Families Experiencing Homelessness With Children Under 48 Months of Age
Conditions
Keywords
homelessness, homeless children, homeless families
Brief summary
The purpose of this study is to help us learn what are the best services to promote young children's healthy development for families who are experiencing homelessness. Participants may participate in three programs: 1. Healthy Home: four weekly, one-hour group sessions on health topics; 2. Attachment and Biobehavioral Catch-up (ABC): 10, one-hour parenting with parent and child; 3. Healthy Steps: helps families identify, understand and manage parenting challenges completed at well child visits. Participants will be asked to complete surveys, participate in focus groups, and interviews about the experiences with the services offered. Questionnaires about understanding health issues and surveys about parenting behaviors and self-efficacy will also be completed. Study duration is approximately 10 - 12 weeks. Programs may be continued once families move into permanent housing.
Interventions
An evidence-based health literacy curriculum will be developed and implemented based on competencies of understanding and applying health information. The
ABC includes 10 in-home, manualized sessions with parents and infants, targeting: 1) increasing parents' nurturing when children are distressed, 2) helping parents follow children's lead, 3) decreasing frightening parent behaviors, and (for ABC-Toddler) managing dysregulation.
Healthy Steps helps families identify, understand and manage parenting challenges like feeding, behavior, sleep, development and adjusting to life with a young child
Sponsors
Study design
Eligibility
Inclusion criteria
* Head of household of families living at FMF with at least one child under 48 months. * All subjects must be English speaking and able to give legally effective consent.
Exclusion criteria
* Non-English speaking subjects
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility of the intervention as measured by a composite of satisfaction surveys and focus groups with families and staff. | up to 12 months |
| Changes in parent and child functioning as measured by composite of observation and self-report. | Baseline and 12 months |
Secondary
| Measure | Time frame |
|---|---|
| Sustainability as measured by focus groups of staff | up to 12 months |
Countries
United States