Trial Outcomes & Findings for Promotion of Successful Parenting (NCT NCT03808987)
NCT ID: NCT03808987
Last Updated: 2026-05-14
Results Overview
Improvements in maternal reports of positive emotional responses to their babies; Parental Bonding Questionnaire, 25 items, each item ranges 0-5 (never to always); higher scores indicate greater bonding or more mother-reports emotional bond with her baby; total score=sum score utilized, range 0-125.
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
222 participants
Primary outcome timeframe
Assessment at child's age of 9 months
Results posted on
2026-05-14
Participant Flow
Participant milestones
| Measure |
CHW+CPP Brief Prenatal Onset
Participants will receive Child-Parent Psychotherapy (CPP) for 6 months, beginning prenatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW+CPP Brief Postnatal Onset
Participants will receive Child-Parent Psychotherapy (CPP) for 6 months, beginning postnatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW+CPP 12 Months
Participants will receive Child-Parent Psychotherapy (CPP) for 12 months, beginning prenatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW Only
Participants will receive services from a Community Health Worker (CHW) without Child-Parent Psychotherapy (CPP)
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
|---|---|---|---|---|
|
Overall Study
STARTED
|
46
|
56
|
57
|
63
|
|
Overall Study
COMPLETED
|
33
|
40
|
38
|
45
|
|
Overall Study
NOT COMPLETED
|
13
|
16
|
19
|
18
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Promotion of Successful Parenting
Baseline characteristics by cohort
| Measure |
CHW+CPP Brief Prenatal Onset
n=46 Participants
Participants will receive Child-Parent Psychotherapy (CPP) for 6 months, beginning prenatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW+CPP Brief Postnatal Onset
n=56 Participants
Participants will receive Child-Parent Psychotherapy (CPP) for 6 months, beginning postnatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW+CPP 12 Months
n=57 Participants
Participants will receive Child-Parent Psychotherapy (CPP) for 12 months, beginning prenatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW Only
n=63 Participants
Participants will receive services from a Community Health Worker (CHW) without Child-Parent Psychotherapy (CPP)
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
Total
n=222 Participants
Total of all reporting groups
|
|---|---|---|---|---|---|
|
Race (NIH/OMB)
White
|
10 Participants
n=1512 Participants
|
13 Participants
n=504 Participants
|
19 Participants
n=2016 Participants
|
14 Participants
n=99 Participants
|
56 Participants
n=97 Participants
|
|
Age, Continuous
|
27.98 years
STANDARD_DEVIATION 6.08 • n=1512 Participants
|
28.34 years
STANDARD_DEVIATION 6.05 • n=504 Participants
|
27.91 years
STANDARD_DEVIATION 5.23 • n=2016 Participants
|
29.84 years
STANDARD_DEVIATION 6.14 • n=99 Participants
|
28.58 years
STANDARD_DEVIATION 5.90 • n=97 Participants
|
|
Sex: Female, Male
Female
|
46 Participants
n=1512 Participants
|
56 Participants
n=504 Participants
|
57 Participants
n=2016 Participants
|
63 Participants
n=99 Participants
|
222 Participants
n=97 Participants
|
|
Sex: Female, Male
Male
|
0 Participants
n=1512 Participants
|
0 Participants
n=504 Participants
|
0 Participants
n=2016 Participants
|
0 Participants
n=99 Participants
|
0 Participants
n=97 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=1512 Participants
|
0 Participants
n=504 Participants
|
1 Participants
n=2016 Participants
|
1 Participants
n=99 Participants
|
2 Participants
n=97 Participants
|
|
Race (NIH/OMB)
Asian
|
1 Participants
n=1512 Participants
|
0 Participants
n=504 Participants
|
0 Participants
n=2016 Participants
|
1 Participants
n=99 Participants
|
2 Participants
n=97 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=1512 Participants
|
0 Participants
n=504 Participants
|
0 Participants
n=2016 Participants
|
0 Participants
n=99 Participants
|
0 Participants
n=97 Participants
|
|
Race (NIH/OMB)
Black or African American
|
30 Participants
n=1512 Participants
|
27 Participants
n=504 Participants
|
24 Participants
n=2016 Participants
|
34 Participants
n=99 Participants
|
115 Participants
n=97 Participants
|
|
Race (NIH/OMB)
More than one race
|
2 Participants
n=1512 Participants
|
10 Participants
n=504 Participants
|
6 Participants
n=2016 Participants
|
9 Participants
n=99 Participants
|
27 Participants
n=97 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
3 Participants
n=1512 Participants
|
6 Participants
n=504 Participants
|
7 Participants
n=2016 Participants
|
4 Participants
n=99 Participants
|
20 Participants
n=97 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
5 Participants
n=1512 Participants
|
11 Participants
