The DOI matches its Crossref record, with a small difference in title or year; 64 of the 66 references it cites were found in a registry or an index.
Promoting First Relationships: Randomized Trial of a Relationship-Based Intervention for Toddlers in Child Welfare
Open accessAbstract
We conducted a community-based, randomized control trial with intent-to-treat analyses of Promoting First Relationships (PFR) to improve parenting and toddler outcomes for toddlers in state dependency. Toddlers (10–24 months; N = 210) with a recent placement disruption were randomized to 10-week PFR or a comparison condition. Community agency providers were trained to use PFR in the intervention for caregivers. From baseline to postintervention, observational ratings of caregiver sensitivity improved more in the PFR condition than in the comparison condition, with an effect size for the difference in adjusted means postintervention of d = .41. Caregiver understanding of toddlers’ social emotional needs and caregiver reports of child competence also differed by intervention condition postintervention ( d = .36 and d = .42) with caregivers in the PFR condition reporting more understanding of toddlers and child competence. Models of PFR effects on within-individual change were significant for caregiver sensitivity and understanding of toddlers. At the 6-month follow-up, only 61% of original sample dyads were still intact and there were no significant differences on caregiver or child outcomes.
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“Although successful in improving sensitivity, postintervention and 6-month follow up revealed no changes in attachment security.”
From Relational Interventions for Maltreated Children (2017) · cites this paper as Spieker et al., 2012
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“demonstrated that caregivers in the PFR condition had greater improvements in sensitivity (d = .41) and understanding of children’s emotional needs (d = .36) postintervention than did those in the educational comparison condition (Spieker et al., 2012).”
From Relational Interventions for Maltreated Children (2017) · cites this paper as Spieker et al., 2012
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“In conjunction with video feedback, PFR uses reflective practice principals (Slade et al., 2005; Suchman et al., 2010) to focus on the deeper emotional feelings and needs underlying difficulties in the parent and child relationship and to help caregivers think about their child’s developing mind.”
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Vondra, J. I., Barnett, D., & Pipp‐Siegel, S. (2000) · Cited by 130
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“PFR has been training ECI providers from a variety of disciplines in this skill set for many years (Kelly et al., 2008), but given the absence of intervention effects on children’s socioemotional and regulatory problems, further research on PFR with this population is needed.”
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“In a recent plea for developmentally informed foster care for maltreated infants and young children, Zeanah, Shauffer, and Dozier (2011) emphasized that attachment must be of paramount consideration in child welfare planning, decision making, and training of foster care providers and parents.”
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Cited by
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Jeong, J., Franchett, E. E., Ramos de Oliveira, C. V., Rehmani, K., & Yousafzai, A. K. (2021) · PLoS Medicine · doi:10.1371/journal.pmed.1003602 · Cited by 903
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“…ABC intervention, PFR addresses the concern that children who have had multiple caregivers due to their involvement in the child welfare system may give confusing signals, preventing the child from eliciting the nurturing response that they are seeking from their caregiver (Spieker et al., 2012).”
A meta-analytic review of parenting interventions in foster care and adoption
Schoemaker, N. K., Wentholt, W. G. M., Goemans, A., Vermeer, H. J., Juffer, F., & Alink, L. R. A. (2019) · Development and Psychopathology · doi:10.1017/s0954579419000798 · Cited by 113
“Of the 19 studies with a follow-up measurement, only 1 study reported results on attachment security (Spieker et al., 2012; 6 months after the postintervention measurement), and no studies reported results on diurnal cortisol levels, whichmade it impossible to investigate the long-term follow-up…”
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Wright, B., & Edginton, E. (2016) · Global Pediatric Health · doi:10.1177/2333794x16661888 · Cited by 72
Metadata
- Authors
- Spieker, S. J., Oxford, M. L., Kelly, J. F., Nelson, E. M., & Fleming, C. B.
- Affiliations
- University of Washington (US)
- Venue
- Child Maltreatment
- Publisher
- SAGE Publications
- Published
- 2012-09-04
- Volume
- 17
- Issue
- 4
- Pages
- 271-286
- ISSN
- 1077-5595 (ISSN-L)
- 1552-6119
- PMC
- PMC3552521
- OpenAlex
- W2038885525
- Cited by
- 104
- References
- 66
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 9 · 2022: 10 · 2021: 12 · 2020: 8 · 2019: 9 · 2018: 7 · 2017: 10 · 2016: 14 · 2015: 4 · 2014: 3 · 2013: 4 · 2012: 2
- FWCI
- 10.82
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Child Maltreatment (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH077329)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P30HD02274, P30HD002274)
- Topics
- Social Sciences › Sociology and Political Science › Child Welfare and Adoption
- Social Sciences › Education › Early Childhood Education and Development
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- parenting support, caregiver sensitivity, placement disruption, child welfare, child competence, social-emotional needs, family reunification
- MeSH terms
- Child Behavior, Child Health Services, Child Welfare, Child, Preschool, Female, Health Promotion, Humans, Interpersonal Relations, Male, Object Attachment, Parent-Child Relations, Parenting, Caregivers
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