Trial reportChild maltreatment2016
Can Parenting Intervention Prevent Cascading Effects From Placement Instability to Insecure Attachment to Externalizing Problems in Maltreated Toddlers?
Trial report in Child maltreatment, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Effectiveness of Attachment-Based Interventions for Maltreated Children's Well-Being: A Systematic Review.Clinical child and family psychology review · 2026Pooled it
- Parenting intervention outcomes for kinship caregivers and child: A systematic review.Child abuse & neglect · 2020Pooled it
- What works for whom? Mother's psychological distress as a moderator of the effectiveness of a home visiting intervention.Infant mental health journal · 2023Trial
- Promoting First RelationshipsPrevention science : the official journal of the Society for Prevention Research · 2023Trial
- Randomized trial of promoting first relationships for new mothers who received community mental health services in pregnancy.Developmental psychology · 2021Trial
- Does Parents' Own History of Child Abuse Moderate the Effectiveness of the Promoting First Relationships® Intervention in Child Welfare?Child maltreatment · 2019Trial
- Preschool and preadolescent antecedents of externalizing problems: a machine learning approach.European child & adolescent psychiatry · 2025Article
- Parental Incarceration, Attachment to Caregivers, and Young Children's Physiological Stress.Developmental psychobiology · 2025Article
- The development of the Promoting First Relationships home visiting program and caregivers' comments about their experiences across four RCT studies.Infant mental health journal · 2025Article
- Childhood Experiences of Alternative Care and Callousness/Unemotionality: A Conceptual Model, Scoping Review, and Research Agenda.Clinical child and family psychology review · 2023Article
- Contact with biological parents following placement in foster care: Associations with preschool child externalizing behavior.Clinical child psychology and psychiatry · 2022Article
- Out-of-home placement, sleep problems, and later mental health and crime: A prospective investigation.The American journal of orthopsychiatry · 2022Article
- Promoting First RelationshipsChild maltreatment · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 3 countries.
Funding
Abstract
Multiple placement changes disrupt continuity in caregiving and undermine well-being in children in child welfare. This study conducted secondary data analysis of a randomized controlled trial to examine whether a relationship-based intervention, Promoting First Relationships(©) (PFR), reduced risk for a maladaptive cascade from placement instability to less secure attachment to elevated externalizing problems. Participants included caregivers (birth or foster/kin) of toddlers (10-24 months) recently transitioned to their care because of child welfare placement decisions. Although main effects of PFR on security and externalizing problems were not previously observed, this study's results revealed that PFR attenuated the association between multiple placement changes (baseline) and less security (postintervention) and that the indirect effect of placement instability on greater externalizing problems (6-month follow-up) via less security was evident only in toddlers in the comparison condition. These findings shed light on how a history of multiple caregiver changes may influence toddlers' risk for poor adjustment in subsequent placements, and the promise of supporting caregivers through a parenting intervention to prevent such risk.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.