Prevention of Childhood Maltreatment in Families With Young Children
- Conditions
- Child MaltreatmentChild Exposure to Intimate Partner Violence
- Interventions
- Behavioral: Enhanced First Connections
- Registration Number
- NCT04341376
- Lead Sponsor
- Bradley Hospital
- Brief Summary
This study will examine the efficacy of Enhanced First Connections, which is a short-term perinatal home visiting program that includes infant and early childhood mental health consultation. Mothers with a history of adversity or trauma will be the focus of this research. Hypothesized outcomes of Enhanced First Connections include the prevention of child maltreatment (child abuse and neglect), prevention of child exposure to adult intimate partner violence, increases in family engagement in longer-term evidence based home visiting programs, increases in family engagement in specialized support services to address maternal adversity and trauma, reductions in maternal risk factors, and the promotion of positive parenting and the parent-child relationship.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- Female
- Target Recruitment
- 200
- Pregnant women
- Recruited in the second or third trimester of pregnancy
- At least one self-reported experience of adversity or trauma
- English or Spanish speaking
- Does not meet all inclusion criteria above
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Enhanced First Connections Enhanced First Connections Enhanced First Connections is a short-term risk assessment and response home visiting referral program. The goal of Enhanced First Connections is to identify family needs and link families to community resources, including evidence based home visiting models. Enhanced First Connections includes prenatal identification and engagement of women with an adversity or trauma history, and infant and early childhood mental health consultation. Women who enroll in Enhanced First Connections are expected to receive between four and eight home visits before being referred to other community resources.
- Primary Outcome Measures
Name Time Method Maternal Report of Intimate Partner Violence 6-months postpartum Maternal report: Conflict Tactics Scales
Child Maltreatment Status 6-months postpartum Child protection record review
Child Exposure to Intimate Partner Violence 6-months postpartum Child protection record review
- Secondary Outcome Measures
Name Time Method Maternal PTSD symptoms 6-months postpartum Maternal report: Short Post-Traumatic Stress Disorder Rating Interview
Maternal sensitivity 6-months postpartum Observation of free play interaction coded using Parent Caregiver Involvement Scales and Emotional Availability Scales
Maternal hostility 6-months postpartum Observation of free play interaction coded using Emotional Availability Scales
Maternal depressive symptoms 6-months postpartum Maternal report: Patient Health Questionnaire-9
Maternal non-responsiveness 6-months postpartum Maternal report: Maternal Responsiveness Questionnaire
Home environment 6-months postpartum Home Observation for Measurement of the Environment
Mother-infant relationship 6-months postpartum Maternal report: Postpartum Bonding Questionnaire
Family engagement in evidence based home visiting programs 6-months postpartum Home visiting record review
Contextual stress exposure 6-months postpartum Maternal report: Contextual Stress Interview
Maternal anxiety symptoms 6-months postpartum Maternal report: Generalized Anxiety Disorder 7-item scale
Maternal alcohol use 6-months postpartum Maternal report: Alcohol Use Disorders Test
Maternal parenting stress 6-months postpartum Maternal report: Parenting Stress Index
Maternal substance use 6-months postpartum Maternal report: Drug Abuse Screening Test
Trial Locations
- Locations (1)
E.P. Bradley Hospital
🇺🇸East Providence, Rhode Island, United States