Early childhood home visiting is a service delivery strategy that supports a range of positive outcomes, including improved child and maternal health, children’s development and school readiness, family economic self-sufficiency, and the reduction of child abuse and neglect. Evidence-based home visiting programs reached about 278,000 families in 2021, according to the National Home Visiting Resource Center, but many more families are eligible and could benefit from these programs. This literature synthesis aims to deepen understanding of the facilitators of and barriers to family engagement in home visiting, the strategies programs use to support engagement, and topics that would benefit from further research. (author abstract)