Changing parental depression and sensitivity: Randomized clinical trial of ABC's effectiveness in the community

Perrone, Laura; Imrisek, Steven D.; Dash, Allison; Rodríguez, Melanie M. Domenech; Monticciolo, Erasma; Bernard, Kristin

doi:10.1017/s0954579420000310

Cited by 25 publications

(35 citation statements)

References 94 publications

(104 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Given the importance of changing parental sensitivity, this construct has also been studied through observational assessment in community implementation settings, as ABC has been disseminated nationally and internationally. Notably, when assessing pre-ABC to post-ABC parent sensitivity change in community implementation settings, the effect size for this improvement is large, and similar to what has been seen in previous research trials ( Perrone et al, 2020 ; Roben et al, 2017 ).…”

Section: Overview Of Attachment and Biobehavioral Catch-upsupporting

confidence: 76%

Assessing Changes in Parent Sensitivity in Telehealth and Hybrid Implementation of Attachment and Biobehavioral Catch-Up During the COVID-19 Pandemic

et al. 2022

View full text Add to dashboard Cite

During the COVID-19 pandemic, home visiting services for families with young children pivoted to continue providing services virtually. One such service was Attachment and Biobehavioral Catch-up (ABC), a brief prevention/intervention program targeting increased parental sensitivity. Seventy families participated in a sensitivity assessment before and after receiving ABC. Forty-three families received the program fully through telehealth, and twenty-seven families received the program through an in-person/telehealth hybrid format. Parent sensitivity was assessed pre- and post-intervention, and results suggested that when ABC was delivered through a telehealth or hybrid format, parents showed increased following the lead and decreased intrusiveness from pre- to post-intervention, with moderate effect sizes. Ongoing supervision in the model, weekly fidelity maintenance checks, and the flexibility of families and parent coaches likely contributed to the maintenance of significant change in parental sensitivity from pre- to post-intervention during the move from face-to-face home visiting to the provision of virtual services.

show abstract

Section: Overview Of Attachment and Biobehavioral Catch-upsupporting

confidence: 76%

Assessing Changes in Parent Sensitivity in Telehealth and Hybrid Implementation of Attachment and Biobehavioral Catch-Up During the COVID-19 Pandemic

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Scales were adapted for use in specific samples in studies by Hoffenkamp and colleagues (2015 26 ; preterm infants). Perrone and colleagues (2021) also stated that scales were adapted for use 137 .…”

Section: Etablementioning

confidence: 99%

Dyadic Parent/Caregiver-Infant Interventions Initiated in the First 6 Months of Life to Support Early Relational Health: A Meta-Analysis

Lavallée¹,

Pang²,

Warmingham³

et al. 2022

Preprint

View full text Add to dashboard Cite

Importance: In 2021, the American Academy of Pediatrics published a policy statement seeking to create a paradigm shift away from a focus on childhood toxic stress and toward the emphasis on early relational health (ERH) as a buffer for childhood adversity and promoter of life-course resilience. A comprehensive appraisal of the efficacy of contemporary parent/caregiver-child interventions in — primarily — improving ERH, and — secondarily — enhancing child wellbeing and neurodevelopment is needed to guide widespread implementation and policy. Objective: Determine the effectiveness of contemporary early dyadic parent/caregiver-infant interventions on ERH, child socio-emotional functioning and development, and parent/caregiver mental health. Data Sources: PubMed, Medline, Cinhal, ERIC, and PsycInfo were searched on April 28, 2022. Additional sources: clinical trial registries (clinicaltrials.gov, ISRCTN Registry, EU Clinical Trials Register, Australian New Zealand Clinical Trials Registry), contacting authors of unpublished/ongoing studies, backward/forward reference-searching. Study Selection: Studies targeting parent/caregiver-infant dyads and evaluating effectiveness of a dyadic intervention were eligible. Study selection was performed in duplicate, using Covidence. Data Extraction and Synthesis: Cochrane methodological guidance presented per PRISMA guidelines. Data extraction and risk of bias assessment were completed in duplicate with consensuses by first author. Data were pooled using inverse-variance random effects models. Main Outcomes and Measures: The primary outcome domain was ERH. Secondary outcome domains were child socio-emotional functioning and development, and parent/caregiver mental health, and were only considered in studies where at least one ERH outcome was also measured. The association between dose of intervention and effect estimates was explored. Results: 93 studies (14,993 parent/caregiver-infant dyads) met inclusion criteria. Based on very low to moderate quality of evidence, we found significant non-dose-dependent intervention effects on several measures of ERH, including bonding, parent/caregiver sensitivity, attachment, and dyadic interactions, and a significant effect on parent/caregiver anxiety, but no significant effects on other child outcomes. Conclusion: Current evidence does not support the notion that promoting ERH through early dyadic interventions ensures optimal child development, despite effectively promoting ERH outcomes. Given the lack of an association with dose of intervention, the field is ripe for novel, innovative, cost-effective, potent ERH intervention strategies that effectively and equitably improve meaningful long-term child outcomes.

