Year: 2025
Type: article
Study design: Observational Study
Abstract: AIM: This study aimed to compare providers' ratings of delivery and fidelity of a post-natal extended home visiting programme within Child Health Services for visits conducted in families' homes versus the clinic setting. METHODS: A retrospective quantitative study based on questionnaires (n = 3028) from child health services nurses and social workers was conducted using non-parametric tests to determine if there were any differences in professionals' perceptions of programme delivery and/or quality. RESULTS: The results from this study indicate significant differences in professionals' perceptions of fidelity, confidence in abilities, content coverage, alliance-building, and emotional climate between home and clinic visits, with higher ratings given in all areas for visits conducted in the home. CONCLUSION: While clinic visits may offer certain logistical advantages for professionals and primary care clinics, they may not provide the optimal environment for delivering the programme with fidelity, which is necessary for achieving the desired outcomes for child health and family well-being. The findings need to be taken into consideration when making decisions about resource allocation for early childhood programmes aimed at equitable health for a more sustainable society.
Source: Acta Paediatrica
DOI: 10.1111/apa.70382
Institutions: Region Västra Götaland, University of Gothenburg
Language: English
Topic: Child and Adolescent Health
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $4,480
OpenAlex ID: W4416721160