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Can typical US home visits affect infant attachment? Preliminary findings from a randomized trial of Healthy Families Durham.

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Date
2017-12
Authors
Berlin, Lisa J
Martoccio, Tiffany L
Appleyard Carmody, Karen
Goodman, W Benjamin
O'Donnell, Karen
Williams, Janis
Murphy, Robert A
Dodge, Kenneth A
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Abstract
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.
Type
Journal article
Subject
Home visiting
attachment
behavior problems
disorganization
randomized trial
Permalink
https://hdl.handle.net/10161/15854
Published Version (Please cite this version)
10.1080/14616734.2017.1339359
Publication Info
Berlin, Lisa J; Martoccio, Tiffany L; Appleyard Carmody, Karen; Goodman, W Benjamin; O'Donnell, Karen; Williams, Janis; ... Dodge, Kenneth A (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 https://hdl.handle.net/10161/15854.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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Scholars@Duke

Dodge

Kenneth A. Dodge

William McDougall Distinguished Professor of Public Policy Studies
Kenneth A. Dodge is the William McDougall Distinguished 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, as well as the founder of Family Connects International.  Dodge is a leading scholar in the development and prevention of aggressive and violent beha
Goodman

Ben Goodman

Research Scientist
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
Murphy

Robert A. Murphy

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
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