Home visit assessment strategies: a scope review

A scope review based on the methodology proposed by the Joanna Briggs Institute, which used PubMed, Web of Science, Scopus, CINAHL, Embase, Virtual Health Library for search. There was addition of studies from other sources. After review by two independent reviewers of the inclusion criteria, 19 studies were selected to compose the sample.

Results

Home visiting programs for early childhood use analysis of visitor notebooks, interview with participants, and application of measurement tools as strategies to assess the visit.

Conclusion

The review has brought a range of approaches that can be adopted according to the purpose of each program and availability of resources. They lack proven effectiveness strategies, as well as validated tools and methods.

House calls; Program evaluation; Child development; Primary health care; Comprehensive health care

Information resource	Search strategy	References retrieved	References selected by title/abstract
MEDLINE	“House Calls”[Mesh] AND “Early Intervention (Education)”[Mesh]) AND “Health Care Quality, Access, and Assessment”[Mesh]	18	13
MEDLINE	“House Calls”[Mesh] AND “Quality of Health Care”[Mesh] AND child development	161	33
Web of Science	home visit quality AND early intervention	245	25
Web of Science	home visit program AND quality AND child development	109	31
Scopus	“home visit” AND fidelity	40	6
CINAHL	home visiting programs AND fidelity	19	03
CINAHL	home visits AND early intervention	277	28
Embase	“home visits” AND quality AND “child development”	13	02
Virtual Health Library	“visita domiciliar” [DeCS] AND “desenvolvimento infantil” [DeCS]	22	01

Authors/Year	Objective	Study design	Participants	Country
Leer J, Boo F, Expósito A, Powell C (2016)⁽¹⁶⁾	To assess home visit in the areas of content, relationships and activities carried out at home.	Observational during home visit by measuring tool	Families (n= 40)	Peru, Brazil, Jamaica, Bolivia, Nicaragua, Panama and Ecuador
Paulsell D, Boller K, Hallgren K, Esposito A (2010)⁽¹⁷⁾	To present information about elements adopted to assess home visit.	A theoretical study	-	United States
Korfmacher J, Laszewski A, Sparr M, Hammel J (2012)⁽¹⁸⁾	To develop a tool for assessing the quality of home visiting programs for early childhood.	A methodological study	Visiting Programs (n- 11)	United States
Hallgren K, Boller K, Paulsell D (2010)⁽¹⁹⁾	To assess home visit in content and quality domains.	An observational through filming and use of measuring tools.	Home visits (n=35)	United States
Watson C, Bailey A, Storm K (2016)⁽²⁰⁾	To use reflexive practice to assess the quality of home visits and training of visitors.	Use of questionnaire and interview with visitors and supervisors.	Supervisors (n- 26) and visitors (n- 66)	United States
Black K, Wenger M, O’Fallon M (2015)⁽¹⁰⁾	To develop a tool that incorporates a longitudinal model for the assessment and development of nurse visiting skills.	A methodological study	Visiting nurse and supervisors	United States
Ammerman R, Putnam F, Kopke J, Gannon T, Short J, Ginkel J, Clark M, Carrozza M, Spector A (2007)⁽²¹⁾	Describes the use of quality indicators for home visit assessment.	A methodological study	Visitors, supervisors and support staff	United States
Vaughn L; Forbes J; Howell B (2009)⁽²²⁾	To assess home visit through the participation of families.	A qualitative study that used photovoice and content analysis.	Families (n= 07)	United States
Saıa T, Lerner E, Greacen T, Simon-Vernier E, Emer A, Pintaux E, Guedeney A, Dugravier R, Tereno S, Falissard B, Tubach F (2012)⁽²³⁾	To assess home visit fidelity through the notebooks of visits.	A qualitative study that carried out analysis of in visit notebooks content.	Families (n= 105)	France
Robling M (2014)⁽²⁴⁾	To assess home visit in the content domain addressed.	A qualitative study that recorded home visit and estimated the time spent in each theme of the curriculum of the program.	Families (n= 139)	England
Roggman L, Cook G, Innocenti M, Norman V, Boyce L, Peterson C (2016)⁽⁹⁾	To assess the quality of the domiciliary visit in the relationship domain-visitor-caregiver-child.	A quantitative study by filming the visit and using the measuring tool	Families (n= 71)	United States
Drummond J, Weir A, Kysela G (2002)⁽²⁵⁾	To assess the practices used in home visit.	A qualitative study through the analysis of notebooks for visits.	Families (n= 50)	Canada
Korfmacher J, Sparr M, Chawla N, Fulford J, Fleming J (2012)⁽²⁶⁾	To assess the quality of the domiciliary visit in the relationship domain-visitor-caregiver-child.	A quantitative study by filming the visit and using the measuring tool	Families (n= 85)	United States
Brand T, Jungmann T (2012)⁽²⁷⁾	To assess home visit in the content domain addressed.	A qualitative study through analysis of visit notebooks that analyzed the time spent in each content and the materials used in the visit.	Visitors (n= 60)	Germany
Roggman L, Boyce L, Cook G, Jump V (2001)⁽²⁸⁾	To assess content and quality home visits.	A quantitative study using a measuring tool.	Families (n= 49)	United States
Manz P, Power T, Roggman L, Eisenberg R, Gernhart A, Faison J, Ridgard T, Wallace L, Whitenack J (2017)⁽¹¹⁾	To assess the content fidelity approach of the curriculum of the program in home visit.	A quantitative study by self-applied measuring tool by visitors.	Visitors (n= 08)	United States
Schodt S, Parr J, Araujo M, Rubio-Codina M (2015)⁽¹³⁾	To review the literature on the definition and quality measurement of home visiting programs to promote early childhood development	A literature review that describes measurement tools to be used in the assessment of home visit.	Visiting programs	United States
King P (2016)⁽²⁹⁾	To develop a structured and oriented tool for assessment and recording of home visit content.	A methodological study	Visiting programs	United States
Tomlin A, Hines E, Sturm I (2016)⁽³⁰⁾	To assess home visit through the interaction of visitor with participant.	A qualitative study through an interview with the visitors.	Visitors (n= 09)	United States

