Efficacy of Group Attachment Based Intervention for Vulnerable Families

NCT01641744 | Completed

• 1 other identifier: 2005-703
• Study Type: interventional
• Target: 146
• Locations: 1 country
• Sites: 1

Brief Summary

The study examines the effectiveness of parent-child Group Attachment Based Intervention (GABI) in reducing risk of maltreatment in infants and toddlers compared with parenting skills classes. GABI directly addresses the needs of isolated, marginalized families, with the goals of of enhancing parent coping and resilience, and improving parent-child attachment relationships. We hypothesize that compared to usual care, GABI will be associated with improved child, parent and parent-child outcomes.

Conditions

Child Maltreatment; Domestic Violence

Keywords

Parent Child Relationship; Maltreatment; Risk Behaviors; Social and Emotional Development; Violence and Abuse; Policy

Outcome Measures

Primary Outcomes (1)

• Change from baseline in child exposure to trauma and maltreatment to end-of-treatment and at 6-month follow-up (Child Adverse Childhood Experiences Screener)

  Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-up

Secondary Outcomes (6)

• Child cognitive development (Bayley III Screening Test)

  Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-Up

• Parent mental health (Symptoms Checklist-90)

  Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-Up

• Child social-emotional development (Ages and Stages Questionnaire)

  Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-Up

• Parent social support (Interpersonal Support Evaluation List)

  Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-Up

• Parenting stress (Parenting Stress Index)

  Measured at Baseline, End-of-Treatment (12 Weeks for Control/26 Weeks for Intervention), and at 6-Month Follow-Up

Study Arms (2)

Group Attachment Based Intervention (GABI)

EXPERIMENTAL

Behavioral: Group Attachment Based Intervention (GABI)

Systematic Training for Effective Parenting (STEP)

ACTIVE COMPARATOR

Behavioral: Systematic Training for Effective Parenting (STEP)

Interventions

Systematic Training for Effective Parenting (STEP) BEHAVIORAL

Parenting skills training class, 1x/week, 12 weeks

Systematic Training for Effective Parenting (STEP)

Group Attachment Based Intervention (GABI) BEHAVIORAL

Parent-child group, 3x/week, 26 weeks

Group Attachment Based Intervention (GABI)

Eligibility Criteria

• Age: Up to 36 Months
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Parents with children age 0-36 months
• Parent(s) is/are biological parent of child (mother or father)
• Parent(s) has/have custody of their child even if he/she/they have lost custody of previous children
• Risk of maltreatment from referral source or intake interview, including parent's own childhood adversity, parent's current exposure to relationship violence, history of parental substance abuse or history of parental incarceration
• If history of substance abuse, enrolled in treatment program
• Willing to sign informed consent

You may not qualify if:

• Parent is unable to provide informed consent due to cognitive impairment
• Parent not fluent in English
• Child has diagnosis of an autistic spectrum disorder or severe cognitive delay

Sponsors & Collaborators

• Albert Einstein College of Medicine: lead
• The New School: collaborator
• Health Resources and Services Administration (HRSA): collaborator

Study Sites (1)

Center for Babies, Toddlers and Families, division of The Early Childhood Center

The Bronx, New York, 10461, United States

Location

Related Publications (1)

• Jones KA, Freijah I, Brennan SE, McKenzie JE, Bright TM, Fiolet R, Kamitsis I, Reid C, Davis E, Andrews S, Muzik M, Segal L, Herrman H, Chamberlain C. Interventions from pregnancy to two years after birth for parents experiencing complex post-traumatic stress disorder and/or with childhood experience of maltreatment. Cochrane Database Syst Rev. 2023 May 4;5(5):CD014874. doi: 10.1002/14651858.CD014874.pub2.

  PMID: 37146219 DERIVED

MeSH Terms

Conditions

Risk-Taking

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Karen Bonuck, PhD

  Albert Einstein College of Medicine

  PRINCIPAL INVESTIGATOR

• Anne Murphy, PhD

  Albert Einstein College of Medicine

  PRINCIPAL INVESTIGATOR

• Miriam Steele, PhD

  The New School

  STUDY DIRECTOR

• Howard Steele, PhD

  The New School

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Karen A. Bonuck, PhD (Professor)

Study Record Dates

• First Submitted: July 12, 2012
• First Posted: July 17, 2012
• Study Start: August 1, 2012
• Primary Completion: November 1, 2017
• Study Completion: November 1, 2017
• Last Updated: June 28, 2018

Record last verified: 2018-06

Locations

US (1)