Implementing Nurturing Parenting Programs (Birth to Age 5)

Implementation last updated: 2015

The information in this profile reflects feedback, if provided, from this model’s developer as of the above date. The description of the implementation of the model(s) here may differ from how the model(s) was implemented in the research reviewed to determine this model’s evidence of effectiveness. Inclusion in the implementation report does not mean the practices described meet the HHS criteria for evidence of effectiveness. Similarly, models described here may not all have impact studies, and those with impact studies may vary in their effectiveness. Please see the Effectiveness button on the left for more information about research on the effectiveness of the models discussed here.

Materials and forms to support implementation

Operations manuals

The Nurturing Parenting Program typically requires an implementation manual, an instructional guide, and an activities manual for home visitors and group facilitators. Additional resource materials, guides, certificates, DVDs, games, and instructional aids may also be required or recommended depending upon the specific program.

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Service delivery forms

Parents usually receive a parent handbook and may also receive additional handbooks, pamphlets, and resources depending upon the specific program. Each parent receives a Family Nurturing Journal that helps it track its learning lesson by lesson. Each home visitor monitors learning successes through the Family Nurturing Plan. Together the parents and home visitor form a partnership in ensuring new parenting competencies have been attained. In a competency-based program, lessons state the skills and knowledge to be learned. Sessions are the meetings between parents and the home visitors. It may take several sessions for the parents to learn the lesson competencies.

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Assessment tools

The Nurturing Parenting Program uses several assessment tools:

  • The Adult-Adolescent Parenting Inventory (AAPI-2) is an inventory designed to assess parenting and childrearing attitudes and provide an index of risk for practicing behaviors related to child abuse and neglect. The tool is normed for English- and Spanish-speaking families.
  • The Family Nurturing Plan and the Family Nurturing Journal are two process evaluation documents to help the parents and their home visitor work together.
  • The Nurturing Skills Competency Scale (NSCS) is an inventory designed to assess the knowledge and use of nurturing parenting concepts, practices, and strategies. When used in conjunction with the AAPI-2, the NSCS provides an index of low, moderate, or high risk for child maltreatment.
  • At the end of each home visit or group session, parents complete a Program Evaluation Form rating how well they learned the lesson competencies. Home visitors also complete an evaluation form stating how well the parents have learned the competencies. The next home visit might have a repeat of the lesson competencies if learning has not occurred.
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A typical 1.5-hour home-based session follows a consistent format: icebreaker and home practice check-in (10 minutes); parenting skills and self-nurturing activities (45 minutes); home practice exercise (5 minutes); family nurturing time (25 minutes); and infant, toddler, and preschooler activities (5 minutes), and it concludes with a family hug. Although each program covers topics in a different way, parent education is generally designed to build self-awareness, positive concept/self-esteem, and levels of empathy; teach alternatives to hitting and yelling; enhance family communication and awareness of needs; replace abusive behaviors with nurturing behaviors; and promote healthy physical and emotional development.

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Available languages

Nurturing Parenting Programs materials have been translated into Arabic, Hmong, Kreyol (Haitian), and Spanish. A number of cultural adaptations have also been developed (see Adaptations and Enhancements).

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Fidelity measurement

The Family Nurturing Plan, the Family Nurturing Journal, the session Evaluation Forms, attendance, completion of the Home Practice Assignments, and participation in session activities document parents’ progress in learning skills. The program staff review data to determine whether parents are acquiring new skills. Checklists are available for consideration and adaptation to agency needs.

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Fidelity standards

Fidelity standards are not monitored by Family Development Resources, Inc. staff, but rather are the responsibility of the individual agencies.

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Implementation notes

The information contained on this page was last updated in April 2015. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by Family Development Resources, Inc. on April 9, 2015. HomVEE reserves the right to edit the profile for clarity and consistency.

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