n=504 Participants
|
11 Participants
n=2016 Participants
|
15 Participants
n=99 Participants
|
42 Participants
n=97 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
40 Participants
n=1512 Participants
|
45 Participants
n=504 Participants
|
44 Participants
n=2016 Participants
|
47 Participants
n=99 Participants
|
176 Participants
n=97 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
1 Participants
n=1512 Participants
|
0 Participants
n=504 Participants
|
2 Participants
n=2016 Participants
|
1 Participants
n=99 Participants
|
4 Participants
n=97 Participants
|
|
Region of Enrollment
United States
|
46 participants
n=1512 Participants
|
56 participants
n=504 Participants
|
57 participants
n=2016 Participants
|
63 participants
n=99 Participants
|
222 participants
n=97 Participants
|
PRIMARY outcome
Timeframe: Assessment at child's age of 9 monthsPopulation: The number analyzed on the Postpartum Boding Questionnaire at baby age 9 months differs from the number recruited because of attrition or missing data at our third wave of data collection
Improvements in maternal reports of positive emotional responses to their babies; Parental Bonding Questionnaire, 25 items, each item ranges 0-5 (never to always); higher scores indicate greater bonding or more mother-reports emotional bond with her baby; total score=sum score utilized, range 0-125.
Outcome measures
| Measure |
CHW+CPP Brief Prenatal Onset
n=29 Participants
Participants will receive Child-Parent Psychotherapy (CPP) for 6 months, beginning prenatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW+CPP Brief Postnatal Onset
n=40 Participants
Participants will receive Child-Parent Psychotherapy (CPP) for 6 months, beginning postnatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW+CPP 12 Months
n=37 Participants
Participants will receive Child-Parent Psychotherapy (CPP) for 12 months, beginning prenatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW Only
n=48 Participants
Participants will receive services from a Community Health Worker (CHW) without Child-Parent Psychotherapy (CPP)
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
|---|---|---|---|---|
|
Parental Sensitivity (Measured With the Parental Bonding Questionnaire)
|
120.38 score on a scale
Standard Deviation 3.458
|
116.40 score on a scale
Standard Deviation 5.817
|
118.70 score on a scale
Standard Deviation 5.734
|
118.65 score on a scale
Standard Deviation 5.188
|
PRIMARY outcome
Timeframe: Assessment at child's age of 9 monthsPopulation: The number of participants analyzed on the Parental Acceptance and Rejection Questionnaire at child's age of 9 months is different than the number recruited because of attrition and missing data by the third wave of data collection
Improvements in maternal reports of acceptance in parent-child relationships, Parental Acceptance and Rejection Questionnaire, scale assessing parental warmth/affection, indifference/neglect, and rejection; higher scores indicate more challenge, total score=sum score utilized; scale range 1-4 (almost never true to almost always true), range 55 - 220.
Outcome measures
| Measure |
CHW+CPP Brief Prenatal Onset
n=29 Participants
Participants will receive Child-Parent Psychotherapy (CPP) for 6 months, beginning prenatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW+CPP Brief Postnatal Onset
n=36 Participants
Participants will receive Child-Parent Psychotherapy (CPP) for 6 months, beginning postnatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW+CPP 12 Months
n=36 Participants
Participants will receive Child-Parent Psychotherapy (CPP) for 12 months, beginning prenatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW Only
n=48 Participants
Participants will receive services from a Community Health Worker (CHW) without Child-Parent Psychotherapy (CPP)
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
|---|---|---|---|---|
|
Parental Acceptance (Measured With the Parental Acceptance and Rejection Questionnaire)
|
63.24 score on a scale
Standard Deviation 5.455
|
63.89 score on a scale
Standard Deviation 6.242
|
62.78 score on a scale
Standard Deviation 6.137
|
63.06 score on a scale
Standard Deviation 6.058
|
SECONDARY outcome
Timeframe: Assessment at child's age of 15 monthsPopulation: The number of participants analyzed on the Parental Bonding Questionnaire at child's age of 15 months differs from the total number recruited because of attrition and missing data by the fourth wave of data collection
Improvements in maternal reports of positive emotional responses to their babies; Parental Bonding Questionnaire, 25 items, each item ranges 0-5 (never to always); higher scores indicate greater bonding or more mother-reports emotional bond with her baby; total score=sum score utilized, range 0-125.
