Promoting First Relationships®—Home Visiting Options

Entries in this row combine information across all versions of Promoting First Relationships that are used with parents in the home.

Model effectiveness research report last updated: 2021

Model overview

Theoretical approach

Promoting First Relationships® (PFR), based on attachment theory, posits that developing strong early relationships with parents and other caregivers* is the key to healthy social, emotional, behavioral, language, and cognitive development in children. The model aims to promote parent/caregiver-child relationships by helping parents/caregivers read and understand children’s cues and the unmet needs behind challenging behaviors, and by supporting parents’/caregivers’ use of sensitive and responsive caregiving behaviors.

PFR can be used in multiple settings. The PFR-Home Visiting Options include two versions of PFR that are used with parents in the home: (1) PFR-Home Visiting Promotion Model and (2) PFR-Home Visiting Intervention Model. The only difference between the versions is that in the PFR-Home Visiting Intervention Model, home visitors must have a master’s degree. The PFR-Early Learning Model is used with caregivers responsible for group child care. The PFR-Pediatric Primary Care Model can be used one-on-one with parents during pediatric well-child visits for children from birth through age 2 years. The information in this profile describes the PFR-Home Visiting Promotion Model, but the information also applies to the PFR-Home Visiting Intervention Model unless specified otherwise.

*In this profile, the term “caregiver” refers to child care providers.

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Model services

The PFR-Home Visiting Promotion Model 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 their own behavior, feelings, and needs during the interaction, as well as on those of the child. In addition, the PFR-Home Visiting Promotion Model 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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Intended population

The PFR-Home Visiting Promotion Model serves parents of children from birth through age 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
School of Nursing, University of Washington
Box 357231
Seattle, WA 98195
Phone: (206) 616-5380 

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