ArticleBMC health services research2026
Toward better home visits: a mixed-methods study identifying disparities in early childhood program delivery to promote health equity.
Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed.
- Scaling an equity-oriented extended home visiting programme in Sweden: costs and cross-sectoral fiscal distribution.European journal of public health · 2026Article
- Transition to parenthood: parents' experiences of an extended home visiting programme in socioeconomically disadvantaged areas of Sweden.International journal for equity in health · 2026Article
- Clinic Versus Home: Nurses' and Social Workers' Perceptions of Extended Home Visits.Acta paediatrica (Oslo, Norway : 1992) · 2026Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResearch and policy developments in the area of early childhood development and health equity have led to an increase in parent support interventions. An extended home visiting program within Child Health Services in collaboration with social services was developed to improve health equity among children in socioeconomically deprived areas as an early, trust-based, and proportionate universalism intervention. To ensure that evidence-based program models are replicated and implemented successfully, it is essential to monitor fidelity to core components during program delivery. This study aims to investigate the delivery of home visits during the scale-up of an early childhood home visiting model in socio-economically disadvantaged areas in Gothenburg, Sweden, with particular focus on health equity.
methodsA convergent mixed-methods approach was applied, using data from fidelity monitoring collected through a questionnaire filled out after each visit by the nurses and social workers who provided the home visits. Initial directed content analysis with pre-determined categories was carried out. The qualitative findings informed a subsequent quantitative analysis, which included non-parametric testing to compare program delivery based on variation in home visit characteristics.
resultsThe reported content of home visits was very similar to the original program core components. Professionals indicated high levels of satisfaction with their ability to implement the program model, successfully working in professional teams, and establishing an alliance with families. At the same time, communication and parents' participation were noted as challenging aspects. Disparities in program delivery were found between visits with and without an interpreter present, as well as visits with one or both parents present.
conclusionsThe findings suggest successful replication of the program model during scale-up. However, the disparities observed in staff reports on program delivery represent a threat to the principles of proportionate universalism and could potentially increase inequities in the conditions for optimal child development. It is therefore essential to develop strategies to overcome language barriers, to promote fathers' continued engagement, and to ensure equitable program delivery.
trial registrationThe study was retrospectively registered on 19/09/2024 in the ISRCTN registry (ISRCTN19253469).
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.