Manuscript Details

Source

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

Rating
Moderate
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.

Study Design

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
Notes

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.

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

Home Visiting Services

ABC-Toddler, a manualized intervention, aimed to increase parent sensitivity and receptivity for children ages 24 to 48 months. Parent coaches delivered 10 hour-long sessions in foster parents’ homes. Parent coaches observed and provided “in the moment” feedback on parent-child interactions.

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.

Were any subgroups examined?
No

Findings that rate moderate or high in this manuscript

Child development and school readiness
Outcome measure Timing of follow-up Rating Direction of Effect Effect size 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
48.90%
Hispanic or Latino
7.97%
White
28.41%
Unknown
14.77%

Maternal Education

Less than a high school diploma
6.90%
High school diploma or GED
21.88%
Some college or Associate's degree
21.89%
Bachelor's degree or higher
49.27%
Unknown
0.00%

Other Characteristics

Data not available