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Behavioral Intervention

Evidence-Based Parenting Services for Families in Child Welfare

Seattle, WA

N/A

Recruiting

Led By Monica Oxford, PhD, MSW

Research Sponsored by University of Washington

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

They have not had PFR in the past

Birth parents will be eligible if they are listed in the official DCYF child welfare database as having an open CPS investigation and a child listed in the case file who is between 6-12 months old

Must not have

Previously received the Promoting First Relationships ® intervention or Child Parent Psychotherapy (CPP)

Timeline

Screening 3 weeks

Treatment Varies

Follow Up baseline to 1-year post-intervention

Awards & highlights

No Placebo-Only Group

Summary

This trial will compare two parenting programs to determine their effectiveness in helping families with young children in the child welfare system. Participants will be asked to take part in research visits and parenting programs.

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Who is the study for?

This trial is for English-speaking birth parents with a child aged 6-12 months involved in an open CPS investigation. They must have the tech needed for telehealth and not be hospitalized or incarcerated. Parents who've had PFR or CPP, lack stable housing, or reliable internet/device access are excluded.Check my eligibility

What is being tested?

The study compares two methods of delivering parenting support: Promoting First Relationships through home visits (PFR-HV) and via telehealth (PFR-T), against usual care. It will assess parent-child interaction quality, knowledge on child development, child behavior, placement outcomes, cost-effectiveness, and program delivery fidelity.See study design

What are the potential side effects?

There are no direct medical side effects as this is a behavioral intervention trial. However, participants may experience discomfort discussing personal topics or stress from being videotaped during parent-child interactions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

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I have never had a PFR before.

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I am a parent in the DCYF database with an open CPS case and a child aged 6-12 months.

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Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:

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I have undergone Promoting First Relationships or Child Parent Psychotherapy.

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Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ baseline to 1-year post-intervention

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~baseline to 1-year post-intervention

This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline to 1-year post-intervention for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Change in parent sensitive and responsive care

Change in parental understanding of child social & emotional development

Prevention of child welfare out of home placement

Secondary study objectives

Chang in child externalizing behavior

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

3Treatment groups

Experimental Treatment

Active Control

Group I: Promoting First Relationships TelehealthExperimental Treatment1 Intervention

PFR-T is a 10-week telehealth parenting support program. PFR-T retains all of the core content features of PFR-HV: use of parent-child interaction during play as a way to reflect on the child's social and emotional needs, use of handouts and exercises to deepen the learning, and thoughts for the week. The parent-child video observations will be completed online over Zoom. The provider will mail the handouts to participants before starting PFR-T and send handouts by email as a backup. To discuss the handouts, the provider will use "share screen." During five of the weekly sessions, the provider uses the "record" feature of Zoom to record playtime between parent and child. At the next visit, the PFR-T provider will use "share screen" to playback the video to offer positive instructive and reflective feedback and facilitate discussion. As is typical in PFR, the provider will be able to pause or rewind the recording as needed.

Group II: Promoting First Relationships Home VisitingExperimental Treatment1 Intervention

PFR-HV is a 10-week home-based parenting support program that promotes parental sensitivity and reduce the risk of maltreatment. PFR uses a curriculum, each week consisting of a theme for discussion and an activity. Sessions includes at least two handouts, one with new content and one titled "Thoughts for the Week," which asks parents to think about a topic discussed in the session and apply it to their relationship with their child. On alternating weeks, the provider video records the parent-child dyad playing for 10 minutes. The following week the parent and provider view the video recording, and the provider guides the parent to reflect on their observation of the play. When the parent is sensitive to the child's needs, the provider acknowledges that with positive instructive comments. When there is tension between child and parent, the provider pauses the video and asks reflective questions, which allows parents to reconsider the meaning behind their child's behavior.

Group III: Control, Resource ConditionActive Control1 Intervention

For families randomized to the control group, they will not receive any intervention in the 3 month timeframe between the first two research visits. The research coordinator will maintain contact with the families in this group, and they will be emailed a resource packet with some information about services or programs that might be helpful for them based on the area they reside.

0 / 3Eligibility criteria met