Promoting First Relationships: A Strengths-based Primary Prevention Project in a Native Community
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Parent-child Interaction
- Sponsor
- University of Washington
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Change in Quality of caregiver-child interactions from baseline at 3 months and 6 months
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The purpose of this study is to to conduct a randomized controlled trial comparing an intervention group and a control/wait list group to evaluate the feasibility of the Promoting First Relationships method in an American Indian community through their tribal Maternal and Child Health program, and to assess the efficacy of the method in this community.
Investigators
Cathryn Booth-LaForce
Professor, Dept. of Family and Child Nursing
University of Washington
Eligibility Criteria
Inclusion Criteria
- •Primary caregiver for a child aged 10 to 30 months
- •Caregiver lives with the child full time for the past three months and plans to continue for at least 6 more months.
- •Child is an American Indian or Alaska Native living on or near the Tribe's reservation.
- •Caregiver has telephone access
- •Caregiver is willing to have researchers come to their house
- •Caregiver is English speaking
- •Caregiver is willing to participate in a home-visiting program which includes video-recorded sessions of caregivers and their children playing
- •Exclusion Criteria--Caregiver is
- •hospitalized or imprisoned
- •living in a Treatment facility or shelter
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Change in Quality of caregiver-child interactions from baseline at 3 months and 6 months
Time Frame: Baseline, 3-month and 6-month follow-ups
We are using the Nursing Child Assessment Satellite Training Teaching Scales to assess quality of caregiver-child interactions. Caregivers select an activity that their child cannot perform, such as drawing, and spend up to 5 minutes teaching this activity to the child. The interaction is video-recorded and coded for the caregiver's sensitivity to cues, response to distress, and fostering of social, emotional, and cognitive growth, as well as for the child's clarity of cues and responsiveness to the caregiver.
Secondary Outcomes
- Change in Caregiver helplessness from baseline at 3 months and 6 months(Baseline, 3-month and 6-month follow-ups)
- Change in Caregiver stress from baseline at 3 months and 6 months(Baseline, 3-month and 6-month follow-ups)
- Change in Child Social-emotional Competence from baseline at 3 months and 6 months(Baseline, 3-month and 6-month follow ups)