff. Two basic assumptions explained the in/consistencies between the ideal standards and actual use of psychotropic medicines described by participants. These were: locus of control and necessity for efficiency or comprehensiveness. Locus of control pertained to whether staff believed they could control decisions when facing negative work experiences or helpless to attempt control. The Necessity for efficiency or comprehensiveness related to how much time and effort was spent on a given task. The qualitative studies collectively highlighted that organisational culture is an important factor that shaped psychotropic prescribing decisions. Informed by a systematic review and qualitative data, a tool was developed and then content validated using a rigorous process involving key experts with knowledge and experience in nursing homes. The tool is the first to be developed that specifically addressed all three levels of culture related to the use of psychotropic medicines. While the survey will help nursing homes build a culture of appropriate psychotropic prescribing, further validation of the tool using psychometric testing is needed.
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Eckert, Chantel Marie. "Reducing Child Maltreatment Through Prevention." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6785.
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Child maltreatment is a public health problem directly linked to poor outcomes across the lifespan, including chronic health conditions and even death. The local population served by the agency in which the project took place experienced an increase in reports of child maltreatment. Agency leadership identified deficiencies in parental knowledge about positive parenting practices as a contributing factor to the problem. To address the problem, the agency implemented a quality improvement evidence-based home visiting pilot initiative. The evaluation of that initiative was the purpose of this project. Bandura's social cognitive learning theory provided the theoretical framework for the project, and the logic model was used to facilitate the practice change in the facility. Evaluation was based on data extracted from the Family Support Program Outcome Survey (FSPOS) tool completed by all 22 program participants. Comprising 7 questions, the FSPOS was a validated and reliable tool and was used to assess the increase in participants' parental knowledge related to positive parenting practices before and after participation in the home visiting program. Survey results revealed that participation in the initiative increased participant knowledge. Using a 7-point Likert scale in which higher scores indicated higher levels of positive parenting practices, participant scores increased from M = 4.71 before participation to M = 6.60 after enrollment. The results reinforce the significance of the nursing profession in health promotion and disease prevention in communities. Findings of this project have the potential to promote positive social change by decreasing child maltreatment, which may reduce cost of care and improve quality of life across the lifespan.
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Smith, Clare E. "Examining the effectiveness of the babytalk home visiting service on parent talk to children and child language development : a randomised controlled trial." Thesis, University of Surrey, 2015. http://epubs.surrey.ac.uk/809479/.
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Background : Socially disadvantaged children are more likely than their advantaged peers to have delayed language development. Parent talk to children has been found to be related to child language abilities and to socioeconomic status. Based on an interactionist theory of language development, it is proposed that child language may be supported, in part, by encouraging parents to talk to their baby. Speech and language therapy services in the UK have developed a range of preventative services to this end but there is little evidence of effectiveness. In this study, a randomised controlled trial (RCT) was carried out to investigate efficacy of the Babytalk Home Visit (BTHV) on parent talk to children and on child expressive vocabulary. Method: 69 parent/baby dyads were randomised to BTHV and control groups, videoed and parent talk transcribed in their homes at baseline, post intervention and when their child was aged 2 years. Baseline to post-intervention change in parent word types spoken and parent report of child expressive vocabulary at age 2 years were compared between groups. Results: No significant difference was observed between groups for either outcome measure. Subgroup analysis indicated a possible temporary effect on parental talk for parents from low socioeconomic backgrounds. This effect was not sustained at the 2 year follow up, however, and no effect on child language outcomes at age 2 was observed. In line with previous studies, a highly significant relationship was found between parent talk and child language. Discussion: These results highlight the need to understand the potential and mechanism for change in parent talk and the need for further research into the nature of the relationship between parent talk and child language. They also highlight the value of controlled studies to inform commissioning of speech and language therapy services using the MRC’s guidance for complex interventions.
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Munns, Ailsa Marie. "Investigation of a Culturally Secure Home Visiting Model for Aboriginal Family and Child Health Support in the Midland Community in Western Australia." Thesis, Curtin University, 2017. http://hdl.handle.net/20.500.11937/66664.
