Evaluación de la visita domiciliaria en programas de primera infancia: contribuciones a la realidad brasileña
DOI:
https://doi.org/10.4025/ciencuidsaude.v20i0.55613Palabras clave:
Visita Domiciliaria, Modelos Teóricos, Desarrollo Infantil, Salud del NiñoResumen
Introducción: este estudio consiste en una reflexión sobre la evaluación de la visita domiciliaria en programas en la primera infancia. Objetivo: discutir las dimensiones involucradas en un modelo de evaluación para la realidad brasileña, además de la percepción de los autores acerca del tema. Método: esta reflexión fue estructurada en los siguientes tópicos: dimensiones involucradas en la evaluación de la visita domiciliaria y el proceso evaluativo en los programas brasileños. Considerando la centralidad y relevancia de la visita domiciliaria en los programas brasileños con foco en la Primera Infancia y la tendencia de consolidación de esta tecnología como forma de intervención adecuada a programas de esa naturaleza, se propone organizar cuatro dimensiones para la evaluación de las visitas domiciliarias: dosificación, contenido, relación y respuesta del participante. Resultado: evaluar la tecnología de intervención de los programas dirigidos a la primera infancia, en el caso la visita domiciliaria, permite investigar los procesos que ocurren durante la entrega de las visitas domiciliarias y abrir la "caja negra" de la intervención, siendo posible aclarar problemas operativos y proponer recomendaciones para corregirlos. Conclusión: el modelo propuesto posibilita a los supervisores y tomadores de decisiones acompañar de forma sistemática y ajustar las dimensiones que impactan en los resultados de los programas de visita domiciliariadirigidos para la Primera Infancia.
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Referencias
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6. Lombardi J. What policymakers need from implementation evaluations of early childhood development programs. Ann N Y Acad Sci. 2018;1419(1):17-19. DOI: 10.1111/nyas.13661
7. Paulsell D, Boller K, Hallgren K, Esposito A. Assessing home visit quality. Zero to Three. 2010;30(6):16-21. Available from: https://eric.ed.gov/?id=EJ926587
8. Manz PH, Power TJ, Roggman LA, Eisenberg RA, Gernhart A, Faison J, et al. Integrating the little talks intervention into Early Head Start: An experimental examination of implementation supports involving fidelity monitoring and performance feedback. Child Youth Serv Rev. 2017;79:87-96. DOI:10.1016/j.childyouth.2017.05.034
9. Schodt S, Parr J, Araujo MC, Rubio-Codina M. Measuring the quality of home-visiting services: a review of the literature. Washington, DC: Inter-American Development Bank; 2015. (IDB Technical Note, 881). Available from: https://publications.iadb.org/publications/english/document/Measuring-the-Quality-of-Home-Visiting-Services-A-Review-of-the-Literature.pdf
10. Hartz ZMA, Vieira-da-Silva LM (org). Avaliação em saúde: dos modelos teóricos à prática na avaliação de programas e sistemas de saúde. Salvador: EDUFBA; Rio de Janeiro: Fiocruz, 2005. 275 p.
11. Berkel C, Mauricio AM, Sandler IN, Wolchik SA, Gallo CG, Brown CH. The Cascading Effects of Multiple Dimensions of Implementation on Program Outcomes: a Test of a Theoretical Model. Prev Sci. 2018;19(6):782-794. DOI:10.1007/s11121-017-0855-4
12. Roggman LA, Cook GA, Innocenti MS, Norman VJ, Boyce LK, Peterson CA. Home visit quality variations in two early head start programs in relation to parenting and child vocabulary outcomes. Infant Ment. Health J.2016;37(3):193-207. DOI:10.1002/imhj.21565
13 .Boller K, Daro D, Strong D, Zaveri H, Paulsell D, Hargreaves M, et al. Data Collection Instruments for the Evidence-Based Home Visiting to Prevent Child Maltreatment Cross-Site Evaluation. Washington, DC: Children’s Bureau, Administration for Children and Families, U.S. Department of Health and Human Services, October 2014. Available from: https://www.mathematica.org/our-publications-and-findings/publications/data-collection-instruments-for-the-evidencebased-home-visiting-to-prevent-child-maltreatment-crosssite-evaluation
14. Wasik BA, Mattera SK, Lloyd CM, Boller K. Intervention dosage in early childhood care and education: It’s complicated. OPRE Res Br OPRE 2013-15.2013.Available from:https://ideas.repec.org/p/mpr/mprres/65bc22bb6a384f7c9b93a82079416a66.html
