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| Name | Class |
|---|---|
| The New School | OTHER |
| Health Resources and Services Administration (HRSA) | FED |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group Attachment Based Intervention (GABI) | Experimental |
| |
| Systematic Training for Effective Parenting (STEP) | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Systematic Training for Effective Parenting (STEP) | Behavioral | Parenting skills training class, 1x/week, 12 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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) | Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Child cognitive development (Bayley III Screening Test) | Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-Up | |
| Parent mental health (Symptoms Checklist-90) | Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-Up |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Karen Bonuck, PhD | Albert Einstein College of Medicine | Principal Investigator |
| Anne Murphy, PhD | Albert Einstein College of Medicine | Principal Investigator |
| Miriam Steele, PhD | The New School | Study Director |
| Howard Steele, PhD | The New School | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center for Babies, Toddlers and Families, division of The Early Childhood Center | The Bronx | New York | 10461 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37146219 | Derived | Jones KA, Freijah I, Brennan SE, McKenzie JE, Bright TM, Fiolet R, Kamitsis I, Reid C, Davis E, Andrews S, Muzik M, Segal L, Herrman H, Chamberlain C. Interventions from pregnancy to two years after birth for parents experiencing complex post-traumatic stress disorder and/or with childhood experience of maltreatment. Cochrane Database Syst Rev. 2023 May 4;5(5):CD014874. doi: 10.1002/14651858.CD014874.pub2. |
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| ID | Term |
|---|---|
| D012309 | Risk-Taking |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| Group Attachment Based Intervention (GABI) | Behavioral | Parent-child group, 3x/week, 26 weeks |
|
| Child social-emotional development (Ages and Stages Questionnaire) | Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-Up |
| Parent social support (Interpersonal Support Evaluation List) | Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-Up |
| Parenting stress (Parenting Stress Index) | Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-Up |
| Child-parent attachment (Strange Situation Procedure) and Free -Play Observation coded with Coding Interactive Behavior (CIB) dimensions | Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention, and at 6-Month Follow-Up |