Promoting First Relationships®—Home Visiting Options

Entries in this row combine information across all versions of Promoting First Relationships that are used with parents in the home.

Model effectiveness research report last updated: 2021

In brief

Evidence of model effectiveness

This model does not meet 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 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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Model description

The Promoting First Relationships (PFR)-Home Visiting Options include 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. The HomVEE review is based on the PFR-Home Visiting Options. The PFR-Home Visiting Options seek 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. Both of the PFR-Home Visiting Options serve 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, the PFR-Home Visiting Options provide parents with information, including handouts, on the social and emotional needs of young children, and strategies to meet these needs. The PFR-Home Visiting Options provide weekly hour-long home visits for 10 to 14 weeks but can be extended based on a family’s needs.

For more information on the PFR-Home Visiting Options, please read the Model Overview.

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Extent of evidence

Promoting First Relationships®—Home Visiting Promotion Model
Results of search and review
Number of manuscripts
At least one finding was eligible for review…
2
  …and at least one finding rated high
0
  …and at least one finding rated moderate (but none rated high)
0
  …and all findings that were eligible for review rated low
1
  …but manuscript is additional source2
1
Promoting First Relationships®—Home Visiting Intervention Model
Results of search and review
Number of manuscripts
At least one finding was eligible for review…
9
  …and at least one finding rated high
3
  …and at least one finding rated moderate
0
  …and all findings that were eligible for review rated low
6
  …but manuscript is additional source2
0

1When an individual manuscript reports findings from multiple studies, HomVEE reviews each study as a distinct manuscript. In these rare instances, HomVEE counts that manuscript multiple times in this table, once for each study identified, screened, and reviewed by HomVEE.

2Additional sources have findings or details that perfectly overlap with another manuscript and are not rated.

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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Summary of findings

To see details on each finding HomVEE reviewed in well-designed research, click on the name of an outcome domain in the tables below. Findings rated low quality by HomVEE are not summarized here.

Promoting First Relationships®—Home Visiting Promotion Model

This model has no manuscripts that report high- or moderate-rated findings.

Promoting First Relationships®—Home Visiting Intervention Model
Outcomes
Findings

Outcome Child Development and School Readiness

Findings:
Favorable: 3
No effect: 11
Unfavorable or ambiguous: 0

Outcome Child Health

Not measured

Outcome Family Economic Self-Sufficiency

Not measured

Outcome Linkages and Referrals

Not measured

Outcome Maternal Health

Findings:
Favorable: 0
No effect: 6
Unfavorable or ambiguous: 0

Outcome Positive Parenting Practices

Findings:
Favorable: 11
No effect: 14
Unfavorable or ambiguous: 0

Outcome Reductions In Child Maltreatment

Findings:
Favorable: 0
No effect: 2
Unfavorable or ambiguous: 0

Outcome Reductions in Juvenile Delinquency, Family Violence, and Crime

Not measured

The section above focuses on findings from the full sample in a study. Subgroups that have been replicated in distinct samples also have findings reported above. HomVEE does not report the findings of non-replicated subgroups. Beginning with research reviewed in 2021, however, HomVEE, lists those subgroups on the details page of each manuscript that had at least one finding that rated moderate or high.

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Criteria established by the U.S. Department of Health and Human Services

Information based on comprehensive review of all high- and moderate-rated manuscripts
Promoting First Relationships®—Home Visiting Promotion Model

This model has no manuscripts that report high- or moderate-rated findings.

Promoting First Relationships®—Home Visiting Intervention Model
CriterionCriterion descriptionCriterion met?
1High- or moderate-quality impact study?Yes
2Across high- or moderate-quality studies, favorable impacts in at least two outcome domains within one sample OR the same domain for at least two non-overlapping samples?Yes
3Favorable impacts on full sample?Yes
4Any favorable impacts on outcome measures sustained at least 12 months after model enrollment?
Reported for all research but only required for RCTs.		No
5One or more favorable, statistically significant impact reported in a peer-reviewed journal?
Reported for all research but only required for RCTs.		Yes

Notes: If the model does not meet criterion 3 but meets criteria 1 and 2 based on findings from subgroups, the impacts must be replicated in the same domain in two or more studies using non-overlapping analytic study samples. HomVEE assesses and reports criteria 4 and 5 for all models that have well-designed research, but meeting those two criteria is only required of models for which all findings are from randomized controlled trials. Please read the HHS criteria for evidence-based models for more information.

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