Quality Home Visits: Activities to Promote Meaningful Interactions




Kere Hughes-Belding, Carla A. Peterson, Melissa Clucas Walter, Neil Rowe, Liuran Fan, Leslie J. Dooley, Chloe Steffensmeier, Wen Wang, Juan Bao, and Krista Goodman

Brief Type

Journal Publication


  • Early Head Start Home-Based Option
  • Healthy Families America (HFA)
  • Nurse-Family Partnership (NFP)


Examination of and support for specific practices that promote high-quality home visiting are essential as family support programs continue to expand across the country. The current study used direct observation of 91 home visits across 41 home visitors to examine relations among interaction partners, content of the interactions, the home-visitors’ activities, and quality of home-visitors’ practices and family members’ engagement within programs funded by the Maternal, Infant, and Early Childhood Home Visiting program. More time spent in triadic interactions focused on child-related content, as measured by the Home Visit Rating Scale-Revised, was related to higher quality of family engagement in home visits, as measured with the Home Visit Observation Rating Scales. Time spent in adult-focused interactions and administrative tasks, however, was related to lower quality of home visiting practices and family engagement. Implications for research and practice are discussed. (author abstract)

Data Collection Methods

  • Home Visit Observations
  • Standardized assessment tools
  • Surveys or questionnaires



For More Information

Hughes, B. K., Peterson, C. A., Clucas Walter, M., Rowe, N., Fan, L., Dooley, L. J., . . . Goodman, K. (2019). Quality home visits: Activities to promote meaningful interactions. Infant Mental Health Journal. Advance online publication. doi: 10.1002/imhj.21779
Author Contact Information:
Kere Hughes-Belding


  • Program Quality, Continuous Quality Improvement, and Fidelity