Bernard, K., Yarger, H. A., Meade, E. B., Wallin, A., & Dozier, M. (2015). Enhancing sensitivity and positive regard among parents of children adopted internationally: Long-term effects from a randomized clinical trial. Unpublished manuscript.
Model(s) Reviewed:
Attachment and Biobehavioral Catch-Up (ABC) -Infant
| Screening decision | Screening conclusion | HomVEE procedures and standards version |
|---|---|---|
| Passes screens | Eligible for review | Version 1 |
| Rating | Design | Attrition | Baseline equivalence | Compromised randomization | Confounding factors | Valid, reliable measure(s) |
|---|---|---|---|---|---|---|
| Moderate | Randomized controlled trial | Low | Not established on race; not established on SES; established on outcome measures assessable at baseline. | None | None | Not assessed in manuscripts reviewed before 2021 |
Notes:
This study rating applies to 0- to 6-month outcomes. Three later follow-ups (at 6 to 12, 12 to 18, and 18 to 24 months) all rated low because HomVEE could not confirm low attrition or baseline equivalence for those follow-ups.
| Study participants | Study participants were parents who had recently adopted a child internationally. This study was a randomized controlled trial, and parents were randomly assigned to the treatment or control condition. A total of 133 parents were randomized at baseline, 66 to the treatment condition (ABC) and 67 to the Developmental Education for Families (DEF) (control) condition. At the zero- to-six-month post-intervention follow-up, 54 parents were assessed in each group for an analytic sample of 108. At baseline, 96 percent of the treatment parents and 87 percent of control parents where white, 83 percent and 80 percent had a bachelor's or graduate degree, and 67 percent of treatment mothers and 70 percent of control mothers were employed outside of the home. |
|---|---|
| Setting | Not reported. |
| Intervention services | Parents in the treatment condition received the Attachment and Biobehavioral Catch-Up (ABC) intervention, with an additional focus on helping parents handle child behaviors that are indiscriminately friendly or pseudo-autistic. |
| Comparison conditions | Parents in the control condition received the DEF program, a parent education program adapted from a home visiting program that emphasizes motor, cognitive, and language development. |
| Subgroups examined |
This field lists subgroups examined in the manuscript (even if they were not replicated in other samples and not reported on the summary page for this model’s report). Subgroups are not listed for manuscripts reviewed before 2021. |
| Funding sources | Not reported. |
| Author affiliation | Dr. Bernard is affiliated with the Department of Psychology, Stony Brook University. |
| Peer reviewed | Peer reviewed status is not listed for manuscripts reviewed before 2021. |
Study Registration:
Clinicaltrials.gov Identifier: None found. Study registration was assessed by HomVEE beginning with the 2014 review.
Findings that rate moderate or high
| Rating | Outcome measure | Effect | Sample | Timing of follow-up | Sample size | Intervention group | Comparison group | Group difference | Effect size | Statistical significance | Notes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Moderate | Parent positive regard | FavorableUnfavorable or ambiguousNo Effect |
International adoptions | 0-6 months | 108 caregivers | Unadjusted mean = 4.32 | Unadjusted mean = 3.76 | Mean difference = 0.56 | HomVEE calculated = 0.70 | Statistically significant, p<0.01 | |
| Moderate | Parent sensitivity | FavorableUnfavorable or ambiguousNo Effect |
International adoptions | 0-6 months | 108 caregivers | Unadjusted mean = 3.56 | Unadjusted mean = 2.93 | Mean difference = 0.63 | HomVEE calculated = 0.62 | Statistically significant, p<0.01 |