Partners in Children's Health (CSN): A Randomized Trial of an Attachment Based Intervention
NCT ID: NCT06002685
Last Updated: 2026-01-13
Study Results
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Basic Information
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RECRUITING
NA
260 participants
INTERVENTIONAL
2023-10-09
2028-01-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
SINGLE
Child Stress Regulation: Using video-recorded data collected at Times 1 and 2, blinded coders will rate the child's emotion regulation strategies in the context of mild stressors. Coders will use the Laboratory Temperament Assessment Battery (Lab-TAB) to rate the presence/absence of the following behaviors every 5 seconds: looks to mother, communicative gestures, looks to environment; and self-stimulation. In keeping with our own and others' previous data reduction in this domain, we will compute two proportion-score composites for mother-oriented regulation and self-soothing regulation. Coders will rate children's emotional re-activity every 5 seconds to analyze emotional reactivity as a covariate.
Sensitive Parenting Behaviors: At Times 1 and 2, blinded coders will collect observational assessments of sensitive parenting behaviors in 3 contexts: (a) play, (b) child distress, and (c) feeding.
Study Groups
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Attachment and Biobehavioral Catch-up (ABC) program
The ABC program consists of 10 1 -hour home-based sessions delivered by a trained parent coach. Each session includes the mother and her child together and addresses a specific topic.
Attachment and Biobehavioral Catch-Up
The ABC program consists of 10 one-hour home-based sessions delivered by a trained parent coach. Each session includes the mother and her child together and addresses a specific topic. Principal intervention activities include a discussion of basic attachment principles, guided practice of new parenting behaviors, and a review of video clips from previous sessions to help reinforce parenting targets. The parent coach promotes (a) nurturance, especially in response to distress; (b) following the child's lead with delight; and (c) avoiding frightening caregiving behavior. As specified by the ABC protocol, any/all other family members will be invited to observe or participate in each ABC session Each full-time ABC parent coach will serve 8 to 10 families at a time (i.e., complete 8-10 hourly ABC visits per week).
Home-Based Book-of-the-Week (HBOW) program
The HBOW program consists of 10 English/Spanish developmentally appropriate books hand-delivered weekly to the mothers. A trained RA will utilize a standard set of questions to ask about the mother's and child's well-being.
Home-Based Book-of-the-Week
The HBOW program is an active control condition developed by PI Berlin. It consists of 10 English/Spanish developmentally appropriate books hand-delivered weekly to the mothers. During each of the 10 weeks, a trained RA will visit each HBOW mother to drop off the book and to ask briefly about the mother's and child's well-being (using a standard set of questions). Thus, this condition will parallel the intervention condition in duration (number of weeks) and structure, although it will be less intensive in terms of participant contact time per visit.
Interventions
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Attachment and Biobehavioral Catch-Up
The ABC program consists of 10 one-hour home-based sessions delivered by a trained parent coach. Each session includes the mother and her child together and addresses a specific topic. Principal intervention activities include a discussion of basic attachment principles, guided practice of new parenting behaviors, and a review of video clips from previous sessions to help reinforce parenting targets. The parent coach promotes (a) nurturance, especially in response to distress; (b) following the child's lead with delight; and (c) avoiding frightening caregiving behavior. As specified by the ABC protocol, any/all other family members will be invited to observe or participate in each ABC session Each full-time ABC parent coach will serve 8 to 10 families at a time (i.e., complete 8-10 hourly ABC visits per week).
Home-Based Book-of-the-Week
The HBOW program is an active control condition developed by PI Berlin. It consists of 10 English/Spanish developmentally appropriate books hand-delivered weekly to the mothers. During each of the 10 weeks, a trained RA will visit each HBOW mother to drop off the book and to ask briefly about the mother's and child's well-being (using a standard set of questions). Thus, this condition will parallel the intervention condition in duration (number of weeks) and structure, although it will be less intensive in terms of participant contact time per visit.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Identify as Latina
* Speak English or Spanish
* Primiparous and multiparous
* Have a 9-month-old child enrolled in Medicaid
Exclusion Criteria
* Children who have major complex medical conditions (e.g., heart or autoimmune conditions) that could interfere with participation in intervention sessions and/or research assessments.
8 Months
12 Months
ALL
Yes
Sponsors
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Johns Hopkins University
OTHER
Harvard School of Public Health (HSPH)
OTHER
University of Maryland, Baltimore
OTHER
Responsible Party
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Lisa Berlin
Professor
Principal Investigators
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Lisa Berlin, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Maryland
Natalie Slopen, PhD
Role: STUDY_CHAIR
Harvard School of Public Health (HSPH)
Cathi Propper, PhD
Role: STUDY_CHAIR
Department of Psychology and Neuroscience at UNC Chapel Hill
Locations
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University of Maryland
Baltimore, Maryland, United States
Countries
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Central Contacts
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Facility Contacts
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References
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Other Identifiers
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HP-00103602
Identifier Type: -
Identifier Source: org_study_id
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