Manuscript Detail | Home Visiting Evidence of Effectiveness

Yarger, H. A. (2018). Investigating longitudinal pathways to dysregulation: The role of anomalous parenting behavior (Publication No. 2130944494) [Doctoral dissertation, University of Delaware]. ProQuest Dissertations and Theses.

Manuscript screening details
Screening decision	Screening conclusion	HomVEE procedures and standards version
Passes screens	Eligible for review	Version 1

Study design details
Rating	Design	Attrition	Baseline equivalence	Compromised randomization	Confounding factors	Valid, reliable measure(s)
High	Randomized controlled trial	Low	Established on race/ethnicity and SES; outcomes not feasible to assess at baseline	None	None	Not assessed in manuscripts reviewed before 2021

Notes:

This manuscript analyzes findings from the same randomized controlled trial as Bernard et al. (2012). Additional contextual information about the study and to determine attrition is from Bernard et al. (2012) and based on correspondence with the author.

Study characteristics
Study participants	Agencies contracted by a mid-Atlantic city’s child welfare agency referred families to the study who were identified as being at risk for child removal and placement into foster care and had substantiated or unsubstantiated reports of maltreatment. Parent-child dyads were randomly assigned to receive ABC-Infant or an alternate home visiting intervention. A total of 109 parent-child dyads were included in the study (52 in the ABC-Infant group and 57 in the comparison group). Children ranged in age from 2 to 21 months. Ninety-six percent of parents in the study were female. The majority (63 percent) of parents identified as African American and 21 percent identified as Hispanic. Household income was less than $10,000 for 66 percent of families.
Setting	The study took place in a large mid-Atlantic city.
Intervention services	ABC-Infant consisted of 10 weekly hour-long home visits. The sessions focused on five topic areas: providing nurturance, following the child’s lead, refraining from frightening behavior, parents recognizing the effect of their own childhood experiences on their parenting behavior, and learning the importance of touch and children’s emotions. Across all sessions, parent trainers engaged parents in structured activities with their children and then provided feedback on observations of participants’ parenting behavior, both in real-time and by playing back video recordings from the sessions.
Comparison conditions	Comparison families received Developmental Education for Families (DEF) in home visits that were of the same duration (10 hour-long sessions) and frequency (weekly) as ABC-Infant. DEF was designed to enhance cognitive and linguistic development. For this study, the components related to following children’s cues were removed to distinguish it from ABC-Infant.
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	The author’s dissertation advisor is Mary Dozier, who is a developer of the ABC home visiting model.
Peer reviewed	Peer reviewed status is not listed for manuscripts reviewed before 2021.

Study Registration:

Clinicaltrials.gov Identifier: NCT02093052. Study registration was assessed by HomVEE beginning with the 2014 review.

Findings that rate moderate or high

Child development and school readiness
Rating	Outcome measure	Effect	Sample	Timing of follow-up	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance	Notes
High	Strange Situation Procedure - Disorganized attachment	FavorableUnfavorable or ambiguousNo Effect	ABC-I vs. DEF; Large mid-Atlantic city	7 months post-intervention	109 children	Unadjusted proportion = 0.33	Unadjusted proportion = 0.45	Mean difference = -0.12	HomVEE calculated = -0.31	Not statistically significant, p= 0.17	Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.

Positive parenting practices
Rating	Outcome measure	Effect	Sample	Timing of follow-up	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance	Notes
High	Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE) - Affective communication errors	FavorableUnfavorable or ambiguousNo Effect	ABC-I vs. DEF; Large mid-Atlantic city	7 months post-intervention	109 parents	Not reported	Not reported	Not reported	HomVEE calculated = 0.21	Not statistically significant, p= 0.27	Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.
High	Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE) - Disrupted parenting	FavorableUnfavorable or ambiguousNo Effect	ABC-I vs. DEF; Large mid-Atlantic city	7 months post-intervention	109 parents	Unadjusted proportion = 0.50	Unadjusted proportion = 0.61	Mean difference = -0.11	HomVEE calculated = -0.27	Not statistically significant, p= 0.23	Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.
High	Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE) - Fearful/disorientation	FavorableUnfavorable or ambiguousNo Effect	ABC-I vs. DEF; Large mid-Atlantic city	7 months post-intervention	109 parents	Not reported	Not reported	Not reported	HomVEE calculated = 0.14	Not statistically significant, p= 0.46	Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.
High	Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE) - Intrusive/negativity	FavorableUnfavorable or ambiguousNo Effect	ABC-I vs. DEF; Large mid-Atlantic city	7 months post-intervention	109 parents	Not reported	Not reported	Not reported	HomVEE calculated = 0.09	Not statistically significant, p= 0.64	Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.
High	Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE) - Parental withdrawal	FavorableUnfavorable or ambiguousNo Effect	ABC-I vs. DEF; Large mid-Atlantic city	7 months post-intervention	109 parents	Unadjusted mean = 3.77	Unadjusted mean = 4.46	Mean difference = -0.69	HomVEE calculated = -0.44	Statistically significant, p= 0.02	Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.
High	Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE) - Role/boundary confusion	FavorableUnfavorable or ambiguousNo Effect	ABC-I vs. DEF; Large mid-Atlantic city	7 months post-intervention	109 parents	Not reported	Not reported	Not reported	HomVEE calculated = 0.04	Not statistically significant, p= 0.84	Submitted by user on Fri, 03/15/2019 - 14:29 Negative effect is favorable to the intervention.