Existing research has found that home visiting programs for families with young children can improve children's development and strengthen caregiver and family well-being. However, the pandemic created numerous challenges for home visiting programs, forcing them to deliver services online or in a hybrid format to respond to pandemic-related challenges. Questions remain about the impacts of these programs when delivered at-scale via a hybrid model, especially during this uniquely challenging time. The present study reports 12-month impacts from a randomized controlled trial of Child First-an evidence-based home visiting program that provides psychotherapeutic, parent-child intervention (children ages 0-5) embedded in a coordinated system of care-when implemented as a hybrid service. This study estimates impacts within four domains: families' receipt of services, caregiver psychological well-being and parenting, child behavior, and family economic well-being. After randomly assigning families (N = 226) to receive Child First or typical community services, the research team surveyed caregivers (N = 183) about a year after study enrollment. Results from regression models with site fixed effects revealed suggestive evidence that Child First reduced caregivers' job loss, residential mobility, and self-reported substance abuse, and increased receipt of virtual services during the pandemic. There were null impacts on caregivers' psychological well-being, families' involvement with the child welfare system, children's behaviors, and other indicators of economic well-being. Implications for future research and policy are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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大流行期间家访的影响：来自儿童优先随机对照试验的证据。

现有研究发现，针对有幼儿的家庭的家访计划可以改善儿童的发展并增强护理人员和家庭的福祉。然而，大流行给家访计划带来了许多挑战，迫使他们以在线或混合形式提供服务，以应对与大流行相关的挑战。关于这些计划通过混合模式大规模交付时的影响仍然存在疑问，特别是在这个独特的挑战时期。本研究报告了“儿童优先”一项随机对照试验的 12 个月影响，该试验是一项基于证据的家访计划，提供嵌入协调护理系统中的心理治疗、亲子干预（0-5 岁儿童），实施时为混合服务。这项研究估计了四个领域的影响：家庭接受服务、照顾者心理健康和养育子女、儿童行为和家庭经济福祉。在随机分配家庭（N = 226）接受儿童优先或典型社区服务后，研究小组在研究注册大约一年后对护理人员（N = 183）进行了调查。具有地点固定效应的回归模型的结果揭示了暗示性证据，表明“儿童优先”减少了护理人员的失业、居住流动性和自我报告的药物滥用，并增加了大流行期间虚拟服务的接受程度。对照顾者的心理健康、家庭参与儿童福利系统、儿童的行为和其他经济福祉指标没有影响。讨论了对未来研究和政策的影响。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。