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Caregivers of children in alternative care face a complex range of challenges that can result in placement disruption and poor long-term outcomes. Interventions designed to help carers meet these challenges report positive outcomes. Nevertheless, several reviewers have reported these positive results may be mitigated by limitations in trial methodology. This review aims to systematically review these methodological challenges and limitations, to provide an analysis of the current state of the evidence base for these interventions. A systematic review was conducted into the methods used to evaluate the effectiveness of psychosocial interventions for foster and kinship carers. Limitations relating to internal validity, external validity and clinical heterogeneity were identified and synthesised. Seventeen studies met inclusion criteria. The quality of methods used in the included studies is mixed, with high and unknown levels of bias in the majority of trials. Heterogeneity in participant characteristics, intervention aims and outcome measures across interventions reflect the diversity of carer and child needs and make it difficult to generalise results or compare and synthesise the efficacy of different interventions. These factors limit the application of trial results to evidence-based clinical practice. The diverse and complex needs of this population present significant challenges to robustly evaluating interventions for foster/kinship families. Participant needs, theoretical approaches, intervention aims and outcome measures need to be better coordinated, both within trials and across the field. Exploratory research should be used to generate focussed and concrete hypotheses that can be robustly tested in high-quality randomised controlled trials. Protocol registration number: CRD 42017048415.
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Abidin, R. R. (1990). Parenting stress index-short form. Charlottesville, VA: Pediatric Psychology Press.
Abidin, R. R. (1995). The Parenting Stress Index. Odessa, FL: Psychological Assessment Resources.
Achenbach, T. M., & Rescorla, L. (2001). ASEBA school-age forms and profiles. Burlington: ASEBA.
Baggett, K., Carta, J., & Horn, E. (2003). Indicator of parent–child interaction (IPCI). Lawrence, KS: University of Kansas.
Barnard, K. (1978). Nursing child assessment teaching scale. Seattle: University of Washington School of Nursing.
Bayley, N. (1993). Bayley scales of infant development: Manual. San Antonio: Psychological Corporation.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory-II (BDI-II). San Antonio, TX: Psychological Corporation.
Begley, C. G., & Ioannidis, J. P. (2015). Reproducibility in science: Improving the standard for basic and preclinical research. Circulation Research, 116(1), 116–126. https://doi.org/10.1161/circresaha.114.303819. PubMedCrossRef
Biringen, Z., Derscheid, D., Vliegen, N., Closson, L., & Easterbrooks, M. A. (2014). Emotional availability (EA): Theoretical background, empirical research using the EA Scales, and clinical applications. Developmental Review, 34(2), 114–167. https://doi.org/10.1016/j.dr.2014.01.002. CrossRef
Blythe, S. L., Wilkes, L., & Halcomb, E. J. (2014). The foster carer’s experience: An integrative review. Collegian, 21(1), 21–32. https://doi.org/10.1016/j.colegn.2012.12.001. PubMedCrossRef
Briggs-gowan, M. J., Carter, A. S., Irwin, J. R., Wachtel, K., & Cicchetti, D. V. (2002). Brief Infant- Toddler Social and Emotional Assessment (BITSEA) manual, version 2.0.
Briskman, J., Castle, J., Blackeby, K., Bengo, C., Slack, K., Stebbens, C., et al. (2012). Randomised controlled trial of the fostering changes programme. London: Department for Education. www.gov.uk/government/publications/randomised-controlled-trial-of-the-fostering-changes-programme.
Bywater, T., Hutchings, J., Linck, P., Whitaker, C., Daley, D., Yeo, S. T., et al. (2011). Incredible years parent training support for foster carers in Wales: A multi-centre feasibility study (Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov’t). Child: Care, Health and Development, 37(2), 233–243. https://doi.org/10.1111/j.1365-2214.2010.01155.x. CrossRef
Chamberlain, P., Moreland, S., & Reid, K. (1992). Enhanced services and stipends for foster parents: Effects on retention rates and outcomes for children. Child Welfare: Journal of Policy, Practice, and Program, 71(5), 387–401.
