Black or African American
65%
Source
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.
Model(s) Reviewed
Study Registration
Funding Sources
Not reported.
Study Design
| Design | Attrition | Baseline equivalence | Confounding factors | Valid, reliable measures? |
|---|---|---|---|---|
| Randomized controlled trial | Low | Established on race/ethnicity and SES; outcomes not feasible to assess at baseline | None |
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 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.
Home Visiting 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.
Were any subgroups examined?
No
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.
Home Visiting 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.
Were any subgroups examined?
No
Findings that rate moderate or high in this manuscript
| Outcome measure | Timing of follow-up | Rating | Direction of Effect | Effect size (absolute value) | Stastical significance | Sample size | Sample description | |
|---|---|---|---|---|---|---|---|---|
Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE) - Disrupted parenting |
7 months post-intervention |
High | 0.27 | Not statistically significant, p= 0.23 |
109 parents | ABC-I vs. DEF; Large mid-Atlantic city |
||
Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE) - Parental withdrawal |
7 months post-intervention |
High | 0.44 | Statistically significant, p= 0.02 |
109 parents | ABC-I vs. DEF; Large mid-Atlantic city |
||
Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE) - Affective communication errors |
7 months post-intervention |
High | 0.21 | Not statistically significant, p= 0.27 |
109 parents | ABC-I vs. DEF; Large mid-Atlantic city |
||
Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE) - Role/boundary confusion |
7 months post-intervention |
High | 0.04 | Not statistically significant, p= 0.84 |
109 parents | ABC-I vs. DEF; Large mid-Atlantic city |
||
Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE) - Fearful/disorientation |
7 months post-intervention |
High | 0.14 | Not statistically significant, p= 0.46 |
109 parents | ABC-I vs. DEF; Large mid-Atlantic city |
||
Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE) - Intrusive/negativity |
7 months post-intervention |
High | 0.09 | Not statistically significant, p= 0.64 |
109 parents | ABC-I vs. DEF; Large mid-Atlantic city |
| Outcome measure | Timing of follow-up | Rating | Direction of Effect | Effect size (absolute value) | Stastical significance | Sample size | Sample description | |
|---|---|---|---|---|---|---|---|---|
Strange Situation Procedure - Disorganized attachment |
7 months post-intervention |
High | 0.31 | Not statistically significant, p= 0.17 |
109 children | ABC-I vs. DEF; Large mid-Atlantic city |
This study included participants with the following characteristics at enrollment:
Race/Ethnicity
Maternal Education
Other Characteristics
This study included participants from the following locations:
- State not reported or international