American Indian or Alaska Native
1%
Perrone, L., Imrisek, S. D., Dash, A., Rodriguez, M., Monticciolo, E., & Bernard, K. (2021). Changing parental depression and sensitivity: Randomized clinical trial of ABC's effectiveness in the community. Development and Psychopathology, 33(3), 1026-1040. https://doi.org/10.1017/S0954579420000310
Peer Reviewed
Study Registration: ClinicalTrials.gov
Maternal Health
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Statistical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Center for Epidemiological Studies Depression Scale (CES-D; adjusted for parental intrusiveness) | 7 months after enrollment | High | 0.26 | Not statistically significant, p= 0.06 | 200 parents | ABC-Infant vs. waitlist control RCT, New York City, 2016-2018, full sample | |
| Center for Epidemiological Studies Depression Scale (CES-D; adjusted for parental positive regard) | 7 months after enrollment | High | 0.25 | Not statistically significant, p= 0.06 | 200 parents | ABC-Infant vs. waitlist control RCT, New York City, 2016-2018, full sample | |
| Center for Epidemiological Studies Depression Scale (CES-D; adjusted for parental sensitivity) | 7 months after enrollment | High | 0.25 | Not statistically significant, p= 0.06 | 200 parents | ABC-Infant vs. waitlist control RCT, New York City, 2016-2018, full sample |
Positive Parenting Practices
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Statistical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Parental intrusiveness (adapted from the Observational Record of the Caregiving Environment; ORCE) | 7 months after enrollment | High | 0.05 | Not statistically significant, p= 0.72 | 200 parents | ABC-Infant vs. waitlist control RCT, New York City, 2016-2018, full sample | |
| Parental positive regard (adapted from the Observational Record of the Caregiving Environment; ORCE) | 7 months after enrollment | High | 0.12 | Not statistically significant, p= 0.46 | 200 parents | ABC-Infant vs. waitlist control RCT, New York City, 2016-2018, full sample | |
| Parental sensitivity (adapted from the Observational Record of the Caregiving Environment; ORCE) | 7 months after enrollment | High | 0.32 | Statistically significant, p= 0.04 | 200 parents | ABC-Infant vs. waitlist control RCT, New York City, 2016-2018, full sample |
This study included participants from the following locations:
- New York
Study Participants
- The study participants were parents who had experienced adversity in early caregiving relationships.
- A total of 200 parent-child dyads were randomly assigned to either the home visiting intervention group (100 dyads) or the waitlist comparison group (100 dyads).
- At enrollment, the children ranged in age from 5 to 21 months.
- Outcomes were measured approximately seven months after enrollment, about one month after families completed home visits.
Setting
Study participants were recruited from Power of Two, a community-based organization in New York City that supports families experiencing poverty and involvement with the child welfare system.
Intervention condition
Note: Navigate to the model page for more information about the home visiting model. See the source manuscript for more information about how the model was implemented in this study.
Comparison Conditions
Comparison families were placed in a waitlist control group that did not receive the home visiting intervention during the study period.
Funding Sources
The study was supported by the Fund for the City of New York and additional funders through Power of Two, including the Viola W. Bernard Foundation and Tiger Foundation.
Study design characteristics contributing to rating
| Design | Random assignment compromised? | Attrition | Baseline equivalence | Confounding factors? | Valid, reliable measures? |
|---|---|---|---|---|---|
| Randomized controlled trial | No | Low |
Not assessed for randomized controlled trials with low attrition |
No |
Yes |
Notes from the review of this manuscript
In addition to the full randomized study sample, the manuscript reports findings based on dyads in the intervention group who completed all 10 program sessions. HomVEE prioritizes findings from the full study sample; therefore, the analysis of program completers is excluded from the review. The manuscript also presents exploratory analyses of two potential moderators of the intervention’s effects on depression and parental sensitivity for program completers—Adverse Childhood Experiences (ACE) scale score and cumulative risk factor. However, both moderators are not eligible for review. Information on sample sizes, estimation approaches, and outcome measures is based on correspondence with one of the manuscript's authors.