show abstract

“…ABC has been empirically tested in several randomized clinical trials (RCTs) across different vulnerable populations, including parent-child dyads with a history of child protective services (CPS) involvement, 21 children living in poverty, 22 children in Early Head Start, 23 foster children, 24 and internationally adopted children. 25 Parents who received ABC have demonstrated greater parental sensitivity than the control group in both high-risk (e.g., low resources, CPS-involved) 7 and low-risk (e.g., foster and adoptive parents with high resources) 7 , 26 populations.…”

Section: Enhancing Sensitive Parentingmentioning

confidence: 99%

Intervening with Opioid-Exposed Newborns:

Martin¹,

Chen²,

Dozier³

2022

Delaware Journal of Public Health

View full text Add to dashboard Cite

Background Prenatal opioid exposure predisposes infants to adverse development of regulatory systems and jeopardizes their long-term health outcomes. While sensitive caregiving promotes healthy development of emotional and physiological regulation and may remediate risks associated with prenatal opioid exposure, mothers with opioid use disorder often experience unique challenges that make providing sensitive care difficult. Rationale Empirically tested early interventions, such as the Attachment and Biobehavioral Catch-up (ABC) intervention, can positively impact children’s development following adversity through promoting sensitive caregiving. ABC intervention targets correspond to those parenting behaviors that may be challenging for mothers with opioid use disorder (i.e., nurturing infants who may be difficult to soothe, responding sensitively to infants by following the child’s lead with delight, and avoiding intrusive/frightening behavior), and have positive impacts on child development and regulation. However, given the unique challenges for infants and mothers impacted by opioid use, some adaptations may strategically address those vulnerabilities and thereby maximize the potential benefits for this population. Methods The present paper describes modifications made to the ABC intervention for use with pregnant mothers in treatment for opioid use disorder. This modified intervention is currently being examined via a large scale randomized clinical trial (RCT) at the University of Delaware, and a case study is presented here to highlight considerations for working with mothers and infants impacted by opioid use and to exemplify ways that modified ABC addresses the needs of this population.

show abstract

Changing parental depression and sensitivity: Randomized clinical trial of ABC's effectiveness in the community

Cited by 25 publications

References 94 publications

Assessing Changes in Parent Sensitivity in Telehealth and Hybrid Implementation of Attachment and Biobehavioral Catch-Up During the COVID-19 Pandemic

Assessing Changes in Parent Sensitivity in Telehealth and Hybrid Implementation of Attachment and Biobehavioral Catch-Up During the COVID-19 Pandemic

Dyadic Parent/Caregiver-Infant Interventions Initiated in the First 6 Months of Life to Support Early Relational Health: A Meta-Analysis

Intervening with Opioid-Exposed Newborns:

Contact Info

Product

Resources

About