[Federal Register Volume 89, Number 65 (Wednesday, April 3, 2024)]
[Notices]
[Pages 23026-23028]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-07009]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities Title: Assessing the Use 
of Coaching To Promote Positive Caregiver-Child Interactions in Home 
Visiting

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services.

ACTION: Notice.

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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, HRSA 
submitted an Information Collection Request (ICR) to the Office of 
Management and Budget (OMB) for review and approval. Comments submitted 
during the first public review of this ICR will be provided to OMB. OMB 
will accept further comments from the public during the review and 
approval period. OMB may act on HRSA's ICR only after the 30-day 
comment period for this notice has closed.

DATES: Comments on this ICR should be received no later than May 3, 
2024.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under Review--Open for 
Public Comments'' or by using the search function.

FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance 
requests submitted to OMB for review, email Joella Roland, the HRSA 
Information Collection Clearance Officer, at [email protected] or call 
(301) 443-3983.

SUPPLEMENTARY INFORMATION: 
    Information Collection Request Title: Assessing the Use of Coaching 
to Promote Positive Caregiver-Child

[[Page 23027]]

Interactions in Home Visiting OMB No. 0906-xxxx[NEW].
    Abstract: The Maternal, Infant, and Early Childhood Home Visiting 
(MIECHV) Program, authorized by Social Security Act, Title V, Sec.  511 
(42 U.S.C. 711) and administered by HRSA in partnership with the 
Administration for Children and Families, supports voluntary, evidence-
based home visiting services during pregnancy and for parents with 
young children up to kindergarten entry. States, tribal entities, and 
certain nonprofit organizations are eligible to receive funding from 
the MIECHV Program and have the flexibility to tailor the program to 
serve the specific needs of their communities. Funding recipients may 
subaward grant funds to local implementing agencies to provide home 
visiting services to eligible families in at-risk communities.
    This information collection is part of the Assessing and Describing 
Practice Transitions Among Evidence-Based Home Visiting Programs in 
Response to the COVID-19 Public Health Emergency Study, which aims to 
identify and study practices implemented in response to the COVID-19 
public health emergency that support evidence-based practice and have 
the potential to enhance home visiting programming. One of the 
practices the study identified is the use of coaching to promote 
caregiver-child interactions and positive caregiving skills. Coaching 
involves a home visitor providing instructions to the parent or 
caregiver as they carry out the skill and differs from a common home 
visiting strategy, modeling, in which home visitors first demonstrate a 
skill themselves before asking the parent or caregiver to try it. The 
purpose of this information collection is to better understand, through 
rapid cycle learning, how MIECHV-funded home visiting programs can 
implement coaching strategies during home visits.
    Information will be collected in four phases designed to: (1) 
define coaching strategies (co-definition phase), (2) identify 
potential refinements to improve coaching strategies (installation 
phase), (3) iteratively test the refinements (refinement phase), and 
(4) assess the potential of coaching strategies to improve service 
delivery and promote family engagement and family satisfaction with 
home visiting programs (summary phase). Data collection activities 
include focus groups, online questionnaires, and review of documents 
and administrative data.
    A 60-day notice published in the Federal Register on December 5, 
2023, vol. 88, No. 232; pp. 84342-43. There were no public comments. 
One home visiting model developer requested copies of the information 
collection instruments.
    Need and Proposed Use of the Information: The COVID-19 public 
health emergency led the MIECHV Program to rapidly adjust practices, 
within the bounds of evidence-based home visiting model guidance, to 
reduce service delivery disruptions while protecting the health and 
safety of home visiting participants and the home visiting workforce. 
Largely prompted by the shift to virtual home visits, one of these 
practice changes was to use coaching to promote positive caregiving 
skills and family-child interactions. Home visitors suggested that 
using coaching strategies enhanced the way that home visitors worked 
with families, particularly in virtual settings when home visitors were 
unable to use modeling strategies (e.g., in-person demonstrations by 
home visitors). Some findings indicate that home visitors who used 
coaching perceived that it led to improved family engagement and 
caregiver confidence in interacting with their child. However, other 
findings suggest that some families may not prefer coaching over 
modeling, and that coaching may create burden on home visitors. As home 
visitors transition back to primarily in-person home visits, there is a 
need for more information about strategies to support the 
implementation of coaching to effectively promote positive caregiver-
child interactions in virtual and in-person settings, while reducing 
home visitor burden and increasing family acceptance of this strategy. 
HRSA intends to use collected information to provide evidence-informed 
resources and strategies that MIECHV awardees can use to inform their 
use of coaching strategies to strengthen their home visiting services.
    Likely Respondents: Respondents include families who receive home 
visiting services and MIECHV-funded home visiting program staff, which 
may include program directors, managers, supervisors, and home 
visitors.
    Burden Statement: Burden in this context means the time expended by 
persons to generate, maintain, retain, disclose, or provide the 
information requested. This includes the time needed to review 
instructions; to develop, acquire, install, and utilize technology and 
systems for the purpose of collecting, validating, and verifying 
information, processing and maintaining information, and disclosing and 
providing information; to train personnel and to be able to respond to 
a collection of information; to search data sources; to complete and 
review the collection of information; and to transmit or otherwise 
disclose the information. The total annual burden hours estimated for 
this ICR are summarized in the table below.

                                     Total Estimated Annualized Burden Hours
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                                                     Number of                    Average burden
            Form name                Number of     responses per       Total       per response    Total burden
                                    respondents     respondent       responses      (in hours)         hours
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Program Eligibility Protocol....              16               1              16            1.00            16.0
Program Staff Focus Group                     24               1              24            1.50            36.0
 Protocol 1 (Co definition
 Phase).........................
Program Staff Focus Group                     24               1              24            1.50            36.0
 Protocol 2 (Co-definition
 Phase).........................
Program Staff Focus Group                     24               3              72            1.00            72.0
 Protocol (Installation &
 Refinement Phases).............
Program Staff Focus Group                     24               1              24            1.00            24.0
 Protocol (Summary Phase).......
Family Focus Group Protocol (Co-              48               1              48            1.00            48.0
 definition & Summary Phases)...
Home Visitor Learning Cycle Form              40               9             360            0.17            61.2
 (Installation & Refinement
 Phases)........................
Family Post-Visit Form                        48               6             288            0.08            23.0
 (Refinement Phase).............
Focus Group Participant                      120               1             120            0.08             9.6
 Characteristics Form (All
 Phases)........................
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[[Page 23028]]

 
    Total.......................             368  ..............             976  ..............           325.8
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Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2024-07009 Filed 4-2-24; 8:45 am]
BILLING CODE 4165-15-P