Chamberlain, P., & Reid, J. B. (1987). Parent observation and report of child symptoms. Behavioral Assessment, 9(1), 97–109.
Clarke, M., & Oxman, A. (2000). Cochrane reviewers’ handbook. Oxford: Update Software.
Clay, M. M. (2000). Concepts about print. Portsmouth, NH: Heinemann Education.
Cloitre, M., Stolbach, B. C., Herman, J. L., Kolk, B. V. D., Pynoos, R., Wang, J., et al. (2009). A developmental approach to complex PTSD: Childhood and adult cumulative trauma as predictors of symptom complexity. Journal of Traumatic Stress, 22(5), 399–408. https://doi.org/10.1002/jts.20444. PubMedCrossRef
Dorsey, S., Farmer, E. M. Z., Barth, R. P., Greene, K. M., Reid, J., & Landsverk, J. (2008). Current status and evidence base of training for foster and treatment foster parents. Children and Youth Services Review, 30(12), 1403–1416. https://doi.org/10.1016/j.childyouth.2008.04.008. PubMedPubMedCentralCrossRef
Dozier, M., Lindhiem, O., Lewis, E., Bick, J., Bernard, K., & Peloso, E. (2009). Effects of a foster parent training program on young children’s attachment behaviors: Preliminary evidence from a randomized clinical trial. Child and Adolescent Social Work Journal, 26(4), 321–332. https://doi.org/10.1007/s10560-009-0165-1. PubMedPubMedCentralCrossRef
Dozier, M., Peloso, E., Lewis, E., Laurenceau, J.-P., & Levine, S. (2008). Effects of an attachment-based intervention of the cortisol production of infants and toddlers in foster care. Development and Psychopathology, 20(3), 845–859. https://doi.org/10.1017/S0954579408000400. PubMedPubMedCentralCrossRef
Dozier, M., Peloso, E., Lindhiem, O., Gordon, M. K., Manni, M., Sepulveda, S., et al. (2006). Developing evidence-based interventions for foster children: An example of a randomized clinical trial with infants and toddlers. Journal of Social Issues, 62(4), 767–785. https://doi.org/10.1111/j.1540-4560.2006.00486.x. CrossRef
Dozier, M., & Stovall, K. C. (1997). Parent attachment diary. Unpublished manuscript, University of Delaware.
Everson-Hock, E. S., Jones, R., Guillaume, L., Clapton, J., Goyder, E., Chilcott, J., et al. (2012). The effectiveness of training and support for carers and other professionals on the physical and emotional health and well-being of looked-after children and young people: A systematic review. Child: Care, Health and Development, 38(2), 162–174. https://doi.org/10.1111/j.1365-2214.2011.01247.x. CrossRef
Eyberg, S. M., & Pincus, D. (1999). Eyberg child behavior inventory and sutter- eyberg student behavior inventory- revised: Professional manual. Psychological Assessment Resources.
Eyberg, S. M., & Ross, A. W. (1978). Assessment of child behavior problems: The validation of a new inventory. Journal of Clinical Child & Adolescent Psychology, 7(2), 113–116. CrossRef
Eyberg, S. M., Nelson, M. M., Ginn, N. C., Bhuiyan, N., & Boggs, S. R. (2013). Dyadic Parent-Child Interaction Coding System: Comprehensive Manual for Research and Training (4th ed.). Gainesville, FL: PCIT International.
