RecruitingNot ApplicableNCT06002685

Partners in Children's Health (CSN): A Randomized Trial of an Attachment Based Intervention

Effects of Attachment-Based Intervention on Low-Income Latino Children's Emerging Health Outcomes

Sponsor

University of Maryland, Baltimore

Enrollment

260 participants

Start Date

Oct 9, 2023

Study Type

INTERVENTIONAL

Conditions

Infections Allergies Inflammation Overweight and Obesity Respiratory Disease Body Mass Index Congestion Insufficient Sleep Digestive Disease Skin Conditions Antibiotic Use

Summary

The goal of this randomized controlled trial is to evaluate the impacts of an attachment-based intervention (Attachment Biobehavioral Catch-Up (ABC) and Home Book-of-the-Week (HBOW) program on emerging health outcomes (i.e., common childhood illnesses, body mass index, and sleep) in low-income Latino children (N=260; 9 months at enrollment). It is hypothesized that children randomized to ABC will have better health outcomes in comparison to the HBOW control group.

Eligibility

Min Age: 8 MonthsMax Age: 12 Months

Inclusion Criteria5

Biological mothers
Identify as Latina
Speak English or Spanish
Primiparous and multiparous
Have a 9-month-old child enrolled in Medicaid

Exclusion Criteria2

Children born prematurely (gestational age \< 37 weeks)
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.

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Interventions

BEHAVIORALAttachment 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).

OTHERHome-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.