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This study investigated the development and implementation of peer-led home visiting support for Aboriginal families with young children in Midland, Western Australia. The action research methodology identified strategies for a suitable, feasible, acceptable and effective peer-led home visiting parent support program using a partnership approach between peers, parents, the community and a child health nurse researcher. Implementation demonstrated that the emerging role of the peer support worker was integral to strengthening parenting environments.
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Johnson, Kimberly S. "Effecting Change in High Risk Families through Home Visiting. An Analysis of Clients’ Perceived Value of the Process Based on Professional Attire Worn by Home Visitor; White Coat vs. Business Casual." Youngstown State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1558882770959141.
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Dugravier, Romain. "CAPEDP : une étude longitudinale périnatale évaluant une intervention à domicile de prévention de la dépression postnatale et des troubles de la relation mère-enfant auprès d'une population de femmes présentant des critères de risque psychosociaux." Thesis, Paris 6, 2014. http://www.theses.fr/2014PA066227/document.
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La dépression postnatale (DPN) est un facteur de risque de trouble des interactions précoces mère-enfant et de troubles de santé mentale de l’enfant. Si les programmes de visites à domicile (VAD) en périnatalité ciblent souvent la prévention de la DPN, les résultats sont peu probants.CAPEDP est la première étude contrôlée randomisée de VAD destinée à des familles multirisques d’une telle ampleur menée en France. Ce travail en décrit les résultats sur la DPN. 440 femmes sont recrutées et randomisées en deux groupes : primipares, âgées de moins de 26 ans, et au moins un facteur de risque parmi : un faible niveau d’éducation, des revenus faibles et/ou être isolées. Le groupe intervention bénéficie de VAD menées par des psychologues du troisième trimestre de grossesse aux deux ans de l’enfant. La symptomatologie de la DPN est évaluée à l’inclusion et 3 mois après la naissance avec l’Edinburgh Postnatal Depression Scale (EPDS). A 3 mois post-partum, les scores moyens à l’EPDS sont respectivement de 9.4 (5.4) pour le groupe contrôle et de 8.6 (5.4) pour le groupe intervention (p = 0.18). Pour certains sous-groupes de femmes ayant bénéficié de l’intervention les scores EPDS sont plus faibles que le groupe contrôle : celles avec peu de symptômes dépressifs en prénatal (EPDS<8), celles qui pensent être avec le père pour élever leur enfant, et celles avec un niveau d’éducation supérieur au BEPC. CAPEDP n’a pas démontré d’efficacité pour prévenir la DPN. Les analyses post hoc montrent que l’intervention peut être efficace pour des femmes sans certains facteurs de risque. Il serait utile de développer des recherches plus intégrées dans le dispositif de droit communPostnatal maternal depression (PND) is a significant risk factor for infant mental health. Although often targeted in perinatal home-visiting programs with vulnerable families, little impact on PND has been observed. CAPEDP is the first French randomized controlled trial for multi-risk families evaluating the impact on PND symptomatology of a home-visiting intervention using psychologists in a sample of women presenting risk factors.440 women were recruited at their seventh month of pregnancy. All were first-time mothers, under 26, with at least one of three additional psychosocial risk factors: low educational level, low income, or planning to raise the child without the father. Participants were randomized into either the intervention or the control group. The intervention consisted of intensive multifocal home visits through to the child’s second birthday. The control group received care as usual. PND symptomatology was assessed at baseline and three months after birth using the Edinburgh Postnatal Depression Scale (EPDS).At three months postpartum, mean EPDS scores were 9.4 (5.4) for the control group and 8.6 (5.4) for the intervention group (p = 0.18). The intervention group had significantly lower EPDS scores than controls in certain subgroups of women: with few depressive symptoms at inclusion (EPDS<8), who were planning to raise the child with the child’s father, with a higher educational level.CAPEDP failed to demonstrate an overall impact on PND. However, post-hoc analysis reveals the intervention was effective in subgroups of women without certain risk factors. Effective overall reduction of PND symptomatology may require more tailored interventions
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Abdulaziz, Noor Amal Saud. "Evaluation of Texas Home Instruction for Parents of Preschool Youngsters Program on Reading and Math Achievement for Grades K to 8." Thesis, University of North Texas, 2019. https://digital.library.unt.edu/ark:/67531/metadc1538753/.
