Community implementation outcomes of Attachment and Biobehavioral Catch-up

Abstract Bringing evidence-based treatments to community practice is a critical challenge for the field. When implemented in the community, evidence-based treatments often fail to provide the benefits shown in laboratory settings. Therefore, when evidence-based treatments are transported to the comm...

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Bibliographic Details
Published in:Child abuse & neglect 2016-03, Vol.53, p.128-137
Main Authors: Caron, EB, Weston-Lee, Patria, Haggerty, Danielle, Dozier, Mary
Format: Article
Language:English
Subjects:
Behavior
Benchmarking
Caregivers - psychology
Child abuse & neglect
Child Rearing
Community Health Services - methods
Community Relations
Early childhood
Education, Nonprofessional - methods
Effect Size
Evaluation
Evidence
Evidence-Based Practice - methods
Fidelity
Hawaii
Humans
Implementation
Intervention
Object Attachment
Parent Child Relationship
Parent training
Parent-Child Relations
Parenting
Parents & parenting
Parents - education
Pediatrics
Prevention
Psychiatry
Risk assessment
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Summary:Abstract Bringing evidence-based treatments to community practice is a critical challenge for the field. When implemented in the community, evidence-based treatments often fail to provide the benefits shown in laboratory settings. Therefore, when evidence-based treatments are transported to the community, it is essential to investigate implementation process and outcomes. The present study assessed whether Attachment and Biobehavioral Catch-up (ABC), an intervention for high-risk parents that has been shown to be efficacious in randomized clinical trials (RCTs), changed parent behavior in a community-based setting. This study examined data collected from 78 cases by 9 parent coaches in a diverse community setting in Hawaii, and compared data to benchmarks from RCTs. Parent coach fidelity was coded from intervention session video clips, and was also compared with benchmarks. Caregivers participating in ABC were primarily birth parents, and most were referred through Child Protective Services involvement or for reasons of harsh parenting or neglect. Parental behavior was assessed before and after intervention using a semi-structured play task. Increases in parental following the lead and delight, and decreases in parental intrusiveness, were observed; these changes were comparable to effect sizes observed in RCTs. Intent to treat analyses were conducted using behavioral data from videotaped sessions, and suggested that ABC also improved following the lead in parents who subsequently dropped out of treatment. These results support the viability of ABC for enhancing parenting behavior among parents at high risk for maltreatment, and demonstrate that parent coaches in community agencies can successfully implement ABC.
ISSN:0145-2134
1873-7757
DOI:10.1016/j.chiabu.2015.11.010