alexa A randomized controlled trial of Child FIRST: a comprehensive home-based intervention translating research into early childhood practice.
Healthcare

Healthcare

Journal of Community Medicine & Health Education

Author(s): Lowell DI, Carter AS, Godoy L, Paulicin B, BriggsGowan MJ

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Abstract This randomized, controlled trial was designed to document the effectiveness of Child FIRST (Child and Family Interagency, Resource, Support, and Training), a home-based, psychotherapeutic, parent-child intervention embedded in a system of care. Multirisk urban mothers and children, ages 6-36 months (N = 157) participated. At the 12-month follow-up, Child FIRST children had improved language (odds ratio [OR] = 4.4) and externalizing symptoms (OR= 4.7) compared to Usual Care children. Child FIRST mothers had less parenting stress at the 6-month follow-up (OR = 3.0), lower psychopathology symptoms at 12-month follow-up (OR = 4.0), and less protective service involvement at 3 years postbaseline (OR = 2.1) relative to Usual Care mothers. Intervention families accessed 91\% of wanted services relative to 33\% among Usual Care. Thus, Child FIRST is effective with multirisk families raising young children across multiple child and parent outcomes. © 2011 The Authors. Child Development © 2011 Society for Research in Child Development, Inc. This article was published in Child Dev and referenced in Journal of Community Medicine & Health Education

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