HARC - Home Visiting's National R&D Platform
Project Number: UD5MC30792
Grantee: Johns Hopkins University, The
Department/Center: Bloomberg School of Public Health
Project Date: 7/1/2017
Principal Investigator: Anne Duggan
ANNOTATION: As the US scales up evidence-based home visiting (HV), it must broaden and strengthen impacts across targeted families and communities. The Home Visiting Applied Research Collaborative (HARC) is a national HV research and development platform for translational research to accomplish this. This project's goal is to accelerate the translation of HARC members' research into practice by increasing their focus on precision HV and their use of break- through impact research methods (co-creation in intervention design and testing; precision in definitions and measurement; rapid cycle, iterative testing; identification of those who benefit most and least; a focus on active ingredients; and a focus on both programs and systems). PROBLEM: Early childhood sets the stage for health and development across the life span. HV is a 2-generation strategy to promote good child outcomes by improving parenting and family functioning. These, in turn, are influenced by varied factors along several pathways such as parenting expertise and parental health, economic and social circumstances. Families targeted for HV have unique constellations of these factors. We need a solid portfolio of practice-generated translational evidence to improve the HV precision in engaging families in behavior change to build on their assets and address risks for poor parenting. To accelerate the translation of research into practice, studies should embody the principles of breakthrough impact research.PURPOSE: The purpose of this project is to intensify use of breakthrough impact research methods to address national HV priorities around the precision and impact of HV on at-risk families and communities and to accelerate the translation of research results into practice. GOALS AND OBJECTIVES: The goal is to accelerate the translation of HARC members' and others' research into practice by increasing their focus on precision HV and their use of breakthrough impact research methods. We will do this by achieving five objectives: 1. Expand our dissemination of breakthrough impact research principles into the field; 2. Expand members' collaboration in breakthrough impact research to improve HV precision; 3. Engage stakeholders in the national scale up of the breakthrough impact research approach; 4. Disseminate national HV research priorities with HV precision as a unifying theme; 5. Further refine and carry out our strategy for dissemination and use of research findings. METHODOLOGY: In all years, we will engage a National Advisory Council of HV stake- holders to guide our work. In Phase One we will develop: 1) breakthrough impact Research Methodology Guidelines; 2) recommendations for integrating research results into the evidence base; 3) an Action Plan to take HARC to scale; 4) an Action Plan to secure external research funding; and 5) a dissemination plan for these products and research results. We will expand HARC's membership and capacity for research aligned with the Guidelines. In Phase Two, we will use this infrastructure to support HARC members in breakthrough impact research to address national HV priorities around HV precision and impact. Strategies to meet Action Plan performance indicators include: training and TA; resources to seek external funding; coordination of data sharing; linking practitioners and researchers; systematic reviews and meta-analyses; and implementation of our dissemination plan.