Child Development and School Readiness

Maternal Health

Positive Parenting Practices

Reductions In Child Maltreatment

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One version of Promoting First Relationships (PFR)-Home Visiting Options, called PFR-Home Visiting Intervention Model, meets the criteria established by the Department of Health and Human Services (HHS) for an “evidence-based early childhood home visiting service delivery model” for the general population, but does not meet the criteria for tribal populations.

Another version of PFR-Home Visiting Options, called PFR-Home Visiting Promotion Model, does not meet the criteria established by HHS for an “evidence-based early childhood home visiting service delivery model” for the general population or for tribal populations because the findings from high- or moderate-rated effectiveness studies of the model do not meet all required criteria.

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Promoting First Relationships (PFR) includes two versions that are used with parents in the home: (1) PFR-Home Visiting Promotion Model and (2) PFR-Home Visiting Intervention Model. The only difference between the versions is that in the PFR-Home Visiting Intervention Model, home visitors must have a master’s degree. PFR can also be used one-on-one with parents in a health clinic and with caregivers responsible for group child care. PFR seeks to promote children’s social-emotional development by helping parents read and understand children’s cues and the unmet needs behind challenging behaviors, and supporting parents’ use of sensitive and responsive caregiving behaviors. PFR serves parents of children from birth through age 5 years. A trained home visitor video records the parent interacting with their child at home, and the home visitor and parent view and reflect on the recordings. In addition, PFR provides parents with information, including handouts, on the social and emotional needs of young children, and strategies to meet these needs. PFR provides weekly hour-long home visits for 10 to 14 weeks but can be extended based on a family’s needs.

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For more information, see the research database. For more information on the criteria used to rate research, please see details of HomVEE’s methods and standards.

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Jennifer Rees
Director, Promoting First Relationships Home Visiting
Parent-Child Relationship Programs, Barnard Center
School of Nursing, University of Washington
Box 357231
Seattle, WA 98195

Phone: (206) 616-5380 
Email: rees@uw.edu
Website: http://pfrprogram.org/