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Integrating the little talks intervention into Early Head Start: An experimental examination of implementation supports involving fidelity monitoring and performance feedback

Author

Listed:
  • Manz, Patricia H.
  • Power, Thomas J.
  • Roggman, Lori A.
  • Eisenberg, Rachel A.
  • Gernhart, Amanda
  • Faison, Jacqueline
  • Ridgard, Tamique
  • Wallace, Laura E.
  • Whitenack, Jamie M.

Abstract

Enriching home visiting services by incorporating scientifically-supported interventions is a means for improving their effectiveness in promoting child development. However, deliberate efforts to ensure that home visitors are fully knowledgeable and supported to implement interventions with parents of young children are necessary. In this experimental study, a randomly-assigned group of Early Head Start home visitors monitored the fidelity of their provision of a scientifically-based intervention, Little Talks, and the program's general child development services. On a bi-weekly basis, home visitors received performance feedback specific to their implementation of Little Talks and based upon the fidelity data. Findings demonstrated that home visitors showed immediate and consistent mastery of the Little Talks content, while the quality of their implementation, including their clinical decision-making and collaborative processes, improved to adequate levels over time. The Little Talks home visitors showed generalized improvements in their ability to obtain Parent Input while providing the program's typical child development services were detected. In fact, Little Talks home visitors' were superior in obtaining Parent Input relative to comparison home visitors. Further, parents for whom low-quality intervention implementation was observed discontinued their enrollment in home visiting prematurely, while high-quality implementation was associated with sustained enrollment. Limitations for this study are identified, leading to future directions for advancing home visitors' incorporation of evidence-based practices.

Suggested Citation

  • Manz, Patricia H. & Power, Thomas J. & Roggman, Lori A. & Eisenberg, Rachel A. & Gernhart, Amanda & Faison, Jacqueline & Ridgard, Tamique & Wallace, Laura E. & Whitenack, Jamie M., 2017. "Integrating the little talks intervention into Early Head Start: An experimental examination of implementation supports involving fidelity monitoring and performance feedback," Children and Youth Services Review, Elsevier, vol. 79(C), pages 87-96.
    • Handle: RePEc:eee:cysrev:v:79:y:2017:i:c:p:87-96
    DOI: 10.1016/j.childyouth.2017.05.034
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    References listed on IDEAS

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    1. repec:mpr:mprres:7934 is not listed on IDEAS
    2. Emily Sama-Miller & Lauren Akers & Andrea Mraz-Esposito & Marykate Zukiewicz & Sarah Avellar & Diane Paulsell & Patricia Del Grosso, "undated". "Home Visiting Evidence of Effectiveness Review: Executive Summary," Mathematica Policy Research Reports 87df04cf10f344939c4ffce2e, Mathematica Policy Research.
    3. Emily Sama-Miller & Lauren Akers & Andrea Mraz-Esposito & Sarah Avellar & Diane Paulsell & Patricia Del Grosso, "undated". "Home Visiting Evidence of Effectiveness Review (Executive Summary)," Mathematica Policy Research Reports e7ca642d212341c19d252df0b, Mathematica Policy Research.
    4. Barak, Adi & Spielberger, Julie & Gitlow, Elissa, 2014. "The challenge of relationships and fidelity: Home visitors' perspectives," Children and Youth Services Review, Elsevier, vol. 42(C), pages 50-58.
    5. Sarah A. Avellar & Lauren H. Supplee, 2013. "Effectiveness of Home Visiting in Improving Child Health and Reducing Child Maltreatment," Mathematica Policy Research Reports 2d00cdb4b2eb4fee8087572fc, Mathematica Policy Research.
    6. Emily Sama-Miller & Lauren Akers & Andrea Mraz-Esposito & Rebecca Coughlin & Marykate Zukiewicz, "undated". "Home Visiting Evidence of Effectiveness Review: Executive Summary," Mathematica Policy Research Reports ab92c1547bc142a6815d64f33, Mathematica Policy Research.
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