TY  - JOUR
PY  - 2021//
TI  - Components associated with the effect of home visiting programs on child maltreatment: a meta-analytic review
JO  - Child abuse and neglect
A1  - Gubbels, Jeanne
A1  - van der Put, Claudia E.
A1  - Stams, Geert-Jan J. M.
A1  - Prinzie, Peter J.
A1  - Assink, Mark
SP  - e104981
EP  - e104981
VL  - 114
IS  - 
N2  - BACKGROUND: Home visiting programs are widely endorsed for preventing child maltreatment. Yet, knowledge is lacking on what and how individual program components are related to the effectiveness of these programs. <br><br>OBJECTIVE: The aim of this meta-analysis was to increase this knowledge by summarizing findings on effects of home visiting programs on child maltreatment and by examining potential moderators of this effect, including a range of program components and delivery techniques. <br><br>METHODS: A literature search yielded 77 studies (N=48,761) examining the effectiveness of home visiting programs, producing 174 effect sizes. In total, 35 different program components and delivery techniques were coded. <br><br>RESULTS: A small but significant overall effect was found (d=0.135, 95 % CI (0.084, 0.187), p<0.001). Programs that focused on improving parental expectations of the child or parenthood in general (d = 0.308 for programs with this component versus d = 0.112 for programs without this component), programs targeting parental responsiveness or sensitivity to a child's needs (d = 0.238 versus d = 0.064), and programs using video-based feedback (d = 0.397 versus d = 0.124) yielded relatively larger effects. Providing practical and instrumental assistance was negatively associated with program effectiveness (d=0.044 versus d = 0.168). Further, program effects were larger when percentages of non-Caucasians/non-Whites in samples and follow-up durations increased. <br><br>CONCLUSIONS: In general, home visiting programs can prevent child maltreatment only to a small extent. However, implementing specific components and techniques can improve program effectiveness.<p />  <p>Language: en</p>
LA  - en
SN  - 0145-2134
UR  - http://dx.doi.org/10.1016/j.chiabu.2021.104981
ID  - ref1
ER  -