Fantuzzo, J., & Perlman, S. (2007). The unique impact of out-of-home placement and the mediating effects of child maltreatment and homelessness on early school success. Children and Youth Services Review, 29(7), 941–960. https://doi.org/10.1016/j.childyouth.2006.11.003. CrossRef
Feise, R. J. (2002). Do multiple outcome measures require p-value adjustment? BMC Medical Research Methodology, 2(1), 1. CrossRef
Festinger, T., & Baker, A. J. L. (2013). The quality of evaluations of foster parent training: An empirical review. Children and Youth Services Review, 35(12), 2147–2153. https://doi.org/10.1016/j.childyouth.2013.10.009. CrossRef
Fisher, P. A., Burraston, B., & Pears, K. (2005). The early intervention foster care program: permanent placement outcomes from a randomized trial (Clinical Trial; Randomized Controlled Trial; Research Support, U.S. Gov’t, P.H.S.). Child Maltreatment, 10(1), 61–71. https://doi.org/10.1177/1077559504271561. PubMedCrossRef
Fisher, P. A., Gunnar, M. R., Chamberlain, P., & Reid, J. B. (2000). Preventive intervention for maltreated preschool children: Impact on children’s behavior, neuroendocrine activity, and foster parent functioning. Journal of the American Academy of Child and Adolescent Psychiatry, 39(11), 1356–1364. https://doi.org/10.1097/00004583-200011000-00009. PubMedCrossRef
Ford, J. D., & Courtois, C. A. (Eds.). (2013). Treating complex stress disorders in children and adolescents: Scientific foundations and therapeutic models. New York, NY: Guilford Press.
Fraser, J. G., Lloyd, S., Murphy, R., Crowson, M., Zolotor, A. J., Coker-Schwimmer, E., et al. (2013). A comparative effectiveness review of parenting and trauma-focused interventions for children exposed to maltreatment. Journal of Developmental and Behavioral Pediatrics, 34(5), 353–368. PubMedCrossRef
Frick, R. W. (1996). The appropriate use of null hypothesis testing. Psychological Methods, 1(4), 379. CrossRef
Gavita, O. A., David, D., Bujoreanu, S., Tiba, A., & Ionutiu, D. R. (2012). The efficacy of a short cognitive-behavioral parent program in the treatment of externalizing behavior disorders in Romanian foster care children: Building parental emotion-regulation through unconditional self- and child-acceptance strategies. Children and Youth Services Review, 34(7), 1290–1297. https://doi.org/10.1016/j.childyouth.2012.03.001. CrossRef
Goemans, A., van Geel, M., & Vedder, P. (2015). Over three decades of longitudinal research on the development of foster children: A meta-analysis. Child Abuse and Neglect, 42, 121–134. https://doi.org/10.1016/j.chiabu.2015.02.003. PubMedCrossRef
Good, R. H., Kaminski, R. A., Smith, S., Laimon, D., & Dill, S. (2003). Dynamic indicators of basic early literacy skills. Colorado: Sopris West Educational Services Longmont.
Goodman, R., Ford, T., Corbin, T., & Meltzer, H. (2004). Using the Strengths and Difficulties Questionnaire (SDQ) multi-informant algorithm to screen looked-after children for psychiatric disorders. European Child and Adolescent Psychiatry, 13(Suppl2), II25–II31. https://doi.org/10.1007/s00787-004-2005-3. (validation studies). PubMedCrossRef
Gutman, L. M., Sameroff, A. J., & Cole, R. (2003). Academic growth curve trajectories from 1st grade to 12th grade: Effects of multiple social risk factors and preschool child factors. Developmental Psychology, 39(4), 777–790. https://doi.org/10.1037/0012-1618.104.22.1687. PubMedCrossRef
Harter, S. (1985). Manual for the self-perception profile for children. Denver, CO: University of Denver.
Harter, S. (1988). Manual for the self-perception profile for adolescents. Denver, CO: University of Denver.
