Manuscript Details

Raby, K. L., Freedman, E., Yarger, H. A., Lind, T., & Dozier, M. (2018). Enhancing the language development of toddlers in foster care by promoting foster parents’ sensitivity: Results from a randomized controlled trial. Developmental Science, 22(2), e12753. https://doi.org/10.1111/desc.12753

Moderate rating
Study reviewed under: Handbook of Procedures and Standards, Version 1
Study design characteristics contributing to rating
Design Attrition Baseline equivalence Confounding factors? Valid, reliable measures?
Randomized controlled trial High

Established on race/ethnicity and SES; outcome not feasible to assess at baseline

None

Not assessed in manuscripts reviewed under Handbook of Procedures and Standards, Version 1
Notes from the review of this manuscript

In addition to the findings that received a moderate rating, foster parents’ sensitive caregiving received a low rating because the analysis did not control for a baseline measure of foster parents’ sensitivity. Information about baseline equivalence and sample size at each follow-up was based on correspondence with the author.

Child Development and School Readiness
Outcome Measure Timing of Follow-Up Rating Direction of Effect Effect Size (Absolute Value) Stastical Significance Sample Size Sample Description
Peabody Picture Vocabulary Test (PPVT) - Receptive Vocabulary 36 months of age Moderate
0.86 Statistically significant, p= 0.02 32 children ABC-Toddler vs. DEF; Delaware
Peabody Picture Vocabulary Test (PPVT) - Receptive Vocabulary 48 months of age Moderate
0.17 Not statistically significant, p= 0.52 53 children ABC-Toddler vs. DEF; Delaware
Peabody Picture Vocabulary Test (PPVT) - Receptive Vocabulary 60 months of age Moderate
0.60 Statistically significant, p= 0.03 58 children ABC-Toddler vs. DEF; Delaware
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
49%
Hispanic or Latino
8%
White
28%
Unknown
15%

Maternal Education

Less than a high school diploma
7%
High school diploma or GED
22%
Some college or Associate's degree
22%
Bachelor's degree or higher
49%

Other Characteristics

Data not available

This study included participants from the following locations:

  • Delaware
Study Participants

Foster parents of children ages 24 to 36 months were referred to the study by the State of Delaware Division of Family Services. A total of 205 families were enrolled and randomly assigned to receive ABC-Toddler or a comparison home visiting model. This study focused on 88 parent-child dyads that participated in a post-intervention assessment of children’s receptive vocabulary. Most participating foster parents were females who identified as African American (47 percent) or Caucasian (42 percent). More than half had a household income of at least $60,000. Children were predominately African American (49 percent) or Caucasian (29 percent) who had been with their foster parent for almost three years at follow-up.

Setting

Delaware

Comparison Conditions

Comparison families received Developmental Education for Families (DEF) in home visits that were of the same duration and intensity (10 hour-long sessions) as ABC-Toddler. DEF was designed to enhance cognitive and linguistic development. For this study, DEF was adapted to exclude components related to parent sensitivity and receptivity to distinguish it from ABC-Toddler.

Author Affiliation

Mary Dozier is a developer of the ABC home visiting program model.

Funding Sources

This research was supported by Award Number R01MH052135 from the National Institute of Mental Health.