Assessment Modality	Visiting Program
Analysis of Visiting Notebooks	Pro-Kind⁽²⁷⁾
	Parent Support Program⁽²⁵⁾
	CAPEDP Project⁽¹³⁾
Interview	Every Child Succeeds^(21,22)
	Maternal, Infant, and Early Childhood Home Visiting⁽²⁰⁾
	Indiana First Steps⁽³⁰⁾
Tools	Cuna Más in Peru⁽¹⁶⁾
	Creciendo con Nuestros Hijos⁽¹⁶⁾
	Programa de Acompañamiento a la Política de Primera Infancia⁽¹⁶⁾
	Programa Primeira Infância Melhor⁽¹⁶⁾
	Home Visits Program in Kingston and Saint Andrews⁽¹⁶⁾
	Atención Integral de la Niñez con Participación Comunitaria⁽¹⁶⁾
	Consejo de Salud Rural Andino (CSRA) ⁽¹⁶⁾
	Partnering with Families for Early Learning⁽¹⁹⁾
	Nurse-Family Partnership⁽¹⁰⁾
	Family Nurse Partnership⁽²⁴⁾
	Early Head Start^(9,11,28)
	Early Childhood Block Grant⁽²⁶⁾
	Parent as teacher⁽³⁰⁾

Tool	Domains assessed
Working Alliance Inventory	Visitor-participant involvement
Home Visit Rating Scale	Responsibility of the visitor to the family;
	Relationship with family members;
	Facilitating the interaction between caregiver and child;
	Non-intrusion and collaboration of the visitor;
	Caregiver-child interaction;
	Involvement of the caregiver and the child in the visit.
Home Visiting Encounter Form	Time to approach the program content.
Home Visit Characteristics and Content form	Duration of visit
	Participants of the visit;
	Developed activities;
	Time in each activity;
	Distractions during the visit.
Home Visit Observation form	Interviewer-caregiver-child interaction;
	Engagement of the family;
	Content of the visit.
Home Visit Assessment Tool	Content addressed at home visit;
	Engagement of participants;
	Description of the visit and resumption of the last visit.
COACH (Competent Adherence to the Family Check-Up)	Content addressed at home visit;
	Responsive relationship between visitor and participant.
Nursing Practice Assessment	Content addressed at home visit;
	Collaborative practice and therapeutic relationships;
	Organization and documentation of the visit.
Home Visiting Program Quality Rating Tool (HVPQRT)	Content addressed at home visit.
Home Visit Checklist	Description of the visit and resumption of the last visit;
	Activities and methods used;
	Caregiver-visitor-child relationship;
Little Talks Fidelity form	Content and materials used in home visit;
	Engagement of participants.

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E-mail: actapaulista@unifesp.br

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[1] Corresponding author. Lucíola D’Emery Siqueira https://orcid.org/0000-0001-5087-9824 Email: luciola.demery@gmail.com