Supporting and Strengthening the Home Visiting Workforce (SAS-HV): Testing and Validation of a Draft Measure of Reflective Supervision for Home Visiting

Instrument 3: Reflective Supervision Measure

[Note to OMB: Below we provide the current draft of the measure of reflective supervision. The items and response options will be revised based on the pretesting results in the last phase. The most updated items and instructions will be distributed in two ways during the current phase of the project: (1) for the qualitative focus groups and interviews, participants will receive the reflective supervision measure to review in advance of their focus group or interview and to reference during the virtual meeting, and (2) for the web-based pretest and validation and repeated measures participants, the measure will be completed online following a reflective supervision session. Participants in the qualitative data collections will therefore not receive the informed consent section below.]

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Introduction and Informed Consent for Repeated Measures Subsample

Hello, and welcome to our online measure testing! As a reminder, the Supporting and Strengthening the Home Visiting Workforce (SAS-HV) project is developing a measure of reflective supervision.

You have been asked to participate in this research project because you are a home visiting supervisor. In this phase, we are asking you to complete the draft measure and a brief set of questions about the supervisory session at multiple time points (3 times) after providing reflective supervision to the same home visitor. We ask that you complete this process for two to three home visitors, completing the reflective supervision measure up to 9 times. We will also ask for your help in recruiting home visitors to complete a one time survey about their reflective supervision. Please complete each survey immediately after completing an individual reflective supervision session with a home visitor.

Your participation in this study is voluntary. There are minimal risks to participating, specifically a breach in the privacy of your information. We will do our best to keep your information private. To protect your privacy, your individual responses will not be attributed to you in any discussion of results or official reporting; they will only be presented as a group.

Completing a survey and submitting it to us means that you consent to participate and have your answers used as data in the project. Each survey will take about 30 minutes to complete.

To thank you for your time, after each survey we will send you a gift card, provided by Tango. We will send you a $20 gift card for the first survey, a $35 gift card for the second survey, and a $50 gift card for the third survey, for each home visitor’s reflective supervision sessions you report on You will have the option to choose either a Mastercard cash card, or a gift card to Amazon, Target, or Walmart. Gift cards will be provided electronically over email unless you select the option to receive a physical gift card via regular mail.

If you need any help or experience any technical problems, please contact sashv@jbassoc.com. If you have any questions about the research study, contact the lead investigator, Allison West, at awest25@jhu.edu. This study has been approved by the Johns Hopkins School of Public Health Institutional Review Board.

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Instructions

Please answer the questions below based on the reflective supervision session you just finished.  The questions are meant to capture what is happening during reflective supervision sessions in the home visiting context. They are not an assessment of quality or an evaluation of your performance as a supervisor.

We understand that every session is different, and that most supervisors do not have time to use all of the practices asked about below in a single supervision session.

First, we would like to know what was discussed in the session.

	Response Options
How often, if at all, did you discuss:	Not discussed in the session	Discussed in some of the session	Major focus of the session
Strengths of the families the home visitor is working with
Needs of the families the home visitor is working with
Caregiver and child interactions
Impact of a situation on the baby or child
Impact of community characteristics (e.g., availability of safe housing, employment, or affordable childcare) on the home visitor’s work with families
Impact of program requirements, logistics, or other aspects of the work environment on the home visitor’s work with families
Setting and maintaining healthy boundaries with the families the home visitor is working with
Impact of working with families on the home visitor’s well-being
What is going well in your supervisory relationship
What could be improved in your supervisory relationship

	Response Options
How often, if at all, did you discuss how the following characteristics might shape the home visitor’s relationships with families?	Not discussed in the session	Discussed in some of the session	Major focus of the session
Home visitor’s experiences
Home visitor’s power and privilege
Home visitor’s racial or ethnic identity
Home visitor’s implicit biases
Home visitor’s culture

Now we would like to know more about what you did in the session. Remember that this is not an assessment of quality or evaluation of your performance as a supervisor.

