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IMPLEMENTATION DIFFERENCES OF TWO STAFFING MODELS IN THE GERMAN HOME VISITING PROGRAM “PRO KIND”

Authors


  • The authors would like to thank all those who participated in the study, especially the participating families and the intervention staff. The research was supported by grants from the Duerr Foundation, the Reimann-Dubbers Foundation, the Federal Ministry of Family Affairs, Senior Citizen, Women and Youth, the State Ministry for Social Affairs and Consumer Protection Saxony, and the TUI Foundation. No conflict of interest declared.

Please address correspondence to: Tilman Brand, BIPS – Institute for Epidemiology and Prevention Research, Achterstr. 30, 28359 Bremen, Germany. E-mail: brand@bips.uni-bremen.de

Abstract

As different competencies or professional backgrounds may affect the quality of program implementation, staffing is a critical issue in home visiting. In this study, N = 430 women received home visits delivered either by a tandem of a midwife and a social worker or by only one home visitor (primarily midwives, continuous model). The groups were compared in a quasi-experimental design on level of participation, implementation of the contents, and clients' responsiveness during pregnancy and child's first year of life. Trends towards a higher dropout rate and lower ratings of the helping relationship indicate an increased challenge to retain a strong working alliance in the tandem model. This is attributable to a stronger orientation towards the participants' interest in the continuous model, whereas treatment fidelity in the tandem model is higher. Recommendations to improve the helping relationship in the tandem model are given.

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