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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.
Abstract:
This study investigated moderators of change in an empirically supported family-centered intervention (the Family Check-Up) for problem behavior in early childhood. Participants were 731 2- to 3-year-olds (49% girls; 28% African American, 50% European American, 13% biracial) from low-income families and had been screened for risk of family stress and early-onset problem behavior. They were randomized to the Family Check-Up intervention or to a no-intervention control group. Latent growth models examined sociodemographic and parent psychological risk factors as potential moderators of change in problem behavior between ages 2, 3, and 4. Results revealed 2 moderators of intervention effectiveness. Caregivers with the lowest educational levels were more responsive to the family-centered intervention, and 2-parent families were more responsive to the intervention. Other risk factors showed no predictive effects. Overall, findings suggest that this brief family-centered intervention can be equally effective in reaching the most distressed and most disadvantaged families, compared to those who are more advantaged. However, results suggest that more attention may be needed to address the intervention needs of single parent families in reducing problem behavior in early childhood.
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