Study characteristics |
Methods |
Study design: individual RCT (parallel groups)
Study aim/hypothesis: this study examined an intervention designed to enhance mother child interaction during visits focusing on leave‐taking
Study setting: a medium‐sized, mid‐western city in the USA. Data collection dates not reported
Trial registration number: registration details not found
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Participants |
Inclusion criteria: mothers of all children between 2 and 6 years old who had been in foster care from 1 to 12 months
Exclusion criteria: mothers with children who were not receiving visits, or for whom a permanency plan was not to return home
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N referred and randomised: number referred not specified, 20 randomised
N lost to follow‐up (post‐intervention): not reported
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N analysed
Childhood maltreatment and/or complex trauma status: unclear, likely self‐report during initial interview but not explicitly stated
Childhood maltreatment and/or trauma assessment: not reported
Parenting stage: > 7 weeks postpartum (up to 5 years)
Recruitment setting: mothers identified through Department of Children and Family Services records
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Baseline characteristics
Mean parent age: 29.1 years
Mean child age: 3 years old
Parent gender: female participants
Parent co‐morbidity: majority of mothers experiencing mental health comorbidity (n = 13 substance use, n = 2 clinical depression, n = 2 anxiety disorder, n = 1 bipolar disorder, n = 1 PTSD/anxiety disorder)
Progress+ coding: majority education less than high school
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Interventions |
Intervention ‐ emotional support/coaching
Category: parenting, parent‐child or relationship focused interventions (parent‐child interventions)
Description: the intervention focused on emotion support and coaching and occurred immediately prior to the foster parent visit
Mode of delivery: face‐to‐face, individually
Dose: less than 1 hour
Length: single session
Frequency: only once
Protocol: not reported
Provider: single practitioner (community mental health psychiatrist, PhD candidate)
Training: not reported
Implementation fidelity: not reported
Treatment adherence: not reported
Comparator ‐ wait‐list
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Outcomes |
Assessment time point(s)
Primary outcome(s) Parenting skills
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Leaving taking behaviours
Domain: parenting capacity
Measure: direct observation of actual behaviours displayed by mothers and children during the leave‐taking sequence. Codes were constructed from the supportive strategies that were described to mothers during the intervention and that the mothers were observed employing
Score range: 1 to 6
Direction of effect: higher scores = better/less harm
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Supportive presence
Domain: parenting capacity
Measure: direct observation of the extent to which the mother expresses positive regard, emotional support, reassurance and confidence in the child
Score range: 1 to 7
Direction of effect: higher scores = better/less harm
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Hostility
Domain: parenting capacity
Measure: direct observation of the mothers' expression of anger, discounting or rejection of the child
Score range: 1 to 7
Direction of effect: higher scores = worse/more harm
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Generational boundary dissolution
Domain: parenting capacity
Measure: direct observation of the extent to which the mother treats the child as her contemporary rather than taking charge and setting the necessary limits
Score range: 1 to 7
Direction of effect: higher scores = worse/more harm
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Detachment/disengagement
Domain: parenting capacity
Measure: direct observation of the extent to which the parent appears emotionally uninvolved or disengaged and unaware of the child's needs for appropriate interaction
Score range: 1 to 7
Direction of effect: higher scores = worse/more harm
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Positive regard
Domain: parenting capacity
Measure: direct observation of the extent to which the parent expresses positive feelings towards the child, for example, through tone of voice, physical affection, praise and listening attentively
Score range: 1 to 7
Direction of effect: higher scores = better/less harm
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Intrusiveness
Domain: parenting capacity
Measure: direct observation of the extent to which the parent lacks respect for the child as an individual and fails to understand and recognise the child's efforts to gain autonomy and self‐awareness
Score range: 1 to 7
Direction of effect: higher scores = worse/more harm
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Engagement/interpersonal involvement
Domain: parenting capacity
Measure: direct observation of the interpersonal involvement of the mother with her child, and the persistence of her partner‐directed behaviours
Score range: 1 to 7
Direction of effect: higher scores = better/less harm
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Inventiveness
Domain: parenting capacity
Measure: direct observation of the range of stimulation the mother is able to provide for her child in order to maintain the child's involvement in the situation
Score range: 1 to 7
Direction of effect: higher scores = better/less harm
Secondary outcome(s): Parent engagement
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Dropout
Domain: parental intervention acceptability
Measure: dropout for any reason between randomisation and post‐intervention
Score range: not applicable
Direction of effect: higher events = more dropout
Adverse outcome(s): none specified |
Notes |
Comment(s): no unpublished data requested or reported in meta‐analyses Funding source: Children and Family Research Centre Conflicts of interest: the authors did not report if there were any conflicts of interest |