Cited by 24Child and Adolescent HealthMaternal and Neonatal HealthcareInfant Development and Preterm Care

Parents' Experiences of Receiving Professional Support Through Extended Home Visits During Pregnancy and Early Childhood—A Phenomenographic Study

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Bäckström, Caroline, Thorstensson, Stina, Pihlblad, Jessica, Forsman, Anna-Carin, Larsson, Margaretha·2021·Frontiers in Public Health

Abstract

Background: While becoming a parent can be challenging for all, it can particularly be challenging for those parents and children who are in a vulnerable situation—e.g., in families whose members have problems related to health, relationships, or socioeconomic status. It is essential for health care professionals to identify the more vulnerable families at an early stage. Home visits are one cost-effective way of identifying and supporting such families. This study describes the parental experiences of an intervention that involves professional support in the form of extended home visits. The aim of the study is to describe the parents' understanding of their experiences of receiving professional support through extended home visits both during pregnancy and the first 15 months of their child's life. Methods/Design: A phenomenographic approach was used. Semi-structured interviews were conducted with 12 parents who had received the intervention. The interviews were analyzed using the seven-step phenomenography model described by Sjöström and Dahlgren. Results: The following three descriptive categories emerged from the analysis: (1) conceptions concerning the meaning of the physical environment , (2) conceptions concerning extended home visits promoting feelings of self-confidence in the parental role , and (3) conceptions concerning extended home visits promoting parental participation and relations . Conclusion and Clinical Implications: Extended home visits as a form of professional support appear to promote parental self-confidence in parenting ability, giving parents a feeling of security that facilitates conversation with professionals. Children and their entire families had natural roles during home visits, which allowed the children to behave more characteristically. Furthermore, the home visits were understood to facilitate social support through social activities at the child health center as well as integration into Swedish society for migrant parents. Professional support should be adjusted to the unique individual needs of parents, which demands a variety of supportive interventions—for example, reorganizing one or two of the regular clinical visits currently being scheduled as home visits instead.

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  • From parents' perspective, extended home visits are experienced as reassuring and as promoting parental self-confidence in parenting ability, as well as giving parents a feeling of security that facilitates conversations with professionals, especially when mutual trust is created.

    “From the parents’ perspective, these extended home visits are experienced as reassuring and as promoting parental self-confidence in parenting ability, as well as giving parents a feeling of security that facilitates conversations with professionals, especially when a sense of mutual trust is created (Bäckström et al., 2021).”
  • From parents' perspective, home visits provide opportunities for professionals to investigate the child's home environment and detect any potential danger.

    “From the parents’ perspective, home visits provide opportunities for professionals to investigate the child’s home environment and detect any potential danger (Bäckström et al., 2021).”
  • Professional support can strengthen parents' parenting ability.

    “New parents can be surprised by changes in their parental–couple relationships (Deave and Johnson, 2008), and professional support can strengthen parents’ parenting ability (Bäckström et al., 2021; Larsson et al., 2020).”

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10 of the 50 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. [32]Creswell JW. Qualitative Inquiry and Research Design: Choosing Among Five Approaches. Los Angeles, CA: Sage Publications (2017).

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Authors
Bäckström, C., Thorstensson, S., Pihlblad, J., Forsman, A.-C., & Larsson, M.
Affiliations
  • University of Skövde (SE)
  • Region Västra Götaland (SE)
Corresponding author
Bäckström, Caroline
Venue
Frontiers in Public Health
Published
2021-02-22
Volume
9
Pages
578917-578917
ISSN
2296-2565 (ISSN-L)
OpenAlex
W3133137918
Cited by
24
References
50
Citations by year
2026: 3 · 2025: 6 · 2024: 4 · 2023: 7 · 2022: 2 · 2021: 2
FWCI
4.21
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Public Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Högskolan i Skövde
Topics
  • Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Keywords
parental experiences, professional support, pregnancy, early childhood, vulnerable families, parental confidence, parental involvement, social support, migrant parents, child health centres, physical environment, phenomenography
MeSH terms
Child, Child, Preschool, Female, House Calls, Humans, Learning, Parents, Pregnancy, Sweden, Parenting

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