Multi-level determinants of retention in a home-visiting child abuse prevention program
Multi-level determinants of retention in a home-visiting child abuse prevention program
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DOI：
10.1016/s0145-2134(03)00024-3
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发表时间：
2003-04-01
影响因子：
4.8
通讯作者：
Pratt, CC
中科院分区：
文献类型：
--
作者：
McGuigan, WM;Katzev, AR;Pratt, CC
目的：本探索性研究探讨来自多个领域的属性如何影响自愿家访预防虐待儿童项目的保留。方法：抽样1093个“有风险”家庭参加了预防虐待儿童的家访项目。共有71名家庭支援工作者在12个不同的社区提供家访服务。使用层次一般线性模型（HGLM）来检查社区，家访者和母亲属性，预测在该计划中超过1年的保留。结果：多层级分析（HGLM）揭示了社区、家访者和母亲水平的显著影响。如果一个家庭生活在一个社区暴力频发的地区，那么他们就不太可能在一个预防虐待儿童的家访项目中呆上至少一年。当家访者得到更多时间的直接监督时，家庭成员更有可能留下来。年长的母亲比年轻的母亲更有可能坚持至少1年。西班牙裔母亲比非西班牙裔白人母亲更有可能留下来。结论：这些研究结果表明，在检查家访儿童虐待预防项目的保留情况时，跨多个层面的影响是有用的。为了提高留用率，家访人员需要适应暴力社区家庭的需要。主管可以通过提供更多的直接监督时间来影响留用率。其他可能有助于计划保留的策略包括满足年轻母亲的日程安排需求，并使年轻母亲的家庭更有效地参与进来。2003爱思唯尔科学有限公司版权所有。
Objective: This exploratory study investigated how attributes from multiple domains influence retention in a voluntary home-visiting child abuse prevention program.Method: A sample of 1093 "at-risk" families participated in a home-visiting child abuse prevention program. A total of 71 Family Support Workers (FSWs) provided home visitation services in 12 different communities. Hierarchical general linear modeling (HGLM) was used to examine the community, home visitor, and maternal attributes that predicted retention in the program beyond 1 year.Results: Multi-level analyses (HGLM) revealed significant community, home visitor, and maternal level effects. Families were less likely to remain in a home-visiting child abuse prevention program for at least 1 year if they lived in an area with high community violence. Families were more likely to remain when the home visitor received more hours of direct supervision. Older mothers were more likely to remain for at least 1 year than were younger mothers. Hispanic mothers were more likely to remain than were White non-Hispanic mothers.Conclusions: These findings demonstrate the utility of looking across multiple levels of influence when examining retention in home-visiting child abuse prevention programs. To increase retention rates home visitors will need to be adaptable to fit the needs of families in violent communities. Supervisors can influence retention rates by providing more hours of direct supervision. Other strategies that may contribute to program retention include meeting the scheduling needs of younger mothers and involving the families of younger mothers more effectively. (C) 2003 Elsevier Science Ltd. All rights reserved.