NotesFAQContact Us
Search Tips
Peer reviewed Peer reviewed
Direct linkDirect link
ERIC Number: EJ798469
Record Type: Journal
Publication Date: 2008-Jul
Pages: 11
Abstractor: As Provided
Reference Count: 0
ISSN: ISSN-0021-9630
"Right from the Start": Randomized Trial Comparing an Attachment Group Intervention to Supportive Home Visiting
Niccols, Alison
Journal of Child Psychology and Psychiatry, v49 n7 p754-764 Jul 2008
Background: Infant attachment security is a protective factor for future mental health, and may be promoted by individual interventions. Given service demands, it is important to determine if a group-based intervention for parents could be used to enhance infant attachment security. Methods: In a randomized trial involving 76 mothers, an 8-session attachment group called "Right from the Start" (RFTS) was compared to home visiting (treatment as usual). Results: Intention-to-treat analyses indicated no significant differences between RFTS and home visiting, with both groups showing small improvements in infant attachment security and maternal sensitivity. RFTS cost significantly less and was more cost effective than home visiting, and was not significantly different in terms of participation ratings, client satisfaction, or follow-up service requests. There was differential compliance for the two interventions, with 89% and 58% attending 4 or more sessions of home visiting and RFTS, respectively. Secondary analyses considering non-attenders as a separate (nonrandomized) group indicated a significant advantage for those who attended RFTS on pre-test/post-test maternal sensitivity change scores (d = .52) and pre-test/6-month follow-up infant attachment security changes scores (d = .55). Conclusions: RFTS is as effective as home visiting in improving infant attachment security and maternal sensitivity. The effect sizes for RFTS were comparable to those of individual attachment interventions in this relatively inexpensive, community-based group intervention.
Blackwell Publishing. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8599; Fax: 781-388-8232; e-mail:; Web site:
Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A