An Exploratory Study of Therapeutic Relationships and Participant Retention in a Specialized Home Visiting Program.
Previous studies have shown the positive impacts that home-visiting programs have on children, parents, and families. Despite the record of success from home-visiting programs, there can be high rates of attrition in such programs, and researchers have explored the impact of a variety of socio-demog...
| Publicado en: | Journal of Child & Family Studies Vol. 34; no. 8; pp. 2114 - 2126 |
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| Autores principales: | , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Aug2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=187624443&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 187624443 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10621024 JFM jtl: Journal of Child & Family Studies issn: 10621024 maglogo: N pubinfo: dt: Aug2025 vid: 34 iid: 8 pid: 237 pub: Springer Nature artinfo: ui: 187624443 10.1007/s10826-025-03137-5 ppf: 2114 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P size: 810KB tig: atl: An Exploratory Study of Therapeutic Relationships and Participant Retention in a Specialized Home Visiting Program. aug: au: Chiang, Danielle F. Gardner, Stephen S. Siedlik, Emily A. Sexton, Emma C. affil: https://ror.org/01w0d5g70 Institute for Human Development, University of Missouri Kansas City, Kansas City, MO, USA https://ror.org/04zfmcq84 Children's Mercy Hospital, Kansas City, MO, USA su: Missouri Home care services Substance abuse Evaluation of human services programs Human research subjects Sociodemographic factors Patient participation Research funding Children's hospitals Research Therapeutic alliance sug: subj: Home care services Substance abuse Evaluation of human services programs Human research subjects Sociodemographic factors Patient participation Missouri Paediatric hospitals Specialty (except Psychiatric and Substance Abuse) Hospitals General Medical and Surgical Hospitals Services for the Elderly and Persons with Disabilities Home Health Care Services Offices of All Other Miscellaneous Health Practitioners Offices of all other health practitioners Research funding Children's hospitals Research Therapeutic alliance keyword: Home visiting Medical and Health Sciences Public Health and Health Services Program completion Relationship Retention Substance use disorder Home visiting Medical and Health Sciences Public Health and Health Services Program completion Relationship Retention Substance use disorder ab: Previous studies have shown the positive impacts that home-visiting programs have on children, parents, and families. Despite the record of success from home-visiting programs, there can be high rates of attrition in such programs, and researchers have explored the impact of a variety of socio-demographic factors to understand attrition in home-visiting programs and to drive improvements in the delivery of service. This exploratory study examines how various factors impact participant completion and retention in the TIES program, a home-visiting program based at Children's Mercy Hospital in Kansas City, Missouri, that serves families impacted by substance use. Three hundred nineteen (N = 319) TIES participants from 2012 through 2022 are included in this study. We used statistical analysis to explore how demographic factors impact program completion and retention, as well as how the relationship between the TIES participant and their home visitor, measured by the Working Alliance Inventory Short Form (WAI-S), impacts program completion and retention. This study also examines the impact of participant engagement—measured using an internally developed and validated scale—on program completion and retention within the TIES initiative. Analyses found that demographic variables had no impact on program completion or retention, but, consistent with prior research, a stronger relationship with the home visitor was associated with greater odds of program completion and retention. Stronger participant engagement was also found to be associated with greater odds of program completion and retention. Highlights: Demographic variables do not impact TIES program completion or retention. Stronger participant-home visitor relationships are associated with greater odds of program completion and retention. To build trusting relationships, home visitors need specialized training and support to prevent secondary trauma and burnout. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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