footnote228
The baseline equivalence and attrition information above applies to the randomized controlled trial portion of the study. A confound in the study design for the quasi-experimental portion of the study resulted in an automatic low rating for that portion. Specifically, authors compared children with a foster care history who were randomly assigned to receive <abbr title="Attachment and Biobehavioral Catch-Up ">ABC</abbr> to children with no foster care history who were selected as a comparison group. This creates a difference between the treatment and comparison groups, foster care status, that is present in addition to exposure to <abbr title="Attachment and Biobehavioral Catch-Up ">ABC</abbr>. It is therefore impossible to isolate the impact of <abbr title="Attachment and Biobehavioral Catch-Up ">ABC</abbr> from foster care status in the quasi-experimental portion of the study.