Attachment and Biobehavioral Catch-Up (ABC) Intervention
Last updated: April 2017
Evidence of Model Effectiveness
This model meets the criteria established by the Department of Health and Human Services (HHS) for an “evidence-based early childhood home visiting service delivery model” for the general population, but does not meet the criteria for tribal populations.
The Attachment and Biobehavioral Catch-Up (ABC) Intervention is a training program for caregivers of infants and young children 6 to 48 months old, including high-risk birth parents and caregivers of young children in foster care, kinship care (such as a grandparent raising a grandchild), and adoptive care. The original ABC Intervention included both infants and toddlers. The model has since been organized into two versions: (1) ABC-Infant for children 6 to 24 months old, and (2) ABC-Toddler for children 24 to 48 months old. (The studies HomVEE reviewed for this report were based on the original ABC Intervention and included both infants and toddlers. The ABC-Infant and ABC-Toddler versions of the model have not been reviewed.) Parent coaches conduct 10 weekly home visits, approximately 60 minutes each. The model is designed to help caregivers provide nurturance even when children do not appear to need it, mutually responsive interactions in which caregivers follow children’s lead, and nonfrightening care. Parent coaches provide immediate feedback (referred to as “in the moment” comments) on the caregivers’ interaction with the child to help the caregivers attend to the target behaviors. The model also incorporates homework and video feedback. For more information, please read the Model Overview.
Extent of Evidence
Summary of Findings
Please read Describing Effects for more information on these categories. Only results from studies that meet the standards for the high or moderate ratings are included above.
Criteria Established by the Department of Health and Human Services
Please read the HHS Criteria for Evidence-Based models for more information.