Implementing Attachment and Biobehavioral Catch-Up (ABC) -Infant Meets HHS Criteria

Model implementation summary last updated: 2020

The information in this implementation report reflects feedback, if provided, from this model’s developer as of the above date. The description of the implementation of the model(s) here may differ from how the model(s) was implemented in the manuscripts reviewed to determine this model’s evidence of effectiveness. Inclusion in the implementation report does not mean the practices described meet the HHS criteria for evidence of effectiveness. Please see the Effectiveness button on the left for more information about any research on the effectiveness of the model, including any version(s) of the model with effectiveness research. Versions of the model that are described in the Adaptations and enhancements section of this implementation report may include (1) versions that were identified by the model’s developer and (2) versions that have been implemented by researchers and have manuscripts that HomVEE rated high or moderate, but that are not supported by the model’s developer.

Training to support implementation

Requirements for program certification

Implementing the model requires training, supervision, and certification from the developer. The certification process takes place at the staff level, as opposed to the organizational or agency level (described under Pre-Service Staff Training).
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Pre-service staff training

Parent coach trainees must attend a two-day pre-service training. The program development team offers the training for small groups three times annually in Newark, Delaware. For larger groups, the program development team conducts training at program sites. The training provides a general overview of the model, including its research base, and reviews the content of all 10 home visiting sessions. Trainers use didactic and experiential approaches to introduce parent coach trainees to “in the moment” commenting and explain how to code these comments.

Parent coaches must be certified by the program development team. At the end of the supervision year, the program development team reviews trainees’ most recent sessions to evaluate their adherence and fidelity to the model for certification. For treatment adherence, a short list of specific issues from the manual must be covered for each session. For treatment fidelity, the program development team conducts a qualitative review of the parent coach trainee’s “in the moment” feedback, in addition to the weekly monitoring and tracking of the trainee’s frequency and quality of commenting. Certification also requires parent coaches to see a minimum number of families.

To maintain their certification, parent coaches must send videos of their recent sessions to the program development team every two years. The team assesses coaches’ service delivery for adherence and fidelity to the model.

The developer does not require program site supervisors, directors, or staff involved in the referral process to receive pre-service training. However, these staff are strongly encouraged to observe some or all of the training.

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In-service staff training

In-service training/supervision is required for parent coach trainees as part of the certification process. This training/supervision usually lasts about a year and consists of weekly videoconference sessions with supervisors (described under Supervision Requirements). In-service training is not required after parent coaches receive certification.
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Training materials

Training materials include intervention and coding manuals. The intervention manual explains the content of each home visiting session, suggests ways to present the material, and describes and provides examples of “in the moment” comments. The coding manual provides guidance for coding the videotaped sessions.

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Qualified trainers

The program development team provides the training.
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Technical assistance

The program development team provides ongoing technical assistance.
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Implementation notes

The information contained on this page was last updated in July 2020. Recommended further reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by Dr. Caroline Roben in April 2020. HomVEE reserves the right to edit the profile for clarity and consistency.

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