Jacobsen, H., Moe, V., Ivarsson, T., Wentzel-Larsen, T., & Smith, L. (2013). Cognitive development and social-emotional functioning in young foster children: A follow-up study from 2 to 3 years of age. Child Psychiatry and Human Development, 44(5), 666–677. https://doi.org/10.1007/s10578-013-0360-3. PubMedCrossRef
James, S., Landsverk, J., & Slymen, D. J. (2004). Placement movement in out-of-home care: Patterns and predictors. Children and Youth Services Review, 26(2), 185–206. https://doi.org/10.1016/j.childyouth.2004.01.008. CrossRef
Jones, R., Everson-Hock, E. S., Papaioannou, D., Guillaume, L., Goyder, E., Chilcott, J., et al. (2011). Factors associated with outcomes for looked-after children and young people: A correlates review of the literature. Child: Care, Health and Development, 37(5), 613–622.
Kelly, J. F., & Korfmacher, J. (2008). Raising a baby. Unpublished manuscript, University of Washington.
Kim, H. K., & Leve, L. D. (2011). Substance use and delinquency among middle school girls in foster care: A three-year follow-up of a randomized controlled trial (Randomized Controlled Trial; Research Support, N.I.H., Extramural). Journal of Consulting and Clinical Psychology, 79(6), 740–750. https://doi.org/10.1037/a0025949. PubMedPubMedCentralCrossRef
Kim, H. K., Pears, K. C., Leve, L. D., Chamberlain, P., & Smith, D. K. (2013). Intervention effects on health-risking sexual behavior among girls in foster care: The role of placement disruption and tobacco and marijuana use. Journal of Child & Adolescent Substance Abuse, 22(5), 370–387. https://doi.org/10.1080/1067828X.2013.788880. CrossRef
Kramer, L. (2010). Quality of sibling interaction coding manual: More fun with sisters and brothers 2007–2010. University of Illinois at Urbana-Champaign, Urbana, IL. Unpublished manuscript.
Kramer, L., & Houston, D. (1999). Hope for the children: A community-based approach to supporting families who adopt children with special needs. Child Welfare: Journal of Policy, Practice, and Program, 78(5), 611–635.
Leenarts, L. E. W., Diehle, J., Doreleijers, T. A. H., Jansma, E. P., & Lindauer, R. J. L. (2013). Evidence-based treatments for children with trauma-related psychopathology as a result of childhood maltreatment: A systematic review. European Child and Adolescent Psychiatry, 22(5), 269–283. https://doi.org/10.1007/s00787-012-0367-5. PubMedCrossRef
Leve, L. D., Harold, G. T., Chamberlain, P., Landsverk, J. A., Fisher, P. A., & Vostanis, P. (2012). Practitioner review: Children in foster care—Vulnerabilities and evidence-based interventions that promote resilience processes. Journal of Child Psychology and Psychiatry, 53(12), 1197–1211. https://doi.org/10.1111/j.1469-7610.2012.02594.x. PubMedPubMedCentralCrossRef
Lewis-Morrarty, E., Dozier, M., Bernard, K., Terracciano, S. M., & Moore, S. V. (2012). Cognitive flexibility and theory of mind outcomes among foster children: preschool follow-up results of a randomized clinical trial (Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov’t). The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 51(2), S17–S22. https://doi.org/10.1016/j.jadohealth.2012.05.005. CrossRef
Linares, L. (2008). The sibling aggression scale. Unpublished scale. New York, NY: NYU Child Study Center, New York University.
Locke, L. M., & Prinz, R. J. (2002). Measurement of parental discipline and nurturance. Clinical Psychology Review, 22(6), 895–929. https://doi.org/10.1016/S0272-7358(02)00133-2. PubMedCrossRef
Luke, N., Sinclair, I., Woolgar, M., & Sebba, J. (2014). What works in preventing and treating poor mental health in looked after children. London: NSPCC.
Maaskant, A. M., van Rooij, F. B., Overbeek, G. J., Oort, F. J., & Hermanns, J. M. A. (2016). Parent training in foster families with children with behavior problems: Follow-up results from a randomized controlled trial. Children and Youth Services Review. https://doi.org/10.1016/j.childyouth.2016.09.005. CrossRef
Marti Haidar, Y. M. (2013). What is the experience of foster care mothers? ProQuest Dissertations Publishing.
