Implementing Promoting First Relationships®—Home Visiting Option

Implementation last updated: 2019

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

In addition to the curriculum, the following materials are available for purchase from PCRP:

  • Promoting First Relationships Social-Emotional Cards provide examples of how to meet social-emotional needs of infants and toddlers
  • Promoting First Relationships Parent/Caregiver Book provides information on supporting young children’s social and emotional growth
  • Promoting First Relationships Parent/Caregiver DVD describes elements of a healthy parent/caregiver-child relationship
  • BabyCues™ cards and DVD are designed to help parents learn about the meaning of their children’s nonverbal behaviors.
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Service delivery forms

PFR-Home Visiting Option provides a checklist that enables home visitors to track completed curricular items.

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Assessment tools

PFR-Home Visiting Option does not use formal assessment tools.

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PFR-Home Visiting Option uses the PFR curriculum, which is available for purchase from PCRP. The curriculum includes an outline of activities and discussions and covers the following topics: elements of a healthy relationship, attachment theory and secure relationships, reflective capacity-building, development of self for infants and toddlers, challenging behaviors, strategies for working with parents/caregivers, and intervention planning. The curriculum package includes a manual, a pack of handouts for caregivers, and a DVD.
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Available languages

PFR-Home Visiting Option parent/caregiver handouts and Social-Emotional cards are available in English and Spanish.

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Fidelity measurement

Using a video recording of a home visit during which the home visitor and parent review a parent-child interaction video, a PFR master trainer assesses the home visitor on content delivery, parent engagement strategies, and the quality of the home visitor’s interaction with the family.
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Fidelity standards

Home visitors must pass annual fidelity assessments to remain certified. According to the developer, more information on implementation fidelity is available in Oxford, M. L., Spieker, S. J., Lohr, M. J., Fleming, C. B., Dillon, C., & Rees, J. (2018). Ensuring implementation fidelity of a 10-week home visiting program in two randomized clinical trials. Maternal & Child Health Journal, 22(3), 376-383. doi:10. More information on the fidelity standards is available by contacting PCRP.

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Implementation notes

The information contained on this page was last updated in July 2019. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by the Barnard Center on February 26, 2019. HomVEE reserves the right to edit the profile for clarity and consistency.

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