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This study was intended to evaluate the impact of socioeconomically disadvantaged children's participation in the Texas Home Instruction for Parents of Preschool Youngsters (TX HIPPY) Program on their school readiness and academic achievement. The study used a quasi-experimental design and applied full and optimal propensity score matching (PSM) to address the evaluation concern of the impact of the TX HIPPY program on HIPPY participants' academic achievement compared to non-HIPPY participants. This evaluation targeted former HIPPY participants and tracked them in the Dallas ISD database through Grade Levels K-8. Data were obtained by administering Istation's Indicators of Progress (ISIP) for kindergarten, TerraNova/SUPERA for Grades K-2, and State of Texas Assessments of Academic Readiness for math and reading (STAAR) for Grades 3-8. HIPPY and non-HIPPY groups were matched using propensity score analysis procedures. The evaluation findings show that the TX HIPPY program positively influences kindergarten students to start school ready to learn. The findings of math and reading achievements suggest that HIPPY children scored at the same level or higher than non-HIPPY children did on math and reading achievement, indicating that TX HIPPY program has achieved its goal of helping children maintain long-term academic success. However, the evaluation findings also indicated that the impact evaluation framework must be designed with attention to higher-level factors beyond academic achievement that influence children's academic success.
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Nixon, Ashley E. "The impact of fidelity and innovations on Healthy Families America programs." [Tampa, Fla.] : University of South Florida, 2007. http://purl.fcla.edu/usf/dc/et/SFE0001988.
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Olsson, Cecilia, and Malin Ringström. "Barnhälsovårdssjuksköterskors och familjestödjares upplevelser av att i samverkan arbeta med utökade hembesöksprogram." Thesis, Högskolan Väst, Avdelningen för omvårdnad - avancerad nivå, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-15294.
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Bakgrund: Barn som växer upp i socioekonomisk utsatthet löper större risk att drabbas av ohälsa genom hela livet. Ett flertal projekt har prövats i arbetet med proportionell universalism, vilket innebär att generella åtgärder anpassas till prioriterade gruppers behov. Ett exempel på detta arbete är utökade hembesök inom barnhälsovården som utförs tillsammans med familjestödjare från Socialtjänsten. Utvärderingar av tidigare projekt med utökade hembesök inom barnhälsovården har visat på goda långsiktiga resultat. Att studera personalens upplevelser av att arbeta i samverkan med utökade hembesök kan bidra till en djupare kunskap kring utvecklingen av arbetssätt för att främja hälsa. Syfte: Syftet med studien var att beskriva barnhälsovårdssjuksköterskors och familjestödjares upplevelser av att i samverkan arbeta med utökat hembesöksprogram. Metod: Semistrukturerade intervjuer genomfördes med 11 deltagare från barnhälsovård och socialtjänst i Västra Götalandsregionen. Kvalitativ innehållsanalys användes för att analysera intervjuerna. Resultat: Personalens upplevde att arbetet med utökade hembesök har givit bättre samverkan tvärprofessionellt som även kunde utnyttjas i det övriga dagliga arbetet. Arbetssättet beskrevs ta extra tid och resurser jämfört med traditionellt barnhälsovårdsarbete. För att framgångsrikt arbeta på detta sätt krävdes ett personligt intresse för förebyggande arbete. Resultatet visade att arbetssättet synliggjorde och neutraliserade socialtjänstens resurser för att kunna hjälpa fler med den rådgivning och det stöd som fanns att tillgå. Slutsats: Personalen upplevde att samverkan hade givit en ökad kunskap om respektive professioner och en lättare kommunikation dem emellan. Hembesöken upplevdes bidra till en mer avslappnad relation till familjerna och synliggjorde samhällets stödjande resurser.Background: Children who grow up in socio-economic