Promoting First Relationships®: Implementing a Home Visiting Research Program in Two American Indian Communities.
Monica Oxford, Cathryn Booth-LaForce, Abigail Echo-Hawk and 7 others
PMID 32216455WHAT IT FOUND
Home visiting for families on two rural American Indian reservations was adapted by hiring local tribal staff, lengthening training, adding personal check-in time, and changing handouts and crisis supports.
The paper reports no caregiver or child outcomes.
Key findings
01Adaptations were identified from focus groups with 11 participants at one site and 13 at the other.
02Further adaptations came from feedback during the training of tribal research visitors and PFR providers.
03The paper does not address Phase 2, where parents and children under three were to be recruited and randomly assigned.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
This paper describes Phase 1 adaptations and explicitly does not address Phase 2 recruitment or random assignment. It reports no measured caregiver or child outcomes, so it cannot show that PFR or the adaptations improved care. Focus groups included 11 participants at one site and 13 at the other, and participants were identified by local supporters or staff, which may limit whose views were heard. The two tribes and communities are not identified, and adaptations varied between sites, so it is hard to know which changes would transfer to another setting. The paper does not state whether the home visiting providers were nurses, so it does not directly test nurse-delivered care.
Declared interests
The supplied text does not include a funding or conflicts declaration. It states that the first author was also the director of the PFR program.
The easy way to misread this
Do not read this as evidence that PFR improved caregiver or child outcomes. It describes Phase 1 adaptations and says Phase 2, with random assignment of parents and children under three, is not addressed.