Components associated with the effect of home visiting programs on child maltreatment: A meta-analytic review

Components associated with the effect of home visiting programs on child maltreatment: A meta-analytic review

Authors
Gubbels, J. van der Put, C. E. Stams, G. J. J. M. Prinzie, P. J. Assink, M.
Year
2021
Journal
Child Abuse and Neglect
Volume
114 (no pagination)
Pages
Background: Home visiting programs are widely endorsed for preventing child maltreatment. Yet, knowledge is lacking on what and how individual program components are related to the effectiveness of these programs. Objective(s): The aim of this meta-analysis was to increase this knowledge by summarizing findings on effects of home visiting programs on child maltreatment and by examining potential moderators of this effect, including a range of program components and delivery techniques. Method(s): A literature search yielded 77 studies (N=48,761) examining the effectiveness of home visiting programs, producing 174 effect sizes. In total, 35 different program components and delivery techniques were coded. Result(s): A small but significant overall effect was found (d=0.135, 95 % CI (0.084, 0.187), p<0.001). Programs that focused on improving parental expectations of the child or parenthood in general (d = 0.308 for programs with this component versus d = 0.112 for programs without this component), programs targeting parental responsiveness or sensitivity to a child's needs (d = 0.238 versus d = 0.064), and programs using video-based feedback (d = 0.397 versus d = 0.124) yielded relatively larger effects. Providing practical and instrumental assistance was negatively associated with program effectiveness (d=0.044 versus d = 0.168). Further, program effects were larger when percentages of non-Caucasians/non-Whites in samples and follow-up durations increased. Conclusion(s): In general, home visiting programs can prevent child maltreatment only to a small extent. However, implementing specific components and techniques can improve program effectiveness. Copyright © 2021 The Author(s)

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Type of intervention

Early Intervention

Treatment and Child Welfare Interventions

Topic

Parenting Skills

Maltreatment

Neglect

Physical Abuse

Sexual Abuse

Psychological Abuse

Intervention

The organization of interventions

Home-based Interventions

Age group

Infants and Toddlers (0-2 years)

Preschool Aged Children (3-5 years)

School Aged Children (6-12 years)

Adolescents (13-18 years)

Age not specified

More information
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