Approaches to Better Engage Parent–Child in Health Home-Visiting Programmes: A Content Analysis




Winsome Lam, Angela Dawson, and Cathrine Fowler

Brief Type

Journal publication


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Home visiting is an evidence-based strategy used to enhance child and family health outcomes. Such primary healthcare endeavors demand the full participation of individuals and families. We conducted a review to identify approaches to planning, executing and assessing home-visiting health promotion interventions to determine how parents and children can be best engaged. A structured search (2000–2015) was undertaken using a defined search protocol. The quality of the papers was assessed using standard appraisal tools. Sixteen studies were retrieved. A content analysis of the findings sections of the papers was undertaken and guided by the eight phases of the PRECEDE-PROCEED health promotion planning framework. The analysis found that while all the PRECEDE assessment areas were represented no studies included all phases. Parents and children did not appear to be actively involved in undertaking the assessments and evaluation of the home-visiting health promotion programs. The findings suggest that there is a need to develop a consistent home-visiting approach that includes comprehensive assessments in the planning phases and parent and child involvement at each step of program development, implementation and evaluation. This approach enables the development of tailored and sustainable health promotion intervention in order to achieve optimal child health outcomes. (author abstract)

Data Collection Methods

  • Focus groups
  • Parent-child observations
  • Program administrative record reviews
  • Record and document reviews
  • Standardized assessment tools
  • Surveys or questionnaires



For More Information

Lam, W., Dawson, A., & Fowler, C. (2017). Approaches to better engage parent–child in health home-visiting programmes: A content analysis. Journal of Child Health Care, 21(1), 94–102. http://doi.org/10.1177/1367493516653260
Author Contact Information:
Winsome Lam


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  • Participant Recruitment, Retention, Engagement, and Dosage