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

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    12887_2022_Article_3439.pdf (1.403Mb)
    Date
    2022-08-19
    Author
    Anis, Lubna
    Letourneau, Nicole
    Ross, Kharah M.
    Hart, Martha
    Graham, Ian
    Lalonde, Simone
    Varro, Suzanna
    Baldwin, Alanna
    Soulsby, Angela
    Majnemer, Annette
    Donnelly, Carlene
    Piotrowski, Caroline
    Collier, Carrie
    Lindeman, Cliff
    Goldowitz, Dan
    Isaac, Dawn
    Thomson, Denise
    Serré, Diane
    Citro, Elisabeth
    Zimmermann, Gabrielle
    Pliszka, Harold
    Mann, Jackie
    Baumann, Janine
    Piekarski, Joanna
    Dalton, Jo-Anne
    Johnson-Green, Joy
    Wood, Karen
    Bruce, Marcia
    Santana, Maria
    Mayer, Matt
    Gould, Meghan
    Kobor, Michael
    Flowers, Michelle
    Haywood, Michelle
    Koerner, Michelle
    Parker, Nancy
    Muhajarine, Nazeem
    Fairie, Paul
    Chrishti, Rabea
    Perry, Robert
    Merrill, Sarah
    Pociuk, Shellie
    StephanieTaylor
    Cole, Steve
    Murphy, Tim
    Marchment, Tmira
    Xavier, Virginia
    Shajani, Zahra
    West, Zoe
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    Abstract
    Abstract 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: https://clinicaltrials.gov/. Registration number: NCT04853888 . Date of registration: April 22, 2021.
    URI
    https://doi.org/10.1186/s12887-022-03439-3
    http://hdl.handle.net/1993/36824
    Collections
    • Rady Faculty of Health Sciences Scholarly Works [1296]
    • University of Manitoba Scholarship [1978]

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