vulnerability are at greater risk of suffering from ill health throughout their lives. Several projects have been tested in within the frame of proportional universalism, which mean that general measures were adapted to the needs of priority groups. An example of such work is extended home visits in child health care services, which are carried out by child health care nurses in collaboration with family caregivers from the Social Services. Evaluations of previous projects with extended home visits in child health care have shown good long-term results. Studying the staff's experiences of working in collaboration with extended home visits can contribute to a deeper understanding for methods to promote health. Aim: The purpose of this study was to describe child health care nurses and social workers experiences of working with extended home visiting program in collaboration. Method: Semi structured interviews were conducted with 11 informants from child health care and social services in the Western part of Sweden. Qualitative content analyzis was used to analyze the interviews.Results: The staff experienced that working with extended home visits showed that it has provided better cross-professional collaboration that could also be utilized in the other daily work. This approach took extra time and resources compared to traditional child health work. To work successfully in this way, a personal interest in preventive work was required. The result showed that the working method made visible and neutralized the resources of the social services to help more people with the counseling and support that was available. Conclusion: The staff experienced that the collaboration provided increased knowledge of the respective professions and facilitated communication between them. The home visits contributed to a more relaxed relationship with the families and made visible the supportive resources of the community.
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Durandt, Nicola Estelle. "Outcome of a home-visiting intervention to improve social withdrawal assessed with the m-ADBB in six-month old infants in Khayelitsha, Cape Town : a cluster randomised controlled trial." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/96009.
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Thesis (MSc)--Stellenbosch University, 2014.ENGLISH ABSTRACT: Pregnant women living in South African peri-urban settlements face many challenges for their health and the health of their infants. Current health care services face many constraints and are not able to meet all the needs of pregnant mothers. Home-visiting programmes implemented by community health workers can alleviate these constraints. The current RCT assessed the effectiveness of the Philani Plus Intervention Program that addressed HIV, alcohol, maternal and child nutrition and mental health. The effectiveness of the intervention was assessed by measuring infant social withdrawal behaviour using the modified Alarm Distress Baby Scale (m- ADBB). A total of 681 cases were randomised into control (N=330) and intervention groups (N=351) and assessed using the m-ADBB. A cut-off score of two and above was used to determined significant social withdrawal behaviour. Data was analysed using descriptive statistics and cross-tabulation initially, followed by analysis of variance and multilevel modelling. Results indicated a prevalence of 46.7% of social withdrawal behaviour; however, no significant differences between groups were found. The current prevalence was substantially higher in comparison to the only other published study using the m-ADBB. Furthermore, the prevalence rate was also significantly higher compared to the majority of other studies using the original Alarm distress Baby Scale (ADBB). The high prevalence of social withdrawal behaviour found in this study indicates an increased risk for suboptimal infant development. Further research regarding social withdrawal behaviour and the casual mechanisms associated with the development of such behaviour is needed. Furthermore, validation of the m-ADBB in different settings is needed.
