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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.
Abstract:
"Attachment and Biobehavioural Catch-Up" (ABC) is a 10 session home visiting program, grounded in attachment theory. It aims to improve child emotion regulation, attachment and behavioral outcomes through changing caregivers' attachment related behaviors. There is increasing evidence with respect to the effectiveness of ABC in producing positive child outcomes, but the intervention's direct effect on parent outcomes remains unclear. This review examined the association of ABC with attachment related parent outcomes. The PubMed, EMBASE, PyschINFO and SCOPUS databases were searched for relevant studies in August 2021, and again in April 2022. The eligibility criteria for included studies were (1) infants aged 0-27 months at time of the ABC intervention, (2) "at risk" parents, (3) controlled trials published in peer-reviewed journals and (4) utilized a measure of attachment related parent outcomes. Eleven eligible studies were included. The findings showed ABC had a significant small to medium effect on a variety of attachment related parent outcomes among parents presenting with multiple psychosocial risk factors. "Sensitivity" was measured most frequently, with small to medium main effect sizes recorded at follow-up, compared to controls. Implications for the clinical effectiveness of the ABC program in community settings are discussed. Future research should clarify who ABC is most effective for and how it compares to similar interventions.
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