ABC Dissemination Practices and Screening Interview as a Predictor of Parent Behavior Change
Date
2016-05
Authors
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Publisher
University of Delaware
Abstract
The Attachment and Biobehavioral Catch-up (ABC) Intervention, an
attachment-based, preventative intervention program aimed at promoting sensitive
caregiving in mothers of high-risk children has been found efficacious in several
randomized clinical trials and is currently being disseminated nationally (Bick &
Dozier, 2013; Bernard, Dozier, Bick, Lewis-Morrarty, et al., 2012; Lind, Bernard,
Ross, & Dozier, 2014). However, the dissemination of evidence-based interventions
generally does not show the same effectiveness as in the initial studies (Durlak &
Dupre, 2008; Elliot & Mihalic, 2004). Among several other strategies, ABC has used
one particular tactic, a screening interview found to improve fidelity and community
effectiveness (Caron, Roben, Yarger, & Dozier, in progress). The current study
examined both the general dissemination effectiveness findings compared to effect
sizes from previous research as well as the associations between the ABC screening
and later parent behavior change from pre- to post-intervention. Thirty-eight clinicians
from five states participated in this study. Results indicated that the ABC
dissemination efforts yield a similar effect size to previous randomized clinical trials
for both parent following the child’s lead and intrusiveness. Contrary to expectations,
results of hierarchical linear modeling indicated one aspect of the pre-screening
interview was associated with changes in parent behavior, whereas another aspect was
not.
Description
Keywords
parental behavior change, psychology, ABC dissemination practices