The impact of the "Attachment and Biobehavioural Catch-Up" program on attachment related parent behavior-A systematic

Emma O'Byrne1, Chris McCusker1, Shane McSweeney1

  • 1School of Applied Psychology, University College Cork, Cork, Ireland.

Insights

The Attachment and Biobehavioural Catch-Up (ABC) program shows small to medium positive effects on parent outcomes for at-risk caregivers. This review highlights ABC

Area of Science:

  • Attachment theory
  • Child development
  • Parenting interventions

Background:

  • The Attachment and Biobehavioural Catch-Up (ABC) program is a home-visiting intervention designed to improve child outcomes by modifying caregiver behaviors.
  • While evidence supports ABC's effectiveness for children, its direct impact on parent outcomes is less understood.
  • This review specifically investigates the association between the ABC program and attachment-related parent outcomes.

Approach:

  • A systematic review of controlled trials was conducted using major databases (PubMed, EMBASE, PsycINFO, SCOPUS).
  • Studies included infants aged 0-27 months, "at risk" parents, and measured attachment-related parent outcomes.
  • Eleven eligible studies were analyzed to assess the intervention's effects.

Key Points:

  • The ABC program demonstrated significant small to medium effects on various attachment-related parent outcomes.
  • Caregiver "sensitivity" was the most frequently measured outcome, showing small to medium effect sizes at follow-up.
  • Positive effects were observed in parents with multiple psychosocial risk factors.

Conclusions:

  • The ABC program appears to have a beneficial impact on attachment-related parent outcomes, particularly for parents facing significant challenges.
  • Findings suggest clinical effectiveness for the ABC program in community settings.
  • Further research is recommended to identify specific populations benefiting most from ABC and to compare it with similar interventions.

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