Developing a health visitor led, home-based, early intervention informed by parents of preterm infants and health visitors.

Positive impacts on several child, parent-child and parental outcomes were demonstrated. Key potential intervention components were identified: i) a focus on parent-infant interactions, ii) parental debriefing sessions with on-going psycho-social support, iii) short, streamlined interventions with initial high intensity home visits, iv) complementary non-home-based components, v) targeting multiple outcome domains, and vi) an explicit theory of change.<br><br>Phases Two and Three: Thematic analysis generated six themes.

The quality of the parent-infant relationship and individuality of each family was a central theme for both health visitors and parents. Positive parent-health visitor relationships facilitated: i) a positive parent – child relationship ii) health visitors to work in partnership with parents to provide individualised needs-based care and support through home visits. Essential prerequisites to delivering care and support were: i) inter-professional information sharing, ii) continuing professional development and iii) health visitor well-being.<br><br>Conclusions: Integrated evidence from the systematic review of systematic reviews and thematic analyses provided the framework for an evidence-based model which could potentially be used to underpin a home-based, early intervention.