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.

Citation Year
Used in Implementation Reports
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.


This study was conducted in the Mid-Atlantic region of the United States.

Home Visiting 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.

Author Affiliation

Mary Dozier, one of the study authors, is a developer of the ABC home visiting model.

Funding Sources

This research was supported by Award Number R01MH052135 from the National Institute of Mental Health.

Study Reg

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

Confounding Factors
Baseline Equivalence
Established on race/ethnicity, SES, and baseline measures of the outcomes
Screening Decision
Passes screens