WWHV080988

Lind, T., Bernard, K., Yarger, H. A., & Dozier, M. (2019). Promoting compliance in children referred to child protective services: A randomized clinical trial. Child Development. Advance online publication. https://doi.org/10.1111/cdev.13207

Citation Year
2019
Rating
Used in Implementation Reports
Off
Study Participants

This randomized controlled trial (RCT) assigned eligible families to either ABC-Infant or a comparison program that also included home visits. Eligible families were participants in a foster care diversion program with children younger than 2 who were referred from Child Protective Services for various issues placing children at risk (for example, domestic violence, parental substance use, homelessness, or neglect). At the 36 month follow-up, the analytic sample consisted of 101 mother-child dyads (45 in the ABC-Infant group and 56 in the comparison group). In the analytic sample, 69 percent of children were African American, 6 percent were White, 11 percent were Hispanic, and 14 percent were biracial. All caregiver participants in the study were biological mothers, 70 percent of whom were African American, 9 percent White, 14 percent Hispanic, and 7 percent biracial. The majority of the caregivers had less than a high school degree (58 percent) and most (64 percent) reported an annual income of less than $10,000.

Setting

The study was conducted in a large mid-Atlantic city.

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 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, the components related to following children’s cues were removed to distinguish it from ABC-Infant.

Staff Characteristics and Training

The staff in both groups were selected based on their experience in working with children and their interpersonal skills.

Author Affiliation

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

Funding Sources

This research was supported by Award Numbers R01MH052135, R01MH074374, and R01MH084135 from the National Institute of Mental Health.

Study Reg

Clinicaltrials.gov Identifier: NCT02093052. Study registration was assessed by HomVEE beginning with the 2014 review.

Attrition
High
Reassignment
None
Confounding Factors
None
Baseline Equivalence
Established on race/ethnicity and SES; outcomes not feasible to assess at baseline
Screening Decision
Passes screens