AFRIKAANSE OPSOMMING: Swanger vroue wat in Suid-Afrikaanse buitestedelike nedersettings woon staar baie uitdagings in die gesig met betrekking tot hul gesondheid en die gesondheid van hul babas. Huidige gesondheidsdienste is baie beperk en is nie in staat om in al die behoeftes van swanger moeders te voorsien nie. Huis-besoek programme wat deur gemeenskaplike gesondheidswerkers geïmplementeer word, kan hierdie beperkings verlig. Die huidige RCT het die effektiwiteit van die Philani Plus Intervensie Program wat MIV, alkohol, voeding en geestelike gesondheid aanspreek, geassesseer. Die effektiwiteit van die intervensie is geassesseer deur sosiale onttrekkingsgedrag met behulp van die gewysigde Alarm Nood Baba Skaal (m-ADBB) te meet. ‘n Totaal van 681 gevalle is lukraak in kontrole (N = 330) en intervensie groepe (N = 351) verdeel en geëvalueer volgens die m-ADBB. 'n Afsnypunt van twee en hoër is gebruik om beduidende sosiale onttrekkingsgedrag te bepaal. Data is aanvanklik ontleed met behulp van beskrywende statistiek en kruis-tabulering, gevolg deur analise van variansie en multi-modelle. Resultate toon 'n 46,7%-voorkoms van sosiale onttrekkingsgedrag, maar het egter geen beduidende verskille tussen groepe getoon nie. Die huidige voorkoms was aansienlik hoër in vergelyking met die enigste ander gepubliseerde studie wat gebruik gemaak het van die m- ADBB. Verder was die voorkomssyfer ook aansienlik hoër in vergelyking met die meerderheid van die ander studies wat gebruik gemaak het van die oorspronklike Alarm Nood Baba Skaal (ADBB). Die hoë voorkoms van sosiale onttrekkingsgedrag dui op 'n verhoogde risiko vir suboptimale baba ontwikkeling. Verdere navorsing oor sosiale onttrekkingsgedrag en die meganismes wat verband hou met die ontwikkeling van sulke gedrag, is nodig. Verder word die bekragtiging van die m-ADBB in verskillende instellings benodig.
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Schneider, Alessandra. "Percepções maternas sobre visitas domiciliares na gestação e no primeiro ano de vida do bebê: um estudo com mães do programa primeira infância melhor." Universidade do Vale do Rio do Sinos, 2010. http://www.repositorio.jesuita.org.br/handle/UNISINOS/2914.
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No mundo inteiro, visitas domiciliares têm sido utilizadas em programas de promoção do desenvolvimento infantil, visando à melhoria das condições de saúde e de desenvolvimento, sobretudo na gestação e nos primeiros anos de vida da criança, especialmente voltados para famílias em situação de vulnerabilidade. Vários estudos têm sido desenvolvidos com o intuito de avaliar tais programas, a partir de evidências sobre os resultados e os efeitos das intervenções, que se manifestam anos mais tarde, utilizando principalmente metodologia quantitativa. Poucos estudos têm utilizado uma abordagem qualitativa, e focalizado as percepções acerca dos programas, tanto por parte dos visitadores quanto dos beneficiários. O objetivo deste estudo foi analisar as percepções maternas sobre as visitas domiciliares, no Programa Primeira Infância Melhor, durante a gestação e o primeiro ano de vida do bebê. Esse Programa foi implantado no Rio Grande do Sul em 2003 e, anos mais tarde, deu origem a uma Lei Estadual com o mesmo escopo. Fo
Home visiting has been used worldwide in early childhood development programs, aiming at the improvement of both health and development conditions, especially during pregnancy and the early years of the child’s life, and mainly for families living in vulnerable conditions. A number of studies have been developed for the purpose of assessing such programs, based on the evidence on results and effects of interventions that will be made known years later, mainly using quantitative methodology. Few studies use a qualitative approach and focus on perceptions on the programs, either by the visitors or the beneficiaries. The present study aims at analyzing maternal perceptions on home visiting under the Programa Primeira Infância Melhor (A Better Early Childhood Program) during pregnancy and the infant’s first year of life. This Program was introduced in Rio Grande do Sul in 2003, and inspired, years later, a State Law with the same goal. A qualitative exploratory transversal study was carried out, based on the Mult
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Alves, Renato Antonio. "O processo de desenvolvimento de um programa de visitação domiciliar para adolescentes gestantes e mães." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/47/47131/tde-26112013-152559/.
