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20-12-2017 | Original Paper | Uitgave 2/2018

Journal of Child and Family Studies 2/2018

Braiding Two Evidence-Based Programs for Families At-Risk: Results of a Cluster Randomized Trial

Journal of Child and Family Studies > Uitgave 2/2018
Kate Guastaferro, Betty S. Lai, Katy Miller, Jenelle Shanley Chatham, Daniel J. Whitaker, Shannon Self-Brown, Allison Kemner, John R. Lutzker


Child maltreatment is a significant public health problem best addressed through evidence-based parent-support programs. There is a wide range of programs with different strengths offering a variety of options for families. Choosing one single evidence-based program often limits the range of services available to meet the unique needs of families. This paper presents findings from a study to examine the systematic braiding of two evidence-based programs, Parents as Teachers and SafeCare at Home (PATSCH), with the goal to provide a more robust intervention for higher risk families. A cluster randomized effectiveness trial was conducted to examine if PATSCH improved parenting behaviors known to decrease the risk for child maltreatment compared to Parents as Teachers (PAT) Alone. Parents (N = 159; 92 PAT Alone; 67 PATSCH) were enrolled to complete a baseline, 6-month and 12-month assessment. Results indicate the groups did not differ on number of environmental hazards in the home, parents’ health care decision-making abilities, child abuse potential, and physical assault over time. However, with regard to the potential for child abuse, the PATSCH group showed a decrease in nonviolence discipline and increase in psychological aggression compared to the PAT group. Further research is needed to better examine this concept and its implications for the field.

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