Promoting First Relationships®—Home Visiting Option

Last updated: May 2019

Model Overview

Theoretical Model

PFR-Home Visiting Option is a version of PFR used with parents in the home. PFR can also be used one-on-one with parents in a health clinic and with child care providers and early childhood teachers responsible for group care. The information in this profile describes PFR-Home Visiting Option unless specified otherwise.

PFR in general, based on attachment theory, posits that developing strong early relationships with caregivers is the key to healthy social, emotional, behavioral, language, and cognitive development in children. The model aims to foster parent-child relationships by helping parents read and understand child cues and the unmet needs behind challenging behaviors, and supporting parents’ use of sensitive and responsive caregiving behaviors.

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Model Components

PFR-Home Visiting Option involves home visitors providing feedback to parents based on video recordings of the parent’s interactions with the child. The home visitor makes video recordings of the parent interacting with the child at home, and the home visitor and parent view and reflect on the recordings. The home visitor highlights positive interactions observed and offers instructive comments to enhance caregiving. The home visitor also helps the parent reflect on his or her own behavior, feelings, and needs during the interaction, as well as on those of the child. In addition, PFR-Home Visiting Option provides parents with information, including handouts, on the social and emotional needs of young children, and strategies to meet these needs. The home visitor and the parent discuss ways to handle challenging behaviors and explore the parent’s own social-emotional development and how that influences caregiving.

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Target Population

PFR-Home Visiting Option serves parents of children ages birth to 5 years.

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Where to Find Out More

Jennifer Rees
Director, Promoting First Relationships Home Visiting
Parent-Child Relationship Programs
Barnard Center, University of Washington
Box 357920, CHDD South Building Room 212
Seattle, WA 98195
Phone: (206) 616-5380
Email: rees@uw.edu
Website: http://pfrprogram.org/

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Effects Shown in Research & Outcome Measure Details

Summary of Findings

Please read Describing Effects for more information on these categories. Only results from studies that meet the standards for the high or moderate ratings are included above.

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In Brief

Evidence of Model Effectiveness

This model does not meet the criteria established by the Department of Health and Human Services (HHS) for an “evidence-based early childhood home visiting service delivery model” for the general population or for tribal populations.

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Model Description

Promoting First Relationships (PFR)-Home Visiting Option is a version of PFR used with parents in the home. PFR can also be used one-on-one with parents in a health clinic and with child care providers and early childhood teachers responsible for group care. The Home Visiting Evidence of Effectiveness (HomVEE) review is based on PFR-Home Visiting Option. PFR-Home Visiting Option seeks to promote children’s social-emotional development by helping parents read and understand children’s cues and the unmet needs behind challenging behaviors, and supporting parents’ use of sensitive and responsive caregiving behaviors. The model serves parents of children ages birth to 5 years. A trained home visitor video records the parent interacting with his or her child at home, and the home visitor and parent view and reflect on the recordings. In addition, PFR-Home Visiting Option provides parents with information, including handouts, on the social and emotional needs of young children, and strategies to meet these needs. PFR-Home Visiting Option is designed to provide weekly hour-long home visits for 10 to 14 weeks but can be extended based on a family’s needs. For more information, please read the Model Overview.

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Extent of Evidence

Results of Research and Review
Number of studies
Eligible for review
10
Rated high
0
Rated moderate
0
Rated low
10
Additional source1
0

For more information, see the study database. For more information on the criteria used to determine the study ratings, please read Producing Study Ratings.

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Summary of Findings

Please read Describing Effects for more information on these categories. Only results from studies that meet the standards for the high or moderate ratings are included above.

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Criteria Established by the Department of Health and Human Services

Information Based on Comprehensive Review of All High- and Moderate-Impact Studies for this Model
High- or moderate-quality impact study?
No
Across high- or moderate-quality studies, favorable impacts in at least two outcome domains within one sample OR the same domain for at least two non-overlapping samples?
NA
Favorable impacts on full sample?
NA
Any favorable impacts on outcome measures sustained at least 12 months after model enrollment?1
NA
One or more favorable, statistically significant impact reported in a peer-reviewed journal?1
NA

Please read the HHS Criteria for Evidence-Based Models for more information.

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