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Motivational Interviewing (MI) and Home Visit Rating Scales (HOVRS)

Using MI Strategies to Strengthen HOVRS

   HOVRS-3 scoring sheet

Strengthening HOVRS-3 Scale 2 scores with MI Strategies

Scale 2: Responsiveness to Family Strengths and Cultures: Plans with caregiver input and identifies and adapts to the family’s strengths, values, interests, and goals for supporting child development

​​HOVRS Items (Scale 2) Addressed:

3. To respond to family input for the agenda and activities of this home visit.

5. To get information about the family’s strengths and child development.

6. To provide feedback to the caregiver on family strengths for supporting child development.

HOVRS Items (Scale 2) NOT Addressed:

1. To plan activities and topics of this or a future home visit with the caregiver.

2. To prepare for the home visit using caregiver-selected activities.

4. To adapt activities to the family’s interests and needs.

In this 5-minute demonstration, specific MI Strategies were used to support  HOVRS (Scale 2) and to achieve a score of 7 on Items 3, 5, and 6:

  • Reflections: Example: Caregiver: “I want her to be more independent...”Home Visitor:“I hear that it’s really important for you that she gives you a hand in the mornings getting ready…

  • Focusing, Providing Choice (Partnership/Collaboration): Home Visitor goes over information to cover in the visit,then asks: “Of these, what do you think is most important for us to focus on today?”

  • Using Open Questions, Focusing on Goals/Values: “Why do you think it’s important that she develops this fine motor strength and hand-eye coordination?”

  • Giving Information & Checking-In: With permission (e.g., “Can I make a suggestion about other ways that you can...?”), give information, followed by “What are your thoughts about this information?”

  • Affirming (specific efforts, strengths, accomplishments, skills): “Despite being quite busy and juggling so many things, you really do try to find opportunities here and there for her to practice her fine motor skills”

NOTE: Three other HOVRS-3 scales* also had items scoring a 7 (highest score possible) despite only focusing on using MI strategies to improve Scale 2, Items 3, 5, and 6

HOVRS-3 Items Scoring 7 (highest score possible) in the demonstration:​

Scale 1 (Relationship Building with Family), Items 2, 3, and 7

Scale 3 (Facilitation of Caregiver-Child Interaction), Items 3 and 5

Scale 4 (Collaboration with Caregiver), Items 1 and 4

*Scales 5, 6, and 7 were not coded

HOVRS-3 content and scoring of HOVRS-3 (Scale 2, Items 3, 5 and 6 in the demonstration) provided by and used with permission of Dr. Gina Cook, PhD.

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