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Este trabalho tem como objetivo relatar o processo de desenvolvimento de um programa de visita domiciliar para adolescentes gestantes e mães, implementado pelo Núcleo de Estudos da Violência da Universidade de São Paulo (NEV/USP). O local inusitado em que este programa tem origem um núcleo de pesquisas que tem como seu principal eixo de trabalho a relação entre democracia e direitos humanos, possibilitou que alguns conceitos, muitas vezes implícitos nas práticas de intervenção, fossem questionados e revistos a partir de questões relacionadas à cidadania, direitos e a democracia. Neste sentido, buscou-se, a partir de uma leitura de Michel Foucault sobre as práticas govenamentalizadas de poder, discutir questões que, tomadas como verdades, passam a acionar práticas prescritivas, normatizas e regularizadoras. Práticas que ativam e reativam relações de poder, muitas vezes de forma arbitrária e autoritária, principalmente quando tem alvo de suas intervenções o pobre e/ou a população empobrecida. Tendo como foco os saberes e, consequentemente, a produção discursiva que se forma em torno da adolescência e, posteriormente da gravidez na adolescência, buscou-se compreender em que contexto esta última se transforma não só em problema como também, a partir de sua associação com as idéias de risco e vulnerabilidade, passa a justificar práticas interventivas focadas, sobretudo, no indivíduo e/ou população. Por fim, busca-se descrever como estas questões conceituais foram constantemente tensionando os saberes e as práticas tanto da equipe envolvida na criação e implementação de um programa como também, posteriormente, das próprias participantesThe objective of this work is to report the process of development of a program of home visitation for adolescent pregnant women and adolescent mothers carried out by the Center for the Study of Violence of the University of São Paulo (NEV/USP). The unexpected institution where this program was born a research center that has as its main axe of work the relationship between democracy and human rights , made it possible that some of the concepts, frequently implicit on intervention practices, be questioned and revised from the point of view of matters of citizenship, rights and democracy. Departing from a reading of Michel Foucault about the governmentalized practices of power relations, this work sought to discuss matters that, taken as truths, trigger prescriptive, normative and regulating practices. Practices that activate and reactivate power relations, very often on arbitrary and authoritarian way, especially when the focuses of interventions are poor individuals or poor communities. Having as its focus the knowledge and, therefore, the discursive production that takes form surrounding adolescence and, latter, surrounding pregnancy during adolescence, the thesis sought to understand in which context this last one transforms itself into problems, as well as, from its associations with ideas of risk and vulnerability justifies interventions focused mainly on individuals and population.Lastly, it was sought to describe how these conceptual matters were constantly tensioning knowledge and practices not only among the professional team that developed and implemented the program but also, latter, by the participants themselves
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Ronca, Marcela Pasqualucci. "Visitas domiciliares aos alunos: a visão das professoras sobre uma proposta de articulação escola família." Pontifícia Universidade Católica de São Paulo, 2011. https://tede2.pucsp.br/handle/handle/15996.
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Previous issue date: 2011-06-07Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
The aim of this research was: (i) to identify how teachers describe and analyze their involvement in a students' home visiting program; and (ii) to collect their suggestions to improve the program and to overcome its problems. The investigation was guided by the well documented fact that schools and families should cooperate between them in a joint effort to improve the quality of education offered to children and adolescents. The expectative was that home visiting could modify, in a positive direction, teachers' knowledge about their students, their families and their way of life, leading to the construction of new and more adequate teaching strategies. The research adopted a qualitative approach. The data was collected in one of the Great São Paulo s county (SP-BR) using semi-structured questionnaires (applied to 13 teachers) and in-depth interviews (conducted with those who agreed in conceding them).The results showed that, according to the participants, this program has brought results for the pedagogical practice, as they were acquainted with the reality of their students and their families. The reflection of this participation occurred in the construction of new teaching strategies through which they could serve better and more precise the individual needs of students. This knowledge, however, was not enough to positively change the perception of teachers about families. It was concluded that to achieve the expected results, the specific program of home visits needs to rethink their actions, incorporating into their planning teacher's view, expanding to other professionals and providing space for discussion and improvement
