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

Child Dev. Jan-Feb 2011;82(1):193-208. doi: 10.1111/j.1467-8624.2010.01550.x.

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.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child Abuse / prevention & control*
  • Child Abuse / psychology
  • Child Behavior Disorders / diagnosis
  • Child Behavior Disorders / psychology
  • Child Behavior Disorders / therapy*
  • Child Welfare
  • Child, Preschool
  • Comprehensive Health Care*
  • Education*
  • Family Therapy / methods*
  • Female
  • Follow-Up Studies
  • Home Care Services*
  • House Calls
  • Humans
  • Infant
  • Male
  • Risk Factors
  • Social Environment
  • United States