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| ID | Type | Description | Link |
|---|---|---|---|
| R01MH052135 | U.S. NIH Grant/Contract | View source | |
| DSIR 84-CTCT |
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| Name | Class |
|---|---|
| National Institute of Mental Health (NIMH) | NIH |
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This study will determine the effectiveness of a relationship-based intervention in improving the interaction between caregivers and young children placed in their care.
Infants and toddlers who are placed into foster or adoptive care often exhibit a number of behavioral, emotional, and physiological problems. In the absence of specialized services, problems in the relationship between caregiver and child may develop; problems in the child's functioning often persist and are exacerbated. This study will attempt to alleviate the attachment and regulatory difficulties that affect many young children placed into care.
Children are randomly assigned to either an experimental group or to a treatment control group for 3 years. The experimental group focuses on relational issues; the control group focuses on cognitive development. Caregivers receiving the relational intervention are trained to provide nurturing care, and to help children learn to develop adequate regulatory skills. Caregivers in the treatment control group receive training designed to enhance children's cognitive development. Caregivers in both groups will receive 10 home visits. Observations of children and parents are used to assess participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Attachment and Biobehavioral Catch-up | Experimental | Attachment and Biobehavioral Catch-up targets nurturance, synchrony, and non-frightening behavior, as well as providing caregivers with help calming toddlers. |
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| Developmental Education for Families | Active Comparator | Developmental Education for Families targets providing cognitive stimulation to their children. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Attachment and Biobehavioral Catch-up | Behavioral | Attachment and Biobehavioral Catch-up is a 10 session in-home intervention that targets synchrony, nurturance, and calming parental behavior. |
| Measure | Description | Time Frame |
|---|---|---|
| Attachment | The Preschool Strange Situation is conducted annually. | Annually |
| Measure | Description | Time Frame |
|---|---|---|
| Executive Functioning | Disruptive Behaviors-Diagnostic Observation Schedule (DB-DOS) is used to assess problem behaviors. The DB-DOS consists of a series of challenging tasks that ask the child to inhibit prepotent behaviors and regulate emotions. | Annually |
| Diurnal production of cortisol |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mary Dozier, Ph.D. | University of Delaware | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Delaware | Newark | Delaware | 19716 | United States |
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| ID | Term |
|---|---|
| D000066553 | Problem Behavior |
| D001289 | Attention Deficit Disorder with Hyperactivity |
| D003863 | Depression |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D002652 | Child Behavior |
| D019958 | Attention Deficit and Disruptive Behavior Disorders |
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| Developmental Education for Families | Behavioral | Developmental Education for Families is a 10-session in home intervention that targets children's cognitive development. |
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Three days of saliva sampling at wake-up and bedtime. |
| Annually |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |