Fetal Alcohol Spectrum Disorders, Prenatal Alcohol Exposure
Conditions
Keywords
early childhood intervention, prenatal alcohol exposure, fetal alcohol spectrum disorder, infants and toddlers, FASD informed intervention
Brief summary
This is an unblinded, feasibility study of an adapted positive parenting intervention to be carried out in a small sample (n=12 dyads) of young children with FASD and their primary caregiver in King County, WA.
Detailed description
This is an initial feasibility study to examine Families Moving Forward Bridges (FMF Bridges), an FASD-informed early intervention designed to meet the specific needs of young children 6-36 months with prenatal alcohol exposure (PAE) or FASD and their caregivers. FMF Bridges was developed by this research team and is adapted from a scientifically-validated positive parenting intervention (Families Moving Forward) shown to be efficacious with preschool and school-aged children affected by PAE or FASD. FMF Bridges merges key components of FASD-informed care with family-centered and relationship-based early intervention practices and is designed to be delivered in community-based early intervention programs. The FMF Bridges early intervention needs to be tested with children and families in the community-based early intervention settings for which it was designed. The study team plans to evaluate the feasibility of FMF Bridges in a small community trial. the team will partner with an early intervention program that has a high population of children with prenatal alcohol exposure. EI providers will be trained as FMF Bridges Specialists and deliver the intervention to a total of 12 dyads (young child and their primary caregiver). Dyads will receive ten 60-minute manualized FMF Bridges intervention sessions over 3-5 months (approximately every other week) from community EI providers trained as FMF Bridges Specialists. Primary Aim 1: Examine the feasibility of implementing the FMF Bridges early intervention in a community early intervention setting. The study will focus on answering the questions: 1) Is it practical to implement the FMF Bridge intervention in a community EI setting? 2) Can the intervention be implemented with fidelity? 3) Is the intervention acceptable to providers and caregivers? and 4) What refinements might be needed to improve the feasibility of implementation?
Interventions
BEHAVIORALFamilies Moving Forward Bridges
Ten, 60-minute manualized FMF Bridges intervention sessions over 3-5 months (approximately every other week)
Sponsors
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
University of Washington
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Months to No maximum
Healthy volunteers
No
Inclusion criteria
* Child inclusion criteria: Infants and toddlers 6-36 months of age, any gender, any race/ethnicity, who: 1. have confirmed PAE as ascertained by the standard child development center intake procedures; 2. and 2) qualify for IDEA Part C EI services based on presence of a developmental delay (\>25% in one or more areas of development) or therapist/provider informed clinical opinion. Caregiver inclusion criteria: 1. biological, foster, adoptive, or other legal guardian; 2. age 18 or older; 3. any gender.
Exclusion criteria
* Child
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Devereux Early Childhood Assessment-Infant/Toddler (DECA-IT) | From enrollment to the end of intervention 3-5 months | Standardized parent rating scale assessing child initiative, attachment, and self-regulation. Internal consistency (α=.90-.94); test-retest reliability (r= .91-.99). |
| Parenting Interactions with Children - Checklist of Observations Linked to Outcomes (PICCOLO) 86 | From enrollment to the end of intervention 3-5 months | An observational measure of caregiver behavior including affection, responsiveness, encouragement, and teaching through caregiver-child interactions. Internal consistency (α=.75-.80); interrater reliability (r= .74-.80); construct validity (r= .62). |
| Family Outcomes Survey - Revised (FOS-R) | From enrollment to the end of intervention 3-5 months | Designed to measure family outcomes and helpfulness of early intervention. Parent survey to rate the extent to which they have achieved family outcomes including knowing their rights and advocate effectively for their child, understand their child's strengths and needs, help their child develop and learn, have support systems, and access desired community services, programs, and activities. |
| Healthy Families Parenting Inventory (HFPI) | From enrollment to the end of intervention 3-5 months | Designed to measure outcomes in home visitation programs. A survey of multiple dimensions of parenting: parent social support, problem solving, depression, personal care, mobilizing resources, role satisfaction, parent-child interactions, the home environment and parenting efficacy. Good internal consistency; evidence for convergent validity. |
Countries
United States
Outcome results
None listed