Can typical US home visits affect infant attachment? Preliminary findings from a randomized trial of Healthy Families Durham.
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US government-funded early home visiting services are expanding significantly. The most widely implemented home visiting models target at-risk new mothers and their infants. Such home visiting programs typically aim to support infant-parent relationships; yet, such programs' effects on infant attachment quality per se are as yet untested. Given these programs' aims, and the crucial role of early attachments in human development, it is important to understand attachment processes in home visited families. The current, preliminary study examined 94 high-risk mother-infant dyads participating in a randomized evaluation of the Healthy Families Durham (HFD) home visiting program. We tested (a) infant attachment security and disorganization as predictors of toddler behavior problems and (b) program effects on attachment security and disorganization. We found that (a) infant attachment disorganization (but not security) predicted toddler behavior problems and (b) participation in HFD did not significantly affect infant attachment security or disorganization. Findings are discussed in terms of the potential for attachment-specific interventions to enhance the typical array of home visiting services.
Published Version (Please cite this version)10.1080/14616734.2017.1339359
Publication InfoAppleyard, Karen Elaine; Berlin, LJ; Dodge, Kenneth A; Goodman, Ben; Martoccio, TL; Murphy, Robert A; ... Williams, J (2017). Can typical US home visits affect infant attachment? Preliminary findings from a randomized trial of Healthy Families Durham. Attach Hum Dev, 19(6). pp. 559-579. 10.1080/14616734.2017.1339359. Retrieved from http://hdl.handle.net/10161/15854.
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Assistant Professor in Psychiatry and Behavioral Medicine
Karen Appleyard Carmody, PhD, serves as the Director of Early Childhood Prevention Programs for the Center for Child and Family Health (CCFH). She is a licensed psychologist and assistant professor in the Department of Psychiatry and Behavioral Sciences. Her clinical and research expertise is in infant mental health, child-parent attachment, early childhood trauma and maltreatment, and evidence-based practices to address these issues. Dr. Appleyard Carmody currently directs three evidence-bas
Pritzker Professor of Early Learning Policy Studies
Kenneth A. Dodge is the Pritzker Professor of Public Policy and Professor of Psychology and Neuroscience at Duke University. He is also the founding and past director of the Center for Child and Family Policy. He is a leading scholar in the development and prevention of aggressive and violent behaviors. His work provides a model for understanding how some young children grow up to engage in aggression and violence and provides a fram
Ben Goodman, PhD, is a research scientist at the Center for Child and Family Policy (CCFP) and a senior fellow at the Center for Child & Family Health at Duke University. He currently serves as the co-director of the Family Connects home visiting programs at CCFP: Durham Connects. In this capacity, he oversees program evaluation for all communities implementing Family Connects and leads the impact evaluation
Associate Professor in Psychiatry and Behavioral Sciences
Dr. Murphy is a licensed clinical psychologist focused on child traumatic stress, including its treatment and prevention and development and dissemination of evidence-based interventions. He is an Associate Professor in the Department of Psychiatry and Behavioral Sciences at Duke University School of Medicine. Dr. Murphy serves as Executive Director for the Center for Child & Family Health (CCFH), a community and three university partnership (Duke University, the University of North Carolina
My research interests are in early development risk: drug exposure, HIV infection, and iodine deficiency. I have ongoing research in developmental outcomes of children exposed prenatally to drugs and alcohol. They include the Infant Care Project (Pediatrics) and the Family Care Project (Psychiatry). I am co-investigator on a NIDA study of SIDS risk with prenatal cocaine exposure. I am involved at Duke and nationally in the study of the neurodevelopmental effects of pediatric HIV infecti
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