Manuscript Detail

View Revisions

Bernard, K., Yarger, H. A., Meade, E. B., Wallin, A., & Dozier, M. (2015). Enhancing sensitivity and positive regard among parents of children adopted internationally: Long-term effects from a randomized clinical trial. Unpublished manuscript.

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
Moderate Randomized controlled trial Low Not established on race; not established on SES; established on outcome measures assessable at baseline. None None
Notes:

footnote227

Submitted by user on Fri, 03/15/2019 - 14:29

This study rating applies to 0- to 6-month outcomes. Three later follow-ups (at 6 to 12, 12 to 18, and 18 to 24 months) all rated low because <abbr title="Home Visiting Evidence of Effectiveness">HomVEE</abbr> could not confirm low attrition or baseline equivalence for those follow-ups.

Study characteristics
Study participants Study participants were parents who had recently adopted a child internationally. This study was a randomized controlled trial, and parents were randomly assigned to the treatment or control condition. A total of 133 parents were randomized at baseline, 66 to the treatment condition (ABC) and 67 to the Developmental Education for Families (DEF) (control) condition. At the zero- to-six-month post-intervention follow-up, 54 parents were assessed in each group for an analytic sample of 108. At baseline, 96 percent of the treatment parents and 87 percent of control parents where white, 83 percent and 80 percent had a bachelor's or graduate degree, and 67 percent of treatment mothers and 70 percent of control mothers were employed outside of the home.
Setting Not reported.
Intervention services Parents in the treatment condition received the Attachment and Biobehavioral Catch-Up (ABC) intervention, with an additional focus on helping parents handle child behaviors that are indiscriminately friendly or pseudo-autistic.
Comparison conditions Parents in the control condition received the DEF program, a parent education program adapted from a home visiting program that emphasizes motor, cognitive, and language development.
Staff characteristics and training The intervention was delivered by parent trainers, all of whom "had experience with children and strong interpersonal skills." Parent trainers used a structured manual to deliver 10 sessions to parents.
Funding sources Not reported.
Author affiliation Dr. Bernard is affiliated with the Department of Psychology, Stony Brook University.
Study Registration:

Clinicaltrials.gov Identifier: None found. 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
Moderate Parent positive regard
FavorableUnfavorable or ambiguousNo Effect
International adoptions 0-6 months 108 caregivers Unadjusted mean = 4.32 Unadjusted mean = 3.76 Mean difference = 0.56 HomeVEE calculated = 0.70 Statistically significant, p<0.01
Moderate Parent sensitivity
FavorableUnfavorable or ambiguousNo Effect
International adoptions 0-6 months 108 caregivers Unadjusted mean = 3.56 Unadjusted mean = 2.93 Mean difference = 0.63 HomeVEE calculated = 0.62 Statistically significant, p<0.01

Outcome measure summary

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

Parent 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

Parent sensitivity

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

Not reported by author