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Yarger, H. A., Bernard, K., Caron, E., Wallin, A., & Dozier, M. (in press). Enhancing parenting quality for young children adopted internationally: Results of a randomized controlled trial. Journal of Clinical Child and Adolescent Psychology.

Model(s) Reviewed: Attachment and Biobehavioral Catch-Up (ABC) -Infant
Manuscript screening details
Screening decision Screening conclusion
Passes screens Eligible for review
Study design details
Rating Design Attrition Baseline equivalence Reassignment Confounding factors
High Randomized controlled trial Low Established on race/ethnicity, SES, and baseline measures of the outcomes None None
Notes:

In addition to the pooled findings across the 7- to 37-month follow-up interval, authors reported findings separately for each 6-month follow-up period. At each follow-up, all findings received a high rating, therefore, HomVEE reported the pooled findings instead of the separate findings for each individual follow-up period.

Study characteristics
Study participants Participants were recruited through adoption agencies in the region. Parents were eligible to participate if they were the primary caregiver of an internationally adopted child. One-hundred and twenty parent-child dyads were randomly assigned to either ABC-Infant or a comparison program that also provided home visits. The study was conducted between April 2009 and May 2017. At baseline, 94 percent of dyads included the child’s mother and 95 percent of parents identified as White/non-Hispanic; 63 percent of children identified as Asian American. The average parent age was 39.7 years; the average child age was 22 months. Fifty-eight percent of parents reported annual incomes of more than $100,000.
Setting This study was conducted in the Mid-Atlantic region of the United States.
Intervention services ABC-Infant consisted of 10 weekly hour-long home visits. The sessions focused on five topic areas: providing nurturance, following the child’s lead, refraining from frightening behavior, parents recognizing the effect of their own childhood experiences on their parenting behavior, and learning the importance of touch and children’s emotions. Across all sessions, parent trainers engaged parents in structured activities with their children and then provided feedback on observations of participants’ parenting behavior, both in real-time and by playing back video recordings from the sessions.
Comparison conditions Comparison families received Developmental Education for Families (DEF) in home visits that were of the same duration (10 hour-long sessions) and frequency (weekly) as ABC-Infant. DEF was designed to enhance cognitive and linguistic development. For this study, components related to parental sensitivity were excluded.
Staff characteristics and training Trained parent coaches conducted home visits and participated in weekly group supervision, including reviewing videos of parent-child interactions.
Funding sources This research was supported by Award Number R01MH052135 from the National Institute of Mental Health.
Author affiliation Mary Dozier, one of the study authors, is a developer of the ABC home visiting model.
Study Registration:

Clinicaltrials.gov Identifier: NCT00816621. Study registration was assessed by HomVEE beginning with the 2014 review.

Findings details

Positive parenting practices
Rating Outcome measure Effect Sample Timing of follow-up Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
High

Observational Record of the Caregiving Environment (ORCE) adapted scale - Intrusiveness

FavorableUnfavorable or ambiguousNo Effect

ABC-I vs. DEF; international adoptions; Mid-Atlantic

7-37 months post-intervention (pooled)

120 parents Not reported Not reported Not Reported HomeVEE calculated = -0.32

Not statistically significant, p= 0.11

High

Observational Record of the Caregiving Environment (ORCE) adapted scale - Parenting sensitivity

FavorableUnfavorable or ambiguousNo Effect

ABC-I vs. DEF; international adoptions; Mid-Atlantic

7-37 months post-intervention (pooled)

120 parents Not reported Not reported Not Reported HomeVEE calculated = 0.52

Statistically significant, p= 0.01

High

Observational Record of the Caregiving Environment (ORCE) adapted scale - Positive regard

FavorableUnfavorable or ambiguousNo Effect

ABC-I vs. DEF; international adoptions; Mid-Atlantic

7-37 months post-intervention (pooled)

120 parents Not reported Not reported Not Reported HomeVEE calculated = 0.36

Statistically significant, p= 0.05

Outcome measure summary

Positive parenting practices
Outcome measure Description of measure Data collection method Properties of measure

Observational Record of the Caregiving Environment (ORCE) adapted scale - Intrusiveness

Intrusiveness towards child; coded using adapted scales from NICHD's Observational Record of the Caregiving Environment.

Videotaped observation

Not reported by author

Observational Record of the Caregiving Environment (ORCE) adapted scale - Parenting sensitivity

Sensitivity towards child; coded using adapted scales from NICHD's Observational Record of the Caregiving Environment.

Videotaped observation

Not reported by author

Observational Record of the Caregiving Environment (ORCE) adapted scale - Positive regard

Positive regard towards child; coded using adapted scales from NICHD's Observational Record of the Caregiving Environment.

Videotaped observation

Not reported by author