학술논문

Promoting Child Development During the COVID-19 Pandemic: Parental Perceptions of Tele-Home Visits in Early Head Start Programs
Document Type
article
Source
Maternal and Child Health Journal. 26(12)
Subject
Social Work
Human Society
Pediatric
Clinical Research
Behavioral and Social Science
Prevention
Health Services
7.1 Individual care needs
Management of diseases and conditions
Child
Infant
Newborn
Female
Humans
Early Intervention
Educational
House Calls
Child Development
COVID-19
Pandemics
Parents
Early Head Start
Home visits
Telehealth
Medical and Health Sciences
Studies in Human Society
Public Health
Biomedical and clinical sciences
Health sciences
Human society
Language
Abstract
ObjectiveThe COVID-19 pandemic prompted families to receive Early Head Start (EHS) home-based services virtually. This qualitative study evaluated parental perceptions of EHS tele-home visits.MethodsEHS parents who had transitioned to tele-home visits using any video-chat platform were recruited to participate in a Spanish or English virtual focus group that assessed their perceptions of tele-home visits. Using an iterative, consensus-seeking inductive content analysis approach, themes and subthemes were identified.ResultsThirty-five mothers of children newborn to 3-years-old, where the majority were Latino and Spanish-speaking, participated in four focus groups. Several patterns pertaining to technology, child engagement, child learning and development, and parent-home visitor relationship emerged in the qualitative analysis. Mothers revealed varying degrees of digital proficiency, device preference, and technology challenges. Mothers reported variability in child engagement and concerns with missed socialization opportunities for children as a results of tele-home visits, but also reported increased self-efficacy in supporting child development, positive relationships with their home visitor, and overall satisfaction with services.ConclusionParents revealed tele-home visits have the potential to be a viable service delivery method for EHS home-based programs. While parents perceived increased engagement and an uncompromised parent-home visitor relationship, they revealed areas of needed support that would optimize the use of tele-home visits.