Collaborative Approach to Examining Adversity and Building Resilience Study

Summary

To examine the behavioral, psychosocial, and biologic impact of resilience-promoting interventions associated with primary care.

Conditions

• Early Life Adversity
• Caregiver Stress

Interventions

BEHAVIORAL

Caregiver-child Intervention

Intervention Groups: 1. Resilience Clinic (Benioff Oakland): 6 weekly interactive group-based visits in primary care that draws from the evidence-based Circle of Security Parenting along with the principles of mindfulness; 2. ABC Intervention (Lifelong): 10 weekly home visiting sessions. ABC is an empirically supported parenting program that focuses on improving maternal sensitivity; and, 3. Resiliency Family Program (Santa Barbara Neighborhood Clinic): 4 primary-care-based visits, every 2-3 weeks, that include psycho-education materials drawing from the culturally-responsive, evidence-based program, Madres a Madres.

BEHAVIORAL

Enhanced Primary Care

Enhanced Primary Care (control group): This includes care coordination services for community resources in addition to usual care. Participants will be asked about any unmet social needs, e.g. food insecurity, financial strain, safe places to play. Those who endorse need will be offered navigational services to link to community resources.

Sponsors & Collaborators

• Lifelong Medical Care

  collaborator UNKNOWN

• UCSF Benioff Children's Hospital Oakland

  collaborator OTHER

• Santa Barbara Neighborhood Clinics

  collaborator UNKNOWN

• University of California, Santa Barbara

  collaborator OTHER

• Futures Without Violence

  collaborator UNKNOWN

• University of California, San Francisco

  lead OTHER

Principal Investigators

• Neeta Thakur, MD, MPH · University of California, San Francisco

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

2 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2022-04-11

Primary Completion

2024-12-31

Completion

2025-06-30

Countries

• United States

Study Locations