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Randomized trial of Promoting First Relationships: Effects on maltreated toddlers' separation distress and sleep regulation after reunification

Author

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  • Oxford, Monica L.
  • Fleming, Charles B.
  • Nelson, Elizabeth M.
  • Kelly, Jean F.
  • Spieker, Susan J.

Abstract

This study investigates the impact of an attachment focused intervention, Promoting First Relationships (PFR), on sleep problems among toddlers in child welfare recently reunified with their birth parent. Recently reunified parent–toddler dyads (n=43) were drawn from a larger random control trial. Toddlers (11–36months) and their parents were assessed in two-hour research home visits at enrollment (baseline), and a 6-month post-intervention follow-up. Measures included parental report of sleep problems and research visitor observation of separation distress (using the Toddler Attachment Sort-45). The PFR intervention predicted fewer sleep problems, adjusting for a baseline measure of sleep problems and other covariates. A path model showed evidence of an indirect effect of PFR on sleep problems through declines in separation distress. An attachment focused intervention like PFR that reduces infant separation distress can lead to reductions in sleep problems.

Suggested Citation

  • Oxford, Monica L. & Fleming, Charles B. & Nelson, Elizabeth M. & Kelly, Jean F. & Spieker, Susan J., 2013. "Randomized trial of Promoting First Relationships: Effects on maltreated toddlers' separation distress and sleep regulation after reunification," Children and Youth Services Review, Elsevier, vol. 35(12), pages 1988-1992.
    • Handle: RePEc:eee:cysrev:v:35:y:2013:i:12:p:1988-1992
    DOI: 10.1016/j.childyouth.2013.09.021
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    Cited by:

    1. Alto, Michelle E. & Petrenko, Christie L.M., 2017. "Fostering secure attachment in low- and middle-income countries: Suggestions for evidence-based interventions," Evaluation and Program Planning, Elsevier, vol. 60(C), pages 151-165.
    2. Spieker, Susan J. & Oxford, Monica L. & Fleming, Charles B., 2014. "Permanency outcomes for toddlers in child welfare two years after a randomized trial of a parenting intervention," Children and Youth Services Review, Elsevier, vol. 44(C), pages 201-206.

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