Intervention effects on negative affect of CPS-referred children: Results of a randomized clinical trial

Lind, Teresa; Bernard, Kristin; Ross, Emily K.; Dozier, Mary

doi:10.1016/j.chiabu.2014.04.004

Cited by 90 publications

(79 citation statements)

References 62 publications

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“…Effects of ABC include decreased rates of disorganized attachment and increased rates of secure attachment (Bernard et al, 2012), normalized diurnal cortisol patterns (Bernard, Dozier, Bick & Gordon, 2015) that are sustained 2–3 years following intervention (Bernard, Hostinar & Dozier, 2015), improved executive functioning (Lewis-Morrarty, Dozier, Bernard, Terraciano & Moore, 2012) and enhanced emotion expression (Lind, Bernard, Ross, & Dozier, 2014). …”

Section: Methodsmentioning

confidence: 99%

In Vivo Feedback Predicts Parent Behavior Change in the Attachment and Biobehavioral Catch-up Intervention

Caron

Bernard

Dozier

2016

Journal of Clinical Child & Adolescent Psychology

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113

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Objective Understanding mechanisms and active ingredients of intervention is critical to training clinicians, particularly when interventions are transported from laboratories to communities. One promising active ingredient of parenting programs is clinicians’ in vivo feedback regarding parent-child interactions. The present study examined whether a form of in vivo feedback, in the moment commenting, predicted treatment retention and parent behavior change when the Attachment and Biobehavioral Catch-up (ABC) intervention was implemented in a community setting. Method Observational data were collected from 78 parent-child dyads (96% mothers; mean age = 29 years; 81% minority; infants’ mean age = 12 months; 90% minority) across 640 sessions conducted by 9 clinicians (100% female, mean age = 39; 67% minority) in Hawaii. Parental behavior was assessed with a semi-structured play task before and after intervention. Clinicians’ in the moment feedback to parents was assessed from intervention session videos. Results Clinicians’ frequency and quality of in the moment feedback predicted change in parental intrusiveness and sensitivity at post-treatment. Frequency of in the moment feedback also predicted likelihood of retention. Hierarchical linear modeling demonstrated strong support for these associations at the between-clinician level, and limited additional support at the within-clinician (i.e., between-case) level. Conclusions A hypothesized active ingredient of treatment, in the moment feedback, predicted community-based ABC outcomes. The results complement lab-based evidence to suggest that in vivo feedback may be a mechanism of change in parenting interventions. Helping clinicians to provide frequent, high quality in vivo feedback may improve parenting program outcomes in community settings.

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Section: Methodsmentioning

confidence: 99%

In Vivo Feedback Predicts Parent Behavior Change in the Attachment and Biobehavioral Catch-up Intervention

Caron

Bernard

Dozier

2016

Journal of Clinical Child & Adolescent Psychology

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113

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“…Such differences in cortisol production are not only observed soon after intervention, but are also sustained 2 to 3 years following intervention (Bernard, Hostinar, & Dozier, 2015). Other long-term outcomes that have been observed among children include enhanced executive functioning (Lewis-Morrarty, Dozier, Bernard, Terraciano & Moore, 2012) and emotion expression (Lind, Bernard, Ross, & Dozier, 2014). With regard to parenting outcomes, ABC has been found to increase maternal following the lead, and result in different patterns of parental brain activity than seen among parents in a control intervention condition (Bernard, Simons & Dozier, 2015).…”

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confidence: 99%

Community implementation outcomes of Attachment and Biobehavioral Catch-up

Caron

Weston-Lee²,

Haggerty

et al. 2016

Child Abuse & Neglect

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Bringing evidence-based treatments to community practice is a critical challenge for the field. When implemented in the community, evidence-based treatments often fail to provide the benefits shown in laboratory settings. Therefore, when evidence-based treatments are transported to the community, it is essential to investigate implementation process and outcomes. The present study assessed whether Attachment and Biobehavioral Catch-up (ABC), an intervention for high-risk parents that has been shown to be efficacious in randomized clinical trials (RCTs), changed parent behavior in a community-based setting. This study examined data collected from 78 cases by 9 parent coaches in a diverse community setting in Hawaii, and compared data to benchmarks from RCTs. Parent coach fidelity was coded from intervention session video clips, and was also compared with benchmarks. Caregivers participating in ABC were primarily birth parents, and most were referred through Child Protective Services involvement or for reasons of harsh parenting or neglect. Parental behavior was assessed before and after intervention using a semi-structured play task. Increases in parental following the lead and delight, and decreases in parental intrusiveness, were observed; these changes were comparable to effect sizes observed in RCTs. Intent to treat analyses were conducted using behavioral data from videotaped sessions, and suggested that ABC also improved following the lead in parents who subsequently dropped out of treatment. These results support the viability of ABC for enhancing parenting behavior among parents at high risk for maltreatment, and demonstrate that parent coaches in community agencies can successfully implement ABC.

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“…Parenting interventions have shown promise in ameliorating such outcomes among children who have experienced early adversity (Barlow, Parsons, & Stewart‐Brown, ; Juffer, Bakermans‐Kranenburg, & van IJzendoorn, ). Attachment and Biobehavioral Catch‐up (ABC), an intervention for high‐risk parents and children, has been shown to be effective in increasing the proportion of children who form secure attachments to their parents (Bernard et al., ) and in improving children's ability to regulate physiology (Bernard, Dozier, Bick, & Gordon, ; Bernard, Hostinar, & Dozier, ) and emotions (Lind, Bernard, Ross, & Dozier, ) through randomized clinical trials. To further our understanding of the processes by which these changes come about through ABC, the current study examined whether changes in parenting behavior emerged and investigated trajectories of change in parenting behaviors across the 10‐session intervention.…”

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confidence: 99%

Trajectories of Change in Attachment and Biobehavioral Catch‐up Among High‐risk Mothers: A Randomized Clinical Trial

Yarger

Hoye

Dozier

2016

Infant Mental Health Journal

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Using an intensive short-term longitudinal design, this study first examined whether there were significant differences in maternal sensitivity and intrusiveness after completion of Attachment and Biobehavioral Catch-up (ABC; Dozier & the Infant-Caregiver Project Lab, 2013) when compared to a control condition. The second aim was to explore the rate and shape of change in parenting behaviors. Participants were 24 mothers and their biological children, who were randomly assigned to ABC (n = 13) or a control condition (n = 11). A structured play assessment with each mother and her child was video-recorded prior to randomization into the study, before each intervention session, and at a follow-up visit. A total of 270 videos were coded for sensitivity and intrusiveness. Hierarchical linear growth models were used to estimate the total change in parenting qualities across the 10 intervention sessions when comparing ABC to a control condition. Piecewise hierarchical linear growth models were used to investigate patterns of change across the intervention for mothers within ABC. Mothers in the ABC condition showed greater increases in sensitivity and decreases in intrusiveness than mothers in the control condition. There was evidence for nonlinear patterns of change in sensitivity and intrusiveness among mothers in ABC. These results support the effectiveness of ABC in changing sensitivity quickly.

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Intervention effects on negative affect of CPS-referred children: Results of a randomized clinical trial

Cited by 90 publications

References 62 publications

In Vivo Feedback Predicts Parent Behavior Change in the Attachment and Biobehavioral Catch-up Intervention

In Vivo Feedback Predicts Parent Behavior Change in the Attachment and Biobehavioral Catch-up Intervention

Community implementation outcomes of Attachment and Biobehavioral Catch-up

Trajectories of Change in Attachment and Biobehavioral Catch‐up Among High‐risk Mothers: A Randomized Clinical Trial

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