000 03376nab a22003497a 4500
999 _c6814
_d6814
005 20250625151534.0
008 200923s2020 ||||| |||| 00| 0 eng d
040 _aAFVC
100 _aSuomi, Aino
_96204
245 _aCluster randomized controlled trial (RCT) to support parental contact for children in out-of-home care
_cAino Suomi, Nina Lucas, Morag McArthur, Cathy Humphreys, Timothy Dobbins and StephanieTaplin
260 _bElsevier,
_c2020
500 _aChild Abuse & Neglect, 2020, Advance publication online, 14 September 2020
520 _aBackground: There is an identified need to improve the evidence-base in relation to contact visits for children in the out-of-home-care (OOHC) system, to ensure optimal outcomes. Objective: The aim of this cluster randomized controlled trial (RCT) was to test the effectiveness of a contact intervention for parents having supervised contact with children in long-term OOHC. Participants: 183 study children in 15 clusters (OOHC services) and their parent(s) were randomized to the intervention (8 clusters, 100 children) and control groups (7 clusters, 83 children) in three Australian jurisdictions. Setting: The manualized intervention consisted of increasing the preparation and support provided by caseworkers to parents before and after their contact visits. Method: Interviews were conducted with carers, parents and caseworkers of the study children at baseline and nine months post-randomization. Interviews included standardized assessment tools measuring child and adult wellbeing and relationships, carer and caseworker ability to support contact, and contact visit cancellations by the parent. Results: Compared with controls, the intention-to-treat (ITT) analyses showed that fewer visits were cancelled by parents in the intervention group at follow-up (−10.27; 95 % CI: −17.04 to −3.50, p = .006). In addition, per-protocol (PP) analyses showed higher caseworker receptivity to contact (6.03; 95 % CI: 0.04–12.03, p = .04), and higher parent satisfaction with contact (7.41; 95 % CI: 0.70–14.11, p = .03) in the intervention group at follow-up. Conclusions: While the intervention did not have an effect on child wellbeing, as measured by the SDQ, the trial reports significant positive findings and demonstrates the benefits of the kC kContact intervention in providing support to parents to attend contact visits. The findings of the current study provide an important contribution to knowledge in an area where few RCTs have been completed, notwithstanding the null findings. (Authors' abstract). Record #6814
650 _aCHILD ABUSE
_9103
650 _aCHILD PROTECTION
_9118
650 _aCHILD WELFARE
_9124
650 4 _aOUT OF HOME CARE
_9260
650 _aPARENTING
_9429
650 _aRANDOMISED CONTROLLED TRIALS
_99368
650 0 _94499
_aSUPERVISED CONTACT
651 _aINTERNATIONAL
_93624
651 4 _aAUSTRALIA
_92597
700 _aLucas, Nina
_99369
700 _aMcArthur, Morag
_98375
700 _aHumphreys, Cathy
_91400
700 _aDobbins, Timothy
_99370
700 _aTaplin, Stephanie
_98230
773 0 _tChild Abuse & Neglect, 2020, Advance publication online, 14 September 2020
830 _aChild Abuse & Neglect
_94477
856 _uhttps://doi.org/10.1016/j.chiabu.2020.104708
_zDOI: 10.1016/j.chiabu.2020.104708
942 _2ddc
_cARTICLE