Promoting First Relationships (PFR)

Scientific Rating:
Promising Research Evidence
See scale of 1-5

Additional Implementation Resources

Since this program Promoting First Relationships (PFR) was highly rated on the Scientific Rating Scale, program representatives were asked to provide additional implementation information.

Pre-Implementation Materials

There are pre-implementation materials to measure organizational or provider readiness for Promoting First Relationships (PFR) as listed below:

PFR partnered with the Washington State Children's Administration to develop a Readiness Assessment that helps evaluate an agency's, as well as a provider's, readiness to begin training in the program. Please contact Jennifer Rees at for a copy of this document.

Formal Support for Implementation

There is formal support available for implementation of Promoting First Relationships (PFR) as listed below:

Once providers have been trained in the PFR model, PFR trainers are available for further consultation to the agency to help support them as they implement the program. There are also established fidelity measures that the agency has access to, in order to help ensure fidelity to the model. Finally, PFR providers can receive group reflective practice to support them as they implement the program.

Fidelity Measures

There are fidelity measures for Promoting First Relationships (PFR) as listed below:

  • Video Feedback Fidelity form - This form is used to measure the provider's use of the PFR consultation strategies while viewing the parent-child play video with the parent/caregiver.
  • Whole Session Fidelity form - A provider's whole session is rated using 20 different categories. The session is also rated on 5 additional items that are to be avoided during the session.

PFR Master Trainers conduct initial fidelity checks with providers. Upon passing initial fidelity checks, Master Trainers can train identified individuals at an agency in how to use the fidelity measures. Jennifer Rees can be contacted at for more information about these fidelity measures.

Implementation Guides or Manuals

There are implementation guides or manuals for Promoting First Relationships (PFR) as listed below:

The PFR manual and reproducible handouts are included in the initial PFR 2-day workshop. The manual includes detailed instruction on delivering PFR to families. For those going on to get certified as a PFR provider and take the community distance learning course they will receive a detailed 10-week outline, checklist, and Thoughts for the Week to use with the parent-child dyad to providers who are receiving training to implement PFR.

Research on How to Implement the Program

Research has not been conducted on how to implement Promoting First Relationships (PFR).