Manuscript Details

Source

Yarger, H. A., Hoye, J. R., & Dozier, M. (2016). Trajectories of change in Attachment and Biobehavioral Catch-up among high-risk mothers: A randomized clinical trial. Infant Mental Health Journal, 37(5), 525–536. https://doi.org/10.1002/imhj.21585

High rating
Study reviewed under: Handbook of Procedures and Standards, Version 1

Note: Navigate to model page for more information about the home visiting model. See the study manuscript for more information about how the model was implemented in this study.

Author Affiliation

Not reported.

Funding Sources

Not reported.

Study Design

Design Attrition Baseline equivalence Confounding factors Valid, reliable measures?
Randomized controlled trial Low

Established on race; established on SES; established on outcome measures assessable at baseline

None

Not assessed in manuscripts reviewed under Handbook of Procedures and Standards, Version 1
Study Participants

The study is a randomized controlled trial. The Division of Family Services in Delaware referred mothers who had an unsubstantiated allegation of child neglect to participate in the study. After eligible mothers consented to participate, researchers randomly assigned 13 mothers to the Attachment and Biobehavioral Catch-Up (ABC) condition and 11 to the Developmental Education for Families (DEF) (control) condition.Based on the screening criteria, all mothers had children ages 6 to 20 months old and a household income less than $35,000. Most mothers identified as African American or European American.

Setting

Delaware

Home Visiting Services

ABC is an intervention designed to teach parents nurturing, sensitive, and nonfrightening ways of interacting with their children. The intervention was implemented across 10 weekly sessions in parents' homes with a parent coach interacting each week with the parent and child. Parents are also assigned homework each week to reinforce the skills taught during the session.

Note: Navigate to model page for more information about the home visiting model. See the study manuscript for more information about how the model was implemented in this study.

Comparison Conditions

DEF is another home-based intervention. Like ABC, it is also a manualized treatment conducted over 10 sessions with a parent coach. However, its focus is on improving children's gross and fine motor, cognitive, and language skills.

Findings that rate moderate or high in this manuscript

Positive parenting practices
Outcome measure Timing of follow-up Rating Direction of Effect Effect size (absolute value) Stastical significance Sample size Sample description

Growth in parental intrusiveness

16 to 19 weeks

High
0.81

Statistically significant, p = 0.02

24 mothers

Delaware mothers

Growth in parental sensitivity

16 to 19 weeks

High
0.70

Statistically significant, p = 0.04

24 mothers

Delaware mothers

Effect rating key
Favorable finding / Statistically significant
Unfavorable finding / Statistically significant
Ambiguous finding / Statistically significant
No effect / Not statistically significant

This study included participants with the following characteristics at enrollment:

Race/Ethnicity

The race and ethnicity categories may sum to more than 100 percent if Hispanic ethnicity was reported separately or respondents could select two or more race or ethnicity categories.

Black or African American
54%
White
38%
Two or more races
4%
Unknown
4%

Maternal Education

Less than a high school diploma
25%
High school diploma or GED
42%
Some college or Associate's degree
25%
Unknown
8%

Other Characteristics

Data not available