Asian
3.33%
Source
Yarger, H. A., Bernard, K., Caron, E., Wallin, A., & Dozier, M. (in press). Enhancing parenting quality for young children adopted internationally: Results of a randomized controlled trial. Journal of Clinical Child and Adolescent Psychology.
Model(s) Reviewed
Study Registration
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 | Low | Established on race/ethnicity, SES, and baseline measures of the outcomes | None |
Notes
In addition to the pooled findings across the 7- to 37-month follow-up interval, authors reported findings separately for each 6-month follow-up period. At each follow-up, all findings received a high rating, therefore, HomVEE reported the pooled findings instead of the separate findings for each individual follow-up period.
Study Participants
Participants were recruited through adoption agencies in the region. Parents were eligible to participate if they were the primary caregiver of an internationally adopted child. One-hundred and twenty parent-child dyads were randomly assigned to either ABC-Infant or a comparison program that also provided home visits. The study was conducted between April 2009 and May 2017. At baseline, 94 percent of dyads included the child’s mother and 95 percent of parents identified as White/non-Hispanic; 63 percent of children identified as Asian American. The average parent age was 39.7 years; the average child age was 22 months. Fifty-eight percent of parents reported annual incomes of more than $100,000.
Setting
This study was conducted in the Mid-Atlantic region of the United States.
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, components related to parental sensitivity were excluded.
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 | Stastical significance | Sample size | Sample description | |
|---|---|---|---|---|---|---|---|---|
Observational Record of the Caregiving Environment (ORCE) adapted scale - Parenting sensitivity |
7-37 months post-intervention (pooled) |
High | 0.52 | Statistically significant, p= 0.01 |
120 parents | ABC-I vs. DEF; international adoptions; Mid-Atlantic |
||
Observational Record of the Caregiving Environment (ORCE) adapted scale - Intrusiveness |
7-37 months post-intervention (pooled) |
High | -0.32 | Not statistically significant, p= 0.11 |
120 parents | ABC-I vs. DEF; international adoptions; Mid-Atlantic |
||
Observational Record of the Caregiving Environment (ORCE) adapted scale - Positive regard |
7-37 months post-intervention (pooled) |
High | 0.36 | Statistically significant, p= 0.05 |
120 parents | ABC-I vs. DEF; international adoptions; Mid-Atlantic |
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