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Research on Social Work Practice
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Strengthening Families With First-Born Children: Exploratory Story of the Outcomes of a Home Visiting Intervention

Iván A. de la Rosa

Joanne Perry

Lisa E. Dalton

New Mexico State University

Victoria Johnson

First-Born Program

Objective: Using a theory of change framework, this study examines outcome measures of a home visitation program that provided services to first-born children and their parents living in southwestern New Mexico. Method: Home visitation workers conducted pretest and posttest assessments for prenatal and postpartum periods for 109 families receiving services in the First-Born Program. Families were assessed using the Revised North Carolina Family Assessment Scale. Paired sample t tests were used to assess effect. Results: Clients participating in the First-Born Program displayed significantly higher posttest scores on measures of family resiliency. Specifically, clients demonstrated improved scores in operationalized measures of resilience: social support, caregiver characteristics, family interaction measures, and a reduction in personal problems affecting parenting. Conclusion: The results are promising as participants were observed to make positive improvements in specific areas related to family resiliency.

Key Words: home visitation • family resilience • program evaluation • child development • preventive intervention

Research on Social Work Practice, Vol. 15, No. 5, 323-338 (2005)
DOI: 10.1177/1049731505277004
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