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|Title: ||Maternal involvement in a nurse home visiting program to prevent child maltreatment|
|Authors: ||Flemington, Tara Jane|
|Keywords: ||home visiting, maternal involvement, engagement, child abuse and neglect, community nursing, retention|
|Issue Date: ||29-Aug-2013|
|Publisher: ||University of Sydney.|
|Abstract: ||This thesis aimed to explore key maternal characteristics and program factors related to maternal involvement in a nurse home visiting program to prevent child maltreatment. The relationship between maternal involvement and program outcomes was also examined.
Ecological Systems Theory and the Integrated Theory of Parental Involvement were used to contextualise the study design and shape research questions. Secondary data analysis was performed using data collected during an earlier randomised controlled trial, in which 40 women who met criteria placing them at risk of potential child abuse or neglect were enrolled in either the standard nurse home visiting program or the augmented intervention. Primary data related to maternal involvement were collected via chart audit. Statistical analysis focused on measures of clinical significance, and correlations examined the relationships between maternal involvement and the program outcomes of measurement of the home environment (HOME) scores and maternal responsivity to the infant.
No clinically significant relationships were found between program augmentation and maternal involvement in the home visiting program. Women categorised as being at-risk received more home visits than other women. One notable exception to this finding is that women in relationships characterised by intimate partner violence were more likely to leave the program early and to receive less home visits. A positive relationship emerged in which women who received more home visits had a higher level of responsivity to their infant and also scored highly on HOME total scores.
This study provides a valuable addition to the growing body of literature investigating how home visiting can contribute to positive outcomes for at-risk families. It highlights the importance of further, theoretically based research to disentangle antecedents of maternal involvement and the subsequent impact on program outcomes.|
|Type of Work: ||Masters Thesis|
|Type of Publication: ||Master of Philosophy M.Phil|
|Appears in Collections:||Sydney Digital Theses (Open Access)|
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|Tara Flemington - Final Amended Thesis.pdf||1.97 MB||Adobe PDF|
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