Manuscript Details

Zajac, L., Raby, K. L., & Dozier, M. (2019). Sustained effects on attachment security in middle childhood: Results from a randomized clinical trial of the Attachment and Biobehavioral Catch‐up (ABC) intervention. Journal of Child Psychology and Psychiatry, 61(4), 417–424. https://doi:10.1111/jcpp.13146

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

This manuscript analyzes findings from the same randomized controlled trial as Bernard et al. (2012), and additional contextual information about the study is from this source. Information to establish baseline equivalence of the groups on socioeconomic status 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
Kerns Security Scale - Attachment security Age 9 Moderate
0.46 Statistically significant, p= 0.02 100 children ABC-Infant vs. DEF; Large mid-Atlantic city
Kerns Security Scale - Attachment security Age 9 Moderate
0.48 Statistically significant, p= 0.02 100 children ABC-Infant vs. DEF; Large mid-Atlantic city
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
69%
Hispanic or Latino
22%
White
8%
Some other race
6%
Two or more races
17%

Maternal Education

Data not available

Other Characteristics

Data not available

This study included participants from the following locations:

  • State not reported or international
Study Participants

This randomized controlled trial (RCT) assigned parents to either ABC-Infant or a comparison home visiting program. Eligible families were those referred to Child Protective Services for risk of child maltreatment. At enrollment, children were younger than 2 years old. The follow-up was conducted when children were about 9 years old. The sample at follow-up included 100 children (44 in the ABC-Infant group and 56 in the comparison group). Characteristics of the ABC-Infant group (comparison group in parentheses) were as follows: 71 (68) percent of children were African American, 2 (13) percent were Caucasian, 21 (13) percent were biracial, 6 (6) percent were another race, and 21 (23) percent were Hispanic. Household income was less than $10,000 for 57 (66) percent of study families.

Setting

The study was conducted in a large mid-Atlantic city.

Comparison Conditions

Comparison families received Developmental Education for Families (DEF) in home visits that were 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 promoting parental sensitivity or responsiveness were removed to distinguish it from ABC-Infant.

Author Affiliation

Mary Dozier, one of the authors of the study, is a developer of the ABC home visiting program model.

Funding Sources

This research was supported by Award Numbers R01MH074374 and R01MH084135 from the National Institute of Mental Health.