O objetivo dessa pesquisa foi: (i) identificar como professoras descrevem e analisam seu envolvimento em um programa de visitas domiciliares a seus alunos; e (ii) coletar suas sugestões acerca de como aprimorar o programa e superar seus eventuais problemas. A investigação foi guiada pelo fato bem documentado de que escolas e famílias devem cooperar entre si em um esforço conjunto voltado para aperfeiçoar a qualidade da educação oferecida a crianças e adolescentes. A expectativa era a de que as visitas domiciliares pudessem modificar positivamente o conhecimento das professoras sobre seus alunos, suas famílias e seu modo de vida, levando-as à construção de novas e mais adequadas estratégias de ensino. A pesquisa seguiu uma abordagem qualitativa. Os dados foram coletados em um município da Grande São Paulo que tinha adotado um Programa de Visitas Domiciliares em suas escolas. As informações necessárias foram obtidas por meio de questionários semi-estruturados aplicados a 13 professoras e de entrevistas em profundidade conduzida junto às duas delas, que concordaram em concedê-las. Os resultados da análise empreendida mostraram que, para as professoras, participar deste programa trouxe resultados para a prática pedagógica, pois puderam conhecer melhor a realidade de seus alunos e suas famílias. O reflexo desta participação se deu na construção de novas estratégias pedagógicas, por meio das quais puderam atender melhor e de forma mais precisa e individualizada as necessidades dos discentes. Esse conhecimento, entretanto, não foi suficiente para alterar positivamente a percepção das professoras a respeito das famílias. Concluiu-se que para atingir os resultados esperados, esse programa específico de visitas domiciliares precisa repensar suas ações, incorporando em seu planejamento a visão das professoras, ampliando seu campo de ação para outros profissionais da escola e oferecendo espaço para discussão e aperfeiçoamento do programa
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Bernard, Julia M. "Building Family Resilience." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5812.
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Matos, Inês. "Les effets à moyen terme d'une intervention préventive précoce sur la qualité de l'attachement des enfants : suivi à 48 mois de la cohorte CAPEDP-A." Thesis, Sorbonne Paris Cité, 2016. http://www.theses.fr/2016USPCB192.
Full textAbstract:
Contexte : le travail réalisé dans cette thèse s'inscrit dans le projet de prévention précoce CAPEDP qui comprenait une intervention longitudinale adressée à une population de grande vulnérabilité psychosociale. Nos objectifs étaient de tester l'efficacité des interventions à domicile sur la qualité de l'attachement chez l'enfant et de comparer longitudinalement les comportements et les représentations d'attachement avec un groupe témoin qui a reçu les soins usuels. Méthodologie : notre travail est divisé en trois études et temps de mesure : 12, 18 et 48 mois de l'enfant. Les comportements d'attachement ont été évalués à travers la Situation Étrange à 12 mois et l'Attachment Q-sort à 18 mois. A 48 mois, nous avons évalué les représentations d'attachement avec l'Attachment Story Completion Task. Résultats : à 12 mois, les différences en termes de sécurité ne sont pas significatives mais nous remarquons plus d'enfants sécures dans le groupe intervention. A 18 mois, le groupe intervention a des scores de sécurité plus élevés. Nous remarquons aussi une amélioration significative entre 12 et 18 en termes de sécurité dans le groupe intervention. A 48 mois, nous retrouvons une amélioration au niveau des facteurs sociodémographiques et un effet de genre, les filles du groupe intervention étaient significativement plus sécures que celles du groupe contrôle. Discussion : l'intervention CAPEDP a eu un effet positif en augmentant la sécurité de l'attachement entre 12 et 18 mois. Les filles du groupe intervention semblent avoir profité plus de l'intervention CAPEDP. Plusieurs limites de l'étude sont discutées ainsi que les ouvertures de recherche, notamment une intervention conjointe psychologue-assistante sociale pour atténuer l'impact des facteurs de risque sur l'efficacité de l'intervention psychologiqueContext: this PhD research fits into the early prevention CAPEDP project: a home-visiting intervention addressing a high-risk population. Our goals were to test the efficiency of the intervention on infant attachment and to longitudinally compare attachment behaviours and representations with a control group that received only usual care. Method: our work is divided into 3 studies with different times and measures: 12, 18 et 48 months. Attachment behaviour was assessed with the Strange Situation at 12 months and with the Attachment Q-sort at 18 months. Attachment