15. Nygren P, Green B, Winters K, Rockhill A. What’s Happening During Home Visits? Exploring the Relationship of Home Visiting Content and Dosage to Parenting Outcomes. Matern Child Health J. 2018;22(Suppl 1):52-61. DOI:10.1007/s10995-018-2547-5
16 . Aboud FE, Prado EL. Measuring the implementation of early childhood development programs. Ann N Y AcadSci. 2018;1419(1):249-263. DOI: 10.1111/nyas.13642
17. Siqueira LD, Oliveira Reticena K, Nascimento LH, Abreu FCP, Fracolli LA. Home visit assessment strategies: A scope review. Acta Paul.Enferm. 2019;32(5). DOI:10.1590/1982-0194201900081
18. Tomlin AM, Hines E, Sturm L. Reflection in home visiting: the what, why, and a beginning step toward how. Infant Ment Health J. 2016;37(6):617-627. DOI:10.1002/imhj.21610
19. Zarnowiecki D, Nguyen H, Catherine Hampton, Boffa J, Segal L. The Australian Nurse-Family Partnership Program for aboriginal mothers and babies: Describing client complexity and implications for program delivery. Midwifery. 2018;65:72-81. DOI:10.1016/j.midw.2018.06.019
20 .Bromer J, Korfmacher J. Providing High-Quality Support Services to Home-Based Child Care: A Conceptual Model and Literature Review. Early Educ Dev. 2017;28(6):745-772. DOI:10.1080/10409289.2016.1256720
21. Korfmacher J, Frese M, Gowani S. Examining program quality in early childhood home visiting: From infrastructure to relationships. Infant Ment Health J. 2019;40(3):380-394. DOI:10.1002/imhj.21773
22. Shenderovich Y, Eisner M, Cluver L, Doubt J, Berezin M, Majokweni S, et al. Delivering a Parenting Program in South Africa: The Impact of Implementation on Outcomes. J Child Fam Stud. 2019;28(4):1005-1017. DOI:10.1007/s10826-018-01319-y
23. Sama-Miller E, Akers L, Mraz-Esposito A. Home Visiting Evidence of Effectiveness Review: Executive Summary. 2017. Available from:https://www.acf.hhs.gov/opre/resource-library/search?sort=recent.
24. Kaiser DE, Freitas TCS. Programa primeira infância melhor: percepções do visitador. Ciência, Cuidado e Saúde. 2010;9(1):81-90. DOI: 10.4025/cienccuidsaude.v9i1.7195
25. Alves SS, Bezerra CC, Lima CRG. Supervisão da visita domiciliar para o desenvolvimento na primeira infância. Extensão em Ação. 2016;02(11):118-126. Disponível em: http://periodicos.ufc.br/extensaoemacao/article/view/11835
2. Yousafzai AK, Aboud FE, Nores M, Kaur R. Reporting guidelines for implementation research on nurturing care interventions designed to promote early childhood development. Ann N Y AcadSci. 2018;1419(1):26-37. DOI:10.1111/nyas.13648
3. Brasil. Ministério da Saúde. Guia para orientar ações intersetoriais na primeira infância. Brasília, 2018. Disponível em: https://undime.org.br/uploads/documentos/phprjdlba_5e3064022386d.pdf
4. National Academies of Sciences, Engineering, and Medicine. Parenting Matters: Supporting Parents of Children Ages 0-8. Washington, DC: The National Academies Press. 2016.
5. Leer J, Boo F, Expósito A, Powell C. A Snapshot on the Quality of Seven Home Visit Parenting Programs in Latin America and the Caribbean. Washington, DC: Inter-American Development Bank; 2015. (IDB Technical Note, 1083). Available from: https://publications.iadb.org/en/snapshot-quality-seven-home-visit-parenting-programs-latin-america-and-caribbean-0
6. Lombardi J. What policymakers need from implementation evaluations of early childhood development programs. Ann N Y Acad Sci. 2018;1419(1):17-19. DOI: 10.1111/nyas.13661
7. Paulsell D, Boller K, Hallgren K, Esposito A. Assessing home visit quality. Zero to Three. 2010;30(6):16-21. Available from: https://eric.ed.gov/?id=EJ926587
8. Manz PH, Power TJ, Roggman LA, Eisenberg RA, Gernhart A, Faison J, et al. Integrating the little talks intervention into Early Head Start: An experimental examination of implementation supports involving fidelity monitoring and performance feedback. Child Youth Serv Rev. 2017;79:87-96. DOI:10.1016/j.childyouth.2017.05.034
9. Schodt S, Parr J, Araujo MC, Rubio-Codina M. Measuring the quality of home-visiting services: a review of the literature. Washington, DC: Inter-American Development Bank; 2015. (IDB Technical Note, 881). Available from: https://publications.iadb.org/publications/english/document/Measuring-the-Quality-of-Home-Visiting-Services-A-Review-of-the-Literature.pdf
10. Hartz ZMA, Vieira-da-Silva LM (org). Avaliação em saúde: dos modelos teóricos à prática na avaliação de programas e sistemas de saúde. Salvador: EDUFBA; Rio de Janeiro: Fiocruz, 2005. 275 p.
