Evidence map›Paper›PMID 22949743›Full record

Trial reportChild maltreatment2012

Promoting first relationships: randomized trial of a relationship-based intervention for toddlers in child welfare.

Susan J Spieker, Monica L Oxford, Jean F Kelly, Elizabeth M Nelson, Charles B Fleming

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Child maltreatment, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Child Temperament as a Moderator of Promoting First Relationships Intervention Effects Among Families in Early Head Start.Prevention science : the official journal of the Society for Prevention Research · 2025
    Trial
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  11. Promoting First RelationshipsPrevention science : the official journal of the Society for Prevention Research · 2023
    Trial
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  14. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Susan J SpiekerDepartment of Family & Child Nursing, University of Washington, Seattle, WA, USA. spieker@uw.edu
Monica L Oxford
Jean F Kelly
Elizabeth M Nelson
Charles B Fleming

Funding

Restoring FMRP Phenotypes Frpm Temporal Regional and Splice- Isoforms VarationsP30HD002274 · NICHD · UNIVERSITY OF WASHINGTON · PI BURBACHER, THOMAS M · 1985 to 2013
$33.6M
Promoting Infant Mental Health in Foster CareR01MH077329 · NIMH · UNIVERSITY OF WASHINGTON · PI SPIEKER, SUSAN JOAN · 2006 to 2010
$3.1M
NICHD NIH HHS P30 HD002274NICHD NIH HHS P30 HD02274NIMH NIH HHS R01 MH077329
6 · The paper itself

Abstract

We conducted a community-based, randomized control trial with intent-to-treat analyses of Promoting First Relationships (PFR) to improve parenting and toddler outcomes for toddlers in state dependency. Toddlers (10-24 months; N = 210) with a recent placement disruption were randomized to 10-week PFR or a comparison condition. Community agency providers were trained to use PFR in the intervention for caregivers. From baseline to postintervention, observational ratings of caregiver sensitivity improved more in the PFR condition than in the comparison condition, with an effect size for the difference in adjusted means postintervention of d = .41. Caregiver understanding of toddlers' social emotional needs and caregiver reports of child competence also differed by intervention condition postintervention (d = .36 and d = .42) with caregivers in the PFR condition reporting more understanding of toddlers and child competence. Models of PFR effects on within-individual change were significant for caregiver sensitivity and understanding of toddlers. At the 6-month follow-up, only 61% of original sample dyads were still intact and there were no significant differences on caregiver or child outcomes.

Indexed as

Object AttachmentParent-Child RelationsCaregiversChild BehaviorChild Health ServicesChild, PreschoolChild WelfareFemaleHealth PromotionHumansInterpersonal RelationsMaleParenting

Identifiers

PMID22949743
PMCPMC3552521

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.