Outcome measures
| Measure |
CHW+CPP Brief Prenatal Onset
n=30 Participants
Participants will receive Child-Parent Psychotherapy (CPP) for 6 months, beginning prenatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW+CPP Brief Postnatal Onset
n=37 Participants
Participants will receive Child-Parent Psychotherapy (CPP) for 6 months, beginning postnatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW+CPP 12 Months
n=36 Participants
Participants will receive Child-Parent Psychotherapy (CPP) for 12 months, beginning prenatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW Only
n=41 Participants
Participants will receive services from a Community Health Worker (CHW) without Child-Parent Psychotherapy (CPP)
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
|---|---|---|---|---|
|
Parental Sensitivity (Measured With the Parental Bonding Questionnaire)
|
118.80 score on a scale
Standard Deviation 5.486
|
116.46 score on a scale
Standard Deviation 6.470
|
116.86 score on a scale
Standard Deviation 7.885
|
117.85 score on a scale
Standard Deviation 6.040
|
SECONDARY outcome
Timeframe: Assessment at child's age of 15 monthsPopulation: The number of participants analyzed on the Parental Acceptance and Rejection Questionnaire differs from the number recruited because of attrition and missing data by the fourth wave of data collection
Improvements in maternal reports of acceptance in parent-child relationships; Parental Acceptance and Rejection Questionnaire, scale assessing parental warmth/affection, indifference/neglect, and rejection; higher scores indicate more challenge, total score=sum score utilized; scale range 1-4 (almost never true to almost always true), range 55 - 220.
Outcome measures
| Measure |
CHW+CPP Brief Prenatal Onset
n=30 Participants
Participants will receive Child-Parent Psychotherapy (CPP) for 6 months, beginning prenatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW+CPP Brief Postnatal Onset
n=38 Participants
Participants will receive Child-Parent Psychotherapy (CPP) for 6 months, beginning postnatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW+CPP 12 Months
n=35 Participants
Participants will receive Child-Parent Psychotherapy (CPP) for 12 months, beginning prenatally, in addition to services from a Community Health Worker (CHW)
Child-Parent Psychotherapy (CPP): Child-Parent Psychotherapy (CPP) focuses on parent-infant relationships, increases efficacy for improved mother-child relationships, more sensitive parenting, healthier child development, and maltreatment prevention. A primary goal is to strengthen the parent-child relationship to improve family functioning and child security of attachment. Through respect, empathic concern, and positive regard, the therapeutic relationship provides mothers with corrective emotional experiences, through which they are able to differentiate current from past relationships, form positive internal representations of themselves and of themselves in relationship to others, particularly their children. Parents are encouraged to process their experiences of trauma and restore parental roles as protective shields, improve affective regulation capacities, enhance understanding of the meaning of behavior, acknowledge the impact of trauma, and support children in a more positive developmental trajectory.
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
CHW Only
n=41 Participants
Participants will receive services from a Community Health Worker (CHW) without Child-Parent Psychotherapy (CPP)
Community Health Worker (CHW) home visitation: Community Health Worker (CHW) home visitation includes assistance with concrete support needs, such as transportation to medical appointments, referrals for food, housing, and employment services, and attention to developmental needs of young children.
|
|---|---|---|---|---|
|
Parental Acceptance (Measured With the Parental Acceptance and Rejection Questionnaire)
|
64.03 score on a scale
Standard Deviation 5.648
|
68.03 score on a scale
Standard Deviation 9.738
|
64.09 score on a scale
Standard Deviation 7.006
|
65.98 score on a scale
Standard Deviation 7.818
|
Adverse Events
CHW+CPP Brief Prenatal Onset
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
CHW+CPP Brief Postnatal Onset
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
CHW+CPP 12 Months
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
CHW Only
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Jody Manly
University of Rochester Mt. Hope Family Center
Phone: (585) 275-2991
Email: [email protected]
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place