11. Berkel C, Mauricio AM, Sandler IN, Wolchik SA, Gallo CG, Brown CH. The Cascading Effects of Multiple Dimensions of Implementation on Program Outcomes: a Test of a Theoretical Model. Prev Sci. 2018;19(6):782-794. DOI:10.1007/s11121-017-0855-4
12. Roggman LA, Cook GA, Innocenti MS, Norman VJ, Boyce LK, Peterson CA. Home visit quality variations in two early head start programs in relation to parenting and child vocabulary outcomes. Infant Ment. Health J.2016;37(3):193-207. DOI:10.1002/imhj.21565
13 .Boller K, Daro D, Strong D, Zaveri H, Paulsell D, Hargreaves M, et al. Data Collection Instruments for the Evidence-Based Home Visiting to Prevent Child Maltreatment Cross-Site Evaluation. Washington, DC: Children’s Bureau, Administration for Children and Families, U.S. Department of Health and Human Services, October 2014. Available from: https://www.mathematica.org/our-publications-and-findings/publications/data-collection-instruments-for-the-evidencebased-home-visiting-to-prevent-child-maltreatment-crosssite-evaluation
14. Wasik BA, Mattera SK, Lloyd CM, Boller K. Intervention dosage in early childhood care and education: It’s complicated. OPRE Res Br OPRE 2013-15.2013.Available from:https://ideas.repec.org/p/mpr/mprres/65bc22bb6a384f7c9b93a82079416a66.html
15. Nygren P, Green B, Winters K, Rockhill A. What’s Happening During Home Visits? Exploring the Relationship of Home Visiting Content and Dosage to Parenting Outcomes. Matern Child Health J. 2018;22(Suppl 1):52-61. DOI:10.1007/s10995-018-2547-5
16 . Aboud FE, Prado EL. Measuring the implementation of early childhood development programs. Ann N Y AcadSci. 2018;1419(1):249-263. DOI: 10.1111/nyas.13642
17. Siqueira LD, Oliveira Reticena K, Nascimento LH, Abreu FCP, Fracolli LA. Home visit assessment strategies: A scope review. Acta Paul.Enferm. 2019;32(5). DOI:10.1590/1982-0194201900081
18. Tomlin AM, Hines E, Sturm L. Reflection in home visiting: the what, why, and a beginning step toward how. Infant Ment Health J. 2016;37(6):617-627. DOI:10.1002/imhj.21610
19. Zarnowiecki D, Nguyen H, Catherine Hampton, Boffa J, Segal L. The Australian Nurse-Family Partnership Program for aboriginal mothers and babies: Describing client complexity and implications for program delivery. Midwifery. 2018;65:72-81. DOI:10.1016/j.midw.2018.06.019
20 .Bromer J, Korfmacher J. Providing High-Quality Support Services to Home-Based Child Care: A Conceptual Model and Literature Review. Early Educ Dev. 2017;28(6):745-772. DOI:10.1080/10409289.2016.1256720
21. Korfmacher J, Frese M, Gowani S. Examining program quality in early childhood home visiting: From infrastructure to relationships. Infant Ment Health J. 2019;40(3):380-394. DOI:10.1002/imhj.21773
22. Shenderovich Y, Eisner M, Cluver L, Doubt J, Berezin M, Majokweni S, et al. Delivering a Parenting Program in South Africa: The Impact of Implementation on Outcomes. J Child Fam Stud. 2019;28(4):1005-1017. DOI:10.1007/s10826-018-01319-y
23. Sama-Miller E, Akers L, Mraz-Esposito A. Home Visiting Evidence of Effectiveness Review: Executive Summary. 2017. Available from:https://www.acf.hhs.gov/opre/resource-library/search?sort=recent.
24. Kaiser DE, Freitas TCS. Programa primeira infância melhor: percepções do visitador. Ciência, Cuidado e Saúde. 2010;9(1):81-90. DOI: 10.4025/cienccuidsaude.v9i1.7195
25. Alves SS, Bezerra CC, Lima CRG. Supervisão da visita domiciliar para o desenvolvimento na primeira infância. Extensão em Ação. 2016;02(11):118-126. Disponível em: http://periodicos.ufc.br/extensaoemacao/article/view/11835
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2021-09-01
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Evaluación de la visita domiciliaria en programas de primera infancia: contribuciones a la realidad brasileña. (2021). Ciência, Cuidado E Saúde, 20. https://doi.org/10.4025/ciencuidsaude.v20i0.55613
