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Enhancing foster care relationships through attachment-based intervention: the safe families study protocol, a
Mathieu Pereira1, Lauriane Sedes2, Emilie Gadéa2
1Laboratoire Développement Individu Processus Handicap et Education (DIPHE), Université Lumière Lyon 2, Lyon, 69000, France. mathieu.pereira3@univ-lyon2.fr.
Insights
This study evaluates the Circle of Security Parenting program (COS-P) for foster carers in France. Findings aim to improve carer-child relationships and well-being for children in out-of-home care.
Area of Science:
- Child Psychology
- Attachment Theory
- Intervention Science
Background:
- Children in out-of-home care face mental health challenges due to adversity.
- The Circle of Security Parenting program (COS-P) is an attachment-based intervention.
- COS-P aims to enhance carer sensitivity and improve carer-child relationships.
Purpose of the Study:
- Evaluate the effectiveness of COS-P for foster carers in France.
- Assess the impact of COS-P on carer-child relationships and foster carer well-being.
- Explore moderators of treatment outcomes and subjective participant experiences.
Main Methods:
- Mixed-methods randomized controlled trial with 70 foster carers.
- Intervention group receives COS-P plus Treatment as Usual; control group receives Treatment as Usual.
- Quantitative (questionnaires, interaction measures) and qualitative (focus groups, interviews) data collected.
Main Results:
- This section is to be filled upon study completion.
Conclusions:
- This is the first evaluation of COS-P for foster carers in France.
- Expected to provide insights into improving outcomes for children in out-of-home care.
- Will contribute to understanding the subjective experiences of foster carers undergoing the intervention.
Background:
Children in out-of-home care constitute a vulnerable population often experiencing mental health challenges related to early adversity and placement disruptions. The Circle of Security Parenting program® (COS-P) is an attachment-based intervention designed to enhance carer sensitivity and reflective competence, ultimately improving the quality of carer-child relationships.
Methods:
This study protocol follows a mixed-methods randomized controlled trial evaluating the effectiveness of the COS-P program for foster carers in France. A total of 70 foster carers will be randomly assigned to either the intervention group (receiving COS-P in addition to Treatment as Usual) or the waitlist control group (receiving Treatment as Usual only). Quantitative measures, including the Caregiving Composite Questionnaire, Parenting Stress Index, and the Marschak Interaction Method, will be administered at baseline and at follow-up). Qualitative data will be collected through focus groups with foster carers and COS-P facilitators, and through self-confrontation interviews with a subset of foster carers.
Discussion:
This study is the first to evaluate the COS-P program for foster carers in France. Findings will provide valuable insights into the program's effectiveness in improving carer-child relationships and foster carer well-being, ultimately contributing to better outcomes for children in out-of-home care. The study will also explore potential moderators of treatment outcome, and shed light on the subjective experiences of participants.
Trial Registration:
This trial is registered on ClinicalTrials.gov : NCT06701877.
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