representations were assessed with the Attachment Story Completion Task at 48 months. Results: at 12 months, there are more secure infants in the intervention group although these differences are not statistically significant. At 18 months, the intervention group has higher scores of security. Results also show an improvement in terms of security between 12 and 18 months for the intervention group. At 48 months, results point out an improvement in socio-demographic factors and a gender difference: girls from the intervention group showed significantly higher attachment security than the control group. Discussion: the CAPEDP intervention had a positive effect in enhancing attachment security between 12 and 18 months. Girls seem to have profited the most from our intervention. The limitations and future directions are discussed, particularly the interest of a joint intervention between psychologists and social workers to diminish the socio-economic risk impact on the psychological intervention
Contexto: este trabalho de tese insere-se no projeto de prevenção precoce CAPDP constituído por uma intervenção longitudinal dirigida a uma população com elevado risco psicossocial. Os objetivos eram testar a eficácia da intervenção a domicílio sobre a qualidade da vinculação na criança e comparar longitudinalmente os comportamentos e as representações de vinculação com um grupo controlo que beneficiou apenas do sistema de cuidados já existente. Metodologia: o nosso trabalho é dividido em três estudos ou tempos: 12, 18 e 48 meses da criança. Os comportamentos de vinculação foram avaliados com a Situação Estranha aos 12 meses e com o Attachment Q-sort aos 18. Aos 48 foram avaliadas as representações de vinculação com o Attachement Story Completion Task. Resultados: aos 12 meses, as diferenças em termos de segurança da vinculação não são significativas, mas constatámos a presença de mais crianças seguras no grupo intervenção. Aos 18 meses, o grupo intervenção verifica scores mais elevados de segurança. De notar também uma melhoria significativa entre os 12 e os 18 meses em termos de segurança da vinculação no grupo intervenção. Aos 48 meses, encontrámos melhorias a nível sociodemográfico e um efeito de género, sendo que as meninas do grupo intervenção apresentam scores de segurança das representações mais elevados comparativamente às do grupo controlo. Discussão: a intervenção CAPEDP teve um efeito positivo aumentando a segurança da vinculação entre 12 e 18 meses. As meninas do grupo intervenção parecem ter beneficiado mais da nossa intervenção. Os limites do estudo são discutidos assim como as aberturas para futuras investigações, nomeadamente para uma intervenção conjunta entre psicólogos e assistentes sociais para diminuir o impacto negativo dos factores de risco sobre a intervenção psicológica
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McGuigan, William M. "Engagement and retention in home visiting family support programs." Thesis, 2001. http://hdl.handle.net/1957/29396.
Full textAbstract:
These two studies investigated maternal engagement and retention in a
voluntary, home-visiting program. The program screened families at the birth of their
first child for risk characteristics associated with poor child and family outcomes.
Higher risk families were offered regular home visits and support for up to 5 years.
In the first study, a two-level hierarchical general linear model (HGLM) was
used to examine the impact of poor community health and maternal isolation on
mother's active engagement in the program, following initial enrollment. Data came
from 4,057 mothers with firstborn infants, who enrolled in the Oregon Healthy Start
(OHS) home-visiting program from 1995 through 1998. At the time of this study OHS
was operating in 15 Oregon counties. Results showed that living in a county
characterized by poor community health, or maternal isolation from supportive family
and friendship networks, significantly reduced the likelihood of mothers actively
engaging in home visits after enrollment. Hispanic mothers were significantly more
likely to engage in services than mothers of other ethnicities.
In the second study, a three-level hierarchical general linear model (HGLM) was
used to investigate the impact of community violence, home visitor attributes, and
maternal attributes on maternal retention in the OHS home-visiting program. Data came
from 1,093 mothers with firstborn infants, served by 71 home visitors, residing in 12
communities being served by the OHS program prior to February 2000. Results showed
that mothers who lived in communities that displayed higher levels of community
violence were less likely to remain in the OHS program. Mothers were more likely to
remain in the program when served by home visitors who received more active
supervision. Mothers who were older were more likely to remain in the OHS program
than were younger mothers. Hispanic mothers were more likely to remain in the OHS
program than were mothers of other ethnic groups. Each study presents the implications
for programmatic application.Graduation date: 2002