Study protocol for Attachment & Child Health (ATTACHTM) program: promoting vulnerable Children’s health at scale

dc.contributor.authorAnis, Lubna
dc.contributor.authorLetourneau, Nicole
dc.contributor.authorRoss, Kharah M.
dc.contributor.authorHart, Martha
dc.contributor.authorGraham, Ian
dc.contributor.authorLalonde, Simone
dc.contributor.authorVarro, Suzanna
dc.contributor.authorBaldwin, Alanna
dc.contributor.authorSoulsby, Angela
dc.contributor.authorMajnemer, Annette
dc.contributor.authorDonnelly, Carlene
dc.contributor.authorPiotrowski, Caroline
dc.contributor.authorCollier, Carrie
dc.contributor.authorLindeman, Cliff
dc.contributor.authorGoldowitz, Dan
dc.contributor.authorIsaac, Dawn
dc.contributor.authorThomson, Denise
dc.contributor.authorSerré, Diane
dc.contributor.authorCitro, Elisabeth
dc.contributor.authorZimmermann, Gabrielle
dc.contributor.authorPliszka, Harold
dc.contributor.authorMann, Jackie
dc.contributor.authorBaumann, Janine
dc.contributor.authorPiekarski, Joanna
dc.contributor.authorDalton, Jo-Anne
dc.contributor.authorJohnson-Green, Joy
dc.contributor.authorWood, Karen
dc.contributor.authorBruce, Marcia
dc.contributor.authorSantana, Maria
dc.contributor.authorMayer, Matt
dc.contributor.authorGould, Meghan
dc.contributor.authorKobor, Michael
dc.contributor.authorFlowers, Michelle
dc.contributor.authorHaywood, Michelle
dc.contributor.authorKoerner, Michelle
dc.contributor.authorParker, Nancy
dc.contributor.authorMuhajarine, Nazeem
dc.contributor.authorFairie, Paul
dc.contributor.authorChrishti, Rabea
dc.contributor.authorPerry, Robert
dc.contributor.authorMerrill, Sarah
dc.contributor.authorPociuk, Shellie
dc.contributor.authorCole, Steve
dc.contributor.authorMurphy, Tim
dc.contributor.authorMarchment, Tmira
dc.contributor.authorXavier, Virginia
dc.contributor.authorShajani, Zahra
dc.contributor.authorWest, Zoe
dc.description.abstractAbstract Background Children’s exposure to toxic stress (e.g., parental depression, violence, poverty) predicts developmental and physical health problems resulting in health care system burden. Supporting parents to develop parenting skills can buffer the effects of toxic stress, leading to healthier outcomes for those children. Parenting interventions that focus on promoting parental reflective function (RF), i.e., parents’ capacity for insight into their child’s and their own thoughts, feelings, and mental states, may understand help reduce societal health inequities stemming from childhood stress exposures. The Attachment and Child Health (ATTACHTM) program has been implemented and tested in seven rapid-cycling pilot studies (n = 64) and found to significantly improve parents’ RF in the domains of attachment, parenting quality, immune function, and children’s cognitive and motor development. The purpose of the study is to conduct an effectiveness-implementation hybrid (EIH) Type II study of ATTACHTM to assess its impacts in naturalistic, real-world settings delivered by community agencies rather than researchers under more controlled conditions. Methods The study is comprised of a quantitative pre/post-test quasi-experimental evaluation of the ATTACHTM program, and a qualitative examination of implementation feasibility using thematic analysis via Normalization Process Theory (NPT). We will work with 100 families and their children (birth to 36-months-old). Study outcomes include: the Parent Child Interaction Teaching Scale to assess parent-child interaction; the Parental Reflective Function and Reflective Function Questionnaires to assess RF; and the Ages and Stages Questionnaire – 3rd edition to examine child development, all administered pre-, post-, and 3-month-delayed post-assessment. Blood samples will be collected pre- and post- assessment to assess immune biomarkers. Further, we will conduct one-on-one interviews with study participants, health and social service providers, and administrators (total n = 60) from each collaborating agency, using NPT to explore perceptions and experiences of intervention uptake, the fidelity assessment tool and e-learning training as well as the benefits, barriers, and challenges to ATTACHTM implementation. Discussion The proposed study will assess effectiveness and implementation to help understand the delivery of ATTACHTM in community agencies. Trial registration Name of registry: Registration number: NCT04853888 . Date of registration: April 22, 2021.
dc.identifier.citationBMC Pediatrics. 2022 Aug 19;22(1):491
dc.rightsopen accessen_US
dc.rights.holderThe Author(s)
dc.titleStudy protocol for Attachment & Child Health (ATTACHTM) program: promoting vulnerable Children’s health at scale
dc.typeJournal Article Faculty of Health Sciencesen_US
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