Did you:	Response Options
Take steps to ensure the session would not be interrupted (e.g., silenced your phone, put up a "do not disturb” sign on the door)	Yes	Not in this session
Follow a similar structure as followed in other sessions with the home visitor	Yes	Not in this session
Ask the home visitor what they wanted to talk about	Yes	Not in this session
Ask the home visitor to reflect on something they felt proud of from the past week	Yes	Not in this session

How often, if at all, did you:	Response Options
	Not in the session	A little bit in the session	Often in the session	Most of the session
explore solutions together
allow the home visitor to discuss their experiences without interruption
wait for the home visitor to gather their thoughts
ask the home visitor how you could be most helpful to them

How often, if at all, did you:	Response Options
	Not in the session	A little bit in the session	Often in the session	Most of the session
share specific knowledge or skills with the home visitor
demonstrate a potential strategy to use with a family
invite the home visitor to practice specific strategies through role play

How often, if at all, did you:	Response Options
	Not in the session	A little bit in the session	Often in the session	Most of the session
offer support to promote the home visitor’s well-being
let the home visitor know you heard and understood their feelings
respond to what the home visitor shared without judgment
encourage the home visitor to consider how work-related stressors may affect their personal life

How often, if at all, did you:	Response Options
	Not in the session	A little bit in the session	Often in the session	Most of the session
engage in active listening (e.g., saying “uh-huh” or “go on”, nodding) to communicate interest
summarize what you thought you heard the home visitor say
give the home visitor your full attention

How often, if at all, did you ask the home visitor:	Response Options
	Not in the session	A little bit in the session	Often in the session	Most of the session
to describe and explore their thoughts about experiences with families
to describe and explore their feelings about experiences with families

How often, if at all, did you ask the home visitor if it was okay:	Response Options
	Not in the session	A little bit in the session	Often in the session	Most of the session
for you to offer a suggestion
to move on to another topic
to talk about a particular topic

How often, if at all, did you ask:	Response Options
	Not in the session	A little bit in the session	Often in the session	Most of the session
open-ended questions to encourage deeper thinking
open-ended questions to get the home visitor’s perspective or opinion
follow-up questions to ensure you understood what the home visitor shared

How often, if at all, did you ask the home visitor:	Response Options
	Not in the session	A little bit in the session	Often in the session	Most of the session

How often, if at all, did you help the home visitor:	Response Options
	Not in the session	A little bit in the session	Often in the session	Most of the session
process what is going on with families they find challenging to work with
reframe a challenging situation
develop concrete plans for upcoming visits with families
explore how they would apply lessons learned during the session moving forward

How often, if at all, did you encourage the home visitor to consider:	Response Options
	Not in the session		A little bit in the session		Often in the session	Most of the session
the perspectives of people involved in a situation (e.g., family members, coworkers, people important to a family)
how a family’s culture might shape a family’s life experience
how a family’s racial or ethnic identity might shape a family’s life experience
how the home visitor’s approach or decisions connect with theory or research evidence

How often, if at all, did you provide:	Response Options
	Not in the session	A little bit in the session	Often in the session	Most of the session
concrete resources the home visitor can use in their work with families
resources to support the home visitor's professional development
An opportunity to discuss their professional development goals

How often, if at all, did you show:	Response Options
	Not in the session	A little bit in the session	Often in the session	Most of the session
interest in the home visitor’s views
appreciation for the home visitor’s ideas
acceptance of the home visitor as a person regardless of their behaviors or ideas
concern for the home visitor's well-being

How often, if at all, did you share:	Response Options
	Not in the session	A little bit in the session	Often in the session	Most of the session
a specific strength of the home visitor
specific, positive feedback on something the home visitor did
feedback on what the home visitor was doing well before offering a suggestion for improvement

Lastly, we would like to know more about your experience during the session.

How often, if at all, were you:	Response Options
	Not in the session	A little bit in the session	Often in the session	Most of the session
authentic in your interactions with the home visitor
comfortable discussing sensitive topics
aware of how your emotions impacted the session

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