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ATTACHMENT AND BIOBEHAVIORAL CATCH-UP: A SYSTEMATIC REVIEW
Whitney A Grube1, Kiley W Liming1
1University of Kansas.
Insights
Attachment Biobehavioral Catch-up (ABC) intervention improves child outcomes. This review synthesizes RCT evidence, finding ABC effective for emotion regulation, behavior, development, and attachment in at-risk children.
Area of Science:
- Child Psychology
- Developmental Psychology
- Intervention Science
Background:
- Attachment Biobehavioral Catch-up (ABC) is an in-home intervention for children aged 6 months to 2 years.
- It aims to enhance parental nurturing and interaction skills.
- ABC is recognized as a Level 1 evidence-based practice.
Purpose of the Study:
- To systematically review randomized control trials (RCTs) on the effectiveness of the ABC intervention.
- To synthesize existing evidence on ABC's impact on child outcomes.
- To identify contexts where ABC has been implemented.
Main Methods:
- Literature search across three bibliographic databases and relevant websites.
- Inclusion criteria: RCTs examining child outcomes.
- Identified 10 articles reporting RCTs on ABC efficacy.
Main Results:
- ABC intervention is effective for child-welfare-involved children.
- Improvements observed in emotion regulation, externalizing and internalizing behaviors.
- Increases in normative developmental functioning and attachment quality were noted.
Conclusions:
- The ABC intervention demonstrates significant positive effects on multiple child outcomes.
- Evidence supports ABC's utility, particularly for vulnerable populations.
- Further research synthesis confirms ABC as an effective evidence-based practice.
Abstract:
Attachment Biobehavioral Catch-up (ABC; Dozier et al., 2006) is a 10-week, in-home intervention primarily for early childhood aged children (ages 6 months-2 years). The ABC intervention seeks to teach parents how to provide nurturing care and engage in appropriate interactions with their children. ABC has been identified as a Level 1 evidence-based practice by the California Evidence-Based Clearinghouse for Child Welfare. However, to date, there has been no systematic review presenting the overall evidence behind ABC available in a peer-reviewed journal. The objective of this review is to address this gap by synthesizing prior literature and evidence, specifically evidence from randomized control trials (RCTs), regarding the effectiveness of the ABC intervention and to determine the contexts in which the intervention has been implemented. To complete this review, literature was searched across three bibliographic databases and relevant Web sites. Only RCTs examining child outcomes were included in the review. Using identified search procedures, 10 articles discussing RCTs which tested the efficacy of ABC were identified. Findings indicate that ABC is effective, when implemented with child-welfare-involved children, at improving emotion regulation, improving externalizing and internalizing behaviors, increasing normative developmental functioning, and attachment quality. Sample information from the 10 RCTs identified is presented as well as additional study characteristics.
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