Practice Wellness: Equipping home visitors with skills in reflective coaching, parent mediated child development, and occupational wellness to strengthen child outcomes among low-resourced families

儿童生命的前3年对于为未来的学习、行为和健康奠定基础至关重要。儿童 在这些成长期处于贫困状态的人所处的环境， 更多地暴露于多种形式和频率的不良事件，这可能会破坏他们的发展 潜力家访已成为全国范围内提高父母能力的一项重要资源， 他们孩子的社会情感和入学准备的发展。Early Head Start（EHS）家庭访客计划 有意定位，以加强儿童的自然支持系统（包括亲子关系），并建立 一个有利于儿童发展和入学准备的长期支助网络。2020年，EHS提供 对全国160 000多名婴幼儿及其家庭进行了4 632 050次家访。在EHS方面存在重大差距 家庭访客字段。有一个未满足的需要，培训教练和专业反思的做法，针对 职业健康和HV能力的交叉点。有针对性的辅导培训和促进反思 实践将加强HVs提供基于证据的，父母介导的干预措施，促进健康 婴儿/幼儿的社会、情感和语言发展。这种培训也将提供一个必要的途径， 提升，并准备他们作为教练的EHS家访制度。这些资源现在不存在。 STTR第一阶段应用旨在帮助缩小这一差距。我们将制定一个教练培训计划， 反思性实践，称为实践健康TM，以满足EHS对参与，有效，以技能为基础的专业人员的需求 HVs的练习工具。实践健康将利用我们在家庭访问和干预研究方面的专业知识， 一个独特的平行培训过程，以：（a）使高风险者能够确定和解决自己的职业健康需求， 通过辅导技能扩展他们的能力，以及（B）加强HV家长辅导互动，目标是 加强儿童发展成果。本研究的两个目标是：（1）开发一个实践健康的原型 HV eLearning辅导和反思实践技能培训，使用迭代开发，咨询6人小组 顾问委员会;及（2）与12名家庭访客的用户组一起评估实践健康的可用性和可行性 6名监督员。如果达到第一阶段的基准， ，我们计划提交第二阶段申请，在该阶段中，我们将修改实践 根据第一阶段咨询委员会和用户组参与者的反馈， 实践健康的有效性，通过一项随机对照试验与HV对他们的教练和反思实践知识， 自我效能，做法，父母参与和儿童成果在资源不足的家庭。

The first 3 years of a child’s life are critical in setting the stage for future learning, behavior, and health. Children living in poverty during these formative years are exposed to environments characterized by insufficient human service resources and greater exposure to multiple forms and frequency of adverse events, which can undermine their developmental potential. Home visiting has become a critical resource nation-wide for enhancing parents’ competencies in strengthening their children’s social-emotional and school readiness development. Early Head Start (EHS) home visitor programs are intentionally positioned to enhance children’s natural support systems (including parent-child relationships) and establish a long-lasting network of supports benefiting children’s development and school readiness. In 2020, EHS provided 4,632,050 home visits to over 160,000 infants/toddlers and their families nationally. A significant gap persists in the EHS home visitor field. There is an unmet need for training in coaching and professional reflective practice targeted to the intersection of occupational health and HV competencies. Targeted training in coaching and facilitation of reflective practices would strengthen HVs provision of evidence-based, parent-mediated interventions promoting healthy infant/toddler social, emotional, and language growth. This training would also provide a needed pathway to career advancement, and prepare them as coaches for the EHS home visiting system. These resources do not now exist. This STTR Phase I application is designed to help close this gap. We will develop a training program in coaching and reflective practice, called Practice WellnessTM, to meet EHS’s need for an engaging, effective, skill-based professional practice tool for HVs. Practice Wellness will draw on our expertise in home visitor and intervention research, and employ a unique parallel training process to: (a) empower HVs to identify and resolve their own occupational wellness needs and expand their competencies with coaching skills, and (b) strengthen HV parent coaching interactions with the goal of enhancing child development outcomes. The two goals of this study are to (1) develop a prototype for Practice Wellness HV eLearning coaching and reflective practices skill training, using iterative development in consultation with a 6-member Advisory Board; and (2) evaluate the usability and feasibility of Practice Wellness with a user group of 12 home visitors and 6 supervisors. If Phase I benchmarks are met , we plan to submit a Phase II application in which we will modify Practice Wellness according to feedback obtained from the Phase I Advisory Board and user group participants and evaluate the efficacy of Practice Wellness via a randomized control trial with HVs on their coaching and reflective practice knowledge, self-efficacy, practices, and parent engagement and child outcomes in under-resourced families.