Brief Summary
The study examines the effectiveness of parent-child Group Attachment Based Intervention (GABI) in reducing risk of maltreatment in infants and toddlers compared with parenting skills classes. GABI directly addresses the needs of isolated, marginalized families, with the goals of of enhancing parent coping and resilience, and improving parent-child attachment relationships.
We hypothesize that compared to usual care, GABI will be associated with improved child, parent and parent-child outcomes.
We hypothesize that compared to usual care, GABI will be associated with improved child, parent and parent-child outcomes.
Brief Title
Efficacy of Group Attachment Based Intervention for Vulnerable Families
Detailed Description
Child abuse and neglect ("maltreatment") pose enormous short- and long-term risks to children. Yet despite the critical importance of the U.S. Department of Health and Human Services, Maternal and Child Health Bureau's goal "to reduce fatal and non-fatal child maltreatment," non-empirically supported parenting skills classes remain child welfare agencies' standard approach to meeting this goal.
The study examines the effectiveness of parent-child Group Attachment Based Intervention (GABI) in reducing risk of maltreatment in infants and toddlers compared with parenting skills classes. GABI directly addresses the needs of isolated, marginalized families, with the goals of of enhancing parent coping and resilience, and improving parent-child attachment relationships.
Seventy families with children aged 2-36 months who are referred for parenting help will be randomly assigned to either GABI or "treatment as usual" that consists of parents-only parenting skills classes. Treatment will be offered for up to 6 months. Both groups will be assessed at baseline, end of treatment and at 6 months follow up.
The study examines the effectiveness of parent-child Group Attachment Based Intervention (GABI) in reducing risk of maltreatment in infants and toddlers compared with parenting skills classes. GABI directly addresses the needs of isolated, marginalized families, with the goals of of enhancing parent coping and resilience, and improving parent-child attachment relationships.
Seventy families with children aged 2-36 months who are referred for parenting help will be randomly assigned to either GABI or "treatment as usual" that consists of parents-only parenting skills classes. Treatment will be offered for up to 6 months. Both groups will be assessed at baseline, end of treatment and at 6 months follow up.
Categories
Completion Date
Completion Date Type
Actual
Conditions
Child Maltreatment
Domestic Violence
Eligibility Criteria
Inclusion Criteria:
* Parents with children age 0-36 months
* Parent(s) is/are biological parent of child (mother or father)
* Parent(s) has/have custody of their child even if he/she/they have lost custody of previous children
* Risk of maltreatment from referral source or intake interview, including parent's own childhood adversity, parent's current exposure to relationship violence, history of parental substance abuse or history of parental incarceration
* If history of substance abuse, enrolled in treatment program
* Willing to sign informed consent
Exclusion Criteria:
* Parent is unable to provide informed consent due to cognitive impairment
* Parent not fluent in English
* Child has diagnosis of an autistic spectrum disorder or severe cognitive delay
* Parents with children age 0-36 months
* Parent(s) is/are biological parent of child (mother or father)
* Parent(s) has/have custody of their child even if he/she/they have lost custody of previous children
* Risk of maltreatment from referral source or intake interview, including parent's own childhood adversity, parent's current exposure to relationship violence, history of parental substance abuse or history of parental incarceration
* If history of substance abuse, enrolled in treatment program
* Willing to sign informed consent
Exclusion Criteria:
* Parent is unable to provide informed consent due to cognitive impairment
* Parent not fluent in English
* Child has diagnosis of an autistic spectrum disorder or severe cognitive delay
Inclusion Criteria
Inclusion Criteria:
* Parents with children age 0-36 months
* Parent(s) is/are biological parent of child (mother or father)
* Parent(s) has/have custody of their child even if he/she/they have lost custody of previous children
* Risk of maltreatment from referral source or intake interview, including parent's own childhood adversity, parent's current exposure to relationship violence, history of parental substance abuse or history of parental incarceration
* If history of substance abuse, enrolled in treatment program
* Willing to sign informed consent
* Parents with children age 0-36 months
* Parent(s) is/are biological parent of child (mother or father)
* Parent(s) has/have custody of their child even if he/she/they have lost custody of previous children
* Risk of maltreatment from referral source or intake interview, including parent's own childhood adversity, parent's current exposure to relationship violence, history of parental substance abuse or history of parental incarceration
* If history of substance abuse, enrolled in treatment program
* Willing to sign informed consent
Gender
All
Gender Based
false
Keywords
Parent Child Relationship
Maltreatment
Risk Behaviors
Social and Emotional Development
Violence and Abuse
Policy
Healthy Volunteers
No
Last Update Post Date
Last Update Post Date Type
Actual
Last Update Submit Date
Maximum Age
36 Months
NCT Id
NCT01641744
Org Class
Other
Org Full Name
Albert Einstein College of Medicine
Org Study Id
2005-703
Overall Status
Completed
Phases
Not Applicable
Primary Completion Date
Primary Completion Date Type
Actual
Official Title
Birth to Three: A Pragmatic Clinical Trial for Child Maltreatment Prevention
Primary Outcomes
Outcome Measure
Change from baseline in child exposure to trauma and maltreatment to end-of-treatment and at 6-month follow-up (Child Adverse Childhood Experiences Screener)
Outcome Time Frame
Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-up
Secondary Outcomes
Outcome Time Frame
Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-Up
Outcome Measure
Child cognitive development (Bayley III Screening Test)
Outcome Time Frame
Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-Up
Outcome Measure
Parent mental health (Symptoms Checklist-90)
Outcome Time Frame
Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-Up
Outcome Measure
Child social-emotional development (Ages and Stages Questionnaire)
Outcome Time Frame
Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-Up
Outcome Measure
Parent social support (Interpersonal Support Evaluation List)
Outcome Time Frame
Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-Up
Outcome Measure
Parenting stress (Parenting Stress Index)
Outcome Time Frame
Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention, and at 6-Month Follow-Up
Outcome Measure
Child-parent attachment (Strange Situation Procedure) and Free -Play Observation coded with Coding Interactive Behavior (CIB) dimensions
Start Date
Start Date Type
Actual
Status Verified Date
First Post Date
First Post Date Type
Estimated
First Submit Date
First Submit QC Date
Std Ages
Child
Maximum Age Number (converted to Years and rounded down)
3
Minimum Age Number (converted to Years and rounded down)
0
Investigators
Investigator Type
Principal Investigator
Investigator Name
Anne Murphy
Investigator Email
amurphy1@montefiore.org
Investigator Phone
MeSH Terms
RISK-TAKING
BEHAVIOR