Promoting First Relationships®—Home Visiting Option
Last updated: 2019
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 because there are no high- or moderate-rated effectiveness studies of the model.
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
Extent of evidence
Criteria established by the U.S. Department of Health and Human Services
Notes: If the model does not meet criterion 3 but meets criteria 1 and 2 based on findings from subgroups, the impacts must be replicated in the same domain in two or more studies using non-overlapping analytic study samples. HomVEE assesses and reports criteria 4 and 5 for all models that have well-designed research, but meeting those two criteria is only required of models for which all findings are from randomized controlled trials. Please read the HHS criteria for evidence-based models for more information.