Moderators of outcome in a brief family-centered intervention for preventing early problem behavior

Frances Gardner1, Arin Connell2, Christopher J Trentacosta3

  • 1Department of Social Policy and Social Work, Oxford University.

Insights

The Family Check-Up intervention effectively reduces early childhood problem behavior, especially for families with lower education levels and two parents. Further support may be needed for single-parent families.

Area of Science:

  • Child Psychology
  • Family Studies
  • Intervention Science

Background:

  • Early childhood problem behavior is a significant concern for low-income families.
  • Family-centered interventions aim to mitigate risks associated with family stress and behavioral issues.
  • The Family Check-Up (FCU) is an empirically supported intervention for early childhood problem behavior.

Purpose of the Study:

  • To investigate moderators of change in problem behavior using the FCU intervention.
  • To examine sociodemographic and parent psychological factors influencing intervention effectiveness.
  • To identify specific subgroups that benefit most or least from the FCU.

Main Methods:

  • Randomized controlled trial with 731 low-income families and children aged 2-3.
  • Latent growth models analyzed changes in problem behavior from ages 2 to 4.
  • Sociodemographic (education, family structure) and parent psychological factors were assessed as moderators.

Main Results:

  • Caregivers with lower educational attainment showed greater responsiveness to the FCU intervention.
  • Two-parent families demonstrated higher responsiveness to the FCU compared to single-parent families.
  • Other assessed risk factors did not significantly moderate intervention effectiveness.

Conclusions:

  • The FCU intervention is effective across diverse socioeconomic backgrounds, including highly disadvantaged families.
  • The intervention shows particular promise for families with lower educational levels and two-parent structures.
  • Tailored support may be necessary to enhance the FCU's effectiveness for single-parent families in reducing early childhood problem behavior.

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