McWayne, C. M., Owsianik, M., Green, L. E., & Fantuzzo, J. W. (2008). Parenting behaviors and preschool children’s social and emotional skills: A question of the consequential validity of traditional parenting constructs for low-income African Americans. Early Childhood Research Quarterly, 23(2), 173–192. CrossRef
Mersky, J. P., Topitzes, J., Grant-Savela, S. D., Brondino, M. J., & McNeil, C. B. (2016). Adapting parent–child interaction therapy to foster care: Outcomes from a randomized trial. Research on Social Work Practice, 26(2), 157. CrossRef
Mersky, J. P., Topitzes, J., Janczewski, C. E., & McNeil, C. B. (2015). Enhancing foster parent training with parent–child interaction therapy: Evidence from a randomized field experiment. Journal of the Society for Social Work and Research, 6(4), 591–616. https://doi.org/10.1086/684123. PubMedPubMedCentralCrossRef
Millward, R., Kennedy, E., Towlson, K., & Minnis, H. (2006). Reactive attachment disorder in looked-after children. Emotional and Behavioural Difficulties, 11(4), 273–279. CrossRef
Milner, J. (1990). An interpretive manual for the child abuse potential inventory. DeKalb, IL: Psytec. Inc.
Minnis, H., & Devine, C. (2001). The effect of foster carer training on the emotional and behavioural functioning of looked after children. Adoption and Fostering, 25(1), 44–54. CrossRef
O’Dell, S. L., Tarler-Benlolo, L., & Flynn, J. M. (1979). An instrument to measure knowledge of behavioral principles as applied to children. Journal of Behavior Therapy and Experimental Psychiatry, 10(1), 29–34. CrossRef
Oosterman, M., Schuengel, C., Wim Slot, N., Bullens, R. A. R., & Doreleijers, T. A. H. (2007). Disruptions in foster care: A review and meta-analysis. Children and Youth Services Review, 29(1), 53–76. https://doi.org/10.1016/j.childyouth.2006.07.003. CrossRef
Opris, D., & Macavei, B. (2007). The profile of emotional distress; Norms for the Romanian population. Journal of Cognitive & Behavioral Psychotherapies, 7(2), 139.
Pears, K. C., Kim, H. K., & Fisher, P. A. (2012). Effects of a school readiness intervention for children in foster care on oppositional and aggressive behaviors in kindergarten. Children and Youth Services Review, 34(12), 2361–2366. https://doi.org/10.1016/j.childyouth.2012.08.015. PubMedPubMedCentralCrossRef
Pears, K. C., Kim, H. K., & Fisher, P. A. (2016). Decreasing risk factors for later alcohol use and antisocial behaviors in children in foster care by increasing early promotive factors. Children and Youth Services Review, 65, 156–165. https://doi.org/10.1016/j.childyouth.2016.04.005. PubMedPubMedCentralCrossRef
Price, J. M., Chamberlain, P., Landsverk, J., Reid, J. B., Leve, L. D., & Laurent, H. (2008). Effects of a foster parent training intervention on placement changes of children in foster care. Child Maltreatment, 13(1), 64–75. https://doi.org/10.1177/1077559507310612. PubMedPubMedCentralCrossRef
Price, J. M., Roesch, S., Walsh, N. E., & Landsverk, J. (2015). Effects of the KEEP foster parent intervention on child and sibling behavior problems and parental stress during a randomized implementation trial. Prevention Science, 16(5), 685–695. https://doi.org/10.1007/s11121-014-0532-9. PubMedPubMedCentralCrossRef
Rothwell, P. M. (2005). External validity of randomised controlled trials: “To whom do the results of this trial apply?”. The Lancet, 365(9453), 82–93. https://doi.org/10.1016/S0140-6736(04)17670-8. CrossRef
Roweton, W. E. (1990). Elliott, D. S., Huizinga, D., & Ageton, S. S. (1985). Explaining delinquency and drug use. Beverly Hills, CA: Sage, 176 pp., $25.00. Psychology in the Schools, 27(1), 91–92. https://doi.org/10.1002/1520-6807(199001)27:1<91:AID-PITS2310270115>3.0.CO;2-Y. CrossRef
Ryan, J. P., & Testa, M. F. (2005). Child maltreatment and juvenile delinquency: Investigating the role of placement and placement instability. Children and Youth Services Review, 27(3), 227–249. https://doi.org/10.1016/j.childyouth.2004.05.007. CrossRef
Simonsohn, U., Nelson, L. D., & Simmons, J. P. (2014). P-curve: A key to the file-drawer. Journal of Experimental Psychology: General, 143(2), 534. CrossRef
Sinclair, I., Baker, C., Wilson, K., & Gibbs, I. (2005). Foster Children: Where they go and how they get on. London: Jessica Kingsley Publishers.
Spieker, S., Nelson, E. M., & Condon, M.-C. (2011). Validity of the TAS-45 as a measure of toddler–parent attachment: preliminary evidence from Early Head Start families. Attachment & Human Development, 13(1), 69–90. CrossRef
Spieker, S. J., Oxford, M. L., & Fleming, C. B. (2014). Permanency outcomes for toddlers in child welfare 2 years after a randomized trial of a parenting intervention. Children and Youth Services Review, 44, 201–206. https://doi.org/10.1016/j.childyouth.2014.06.017. PubMedPubMedCentralCrossRef
Spieker, S. J., Oxford, M. L., Kelly, J. F., Nelson, E. M., & Fleming, C. B. (2012). Promoting first relationships: Randomized trial of a relationship-based intervention for toddlers in child welfare. Child Maltreatment, 17(4), 271–286. https://doi.org/10.1177/1077559512458176. PubMedPubMedCentralCrossRef
Sprang, G. (2009). The efficacy of a relational treatment for maltreated children and their families. Child and Adolescent Mental Health, 14(2), 81–88. https://doi.org/10.1111/j.1475-3588.2008.00499.x. CrossRef
Tarren-Sweeney, M. (2013b). The assessment checklist for adolescents—ACA: A scale for measuring the mental health of young people in foster, kinship, residential and adoptive care. Children and Youth Services Review, 35(3), 384–393. https://doi.org/10.1016/j.childyouth.2012.12.005. CrossRef
Tarren-Sweeney, M. (2014). Our twenty-first century quest: Locating effective mental health interventions for children and young people in care, and those adopted from care. In M. Tarren-Sweeney & A. Vetere (Eds.), Mental health services for vulnerable children and young people: Supporting children who are, or have been, in foster care. New York: Routledge.
Turner, W., Macdonald, G. M., & Dennis, J. A. (2007). Behavioural and cognitive behavioural training interventions for assisting foster carers in the management of difficult behaviour. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD003760.pub3. CrossRefPubMed
Van Andel, H., Post, W., Jansen, L., Van der Gaag, R. J., Knorth, E., & Grietens, H. (2016). Optimizing foster family placement for infants and toddlers: A randomized controlled trial on the effect of the foster family intervention. American Journal of Orthopsychiatry, 86(3), 332–344. https://doi.org/10.1037/ort0000162. PubMedCrossRef
Webster-Stratton, C. (1998). Preventing conduct problems in head start children: Strengthening parenting competencies. Journal of Consulting and Clinical Psychology, 66(5), 715–730. https://doi.org/10.1037/0022-006X.66.5.715. PubMedCrossRef
West, S. L., Gartlehner, G., Mansfield, A. J., Poole, C., Tant, E., Lenfestey, N., et al. (2010). Comparative effectiveness review methods: Clinical heterogeneity. https://www.ncbi.nlm.nih.gov/books/NBK53310/.
- Methodological Challenges to the Evaluation of Interventions for Foster/Kinship Carers and Children: A Systematic Review
- Springer US