Predictors of Participation in the Family Check-Up Program: a Randomized Trial of Yearly Services from Age 2 to 10 Years |
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Authors: | Justin D Smith Cady Berkel Katherine A Hails Thomas J Dishion Daniel S Shaw Melvin N Wilson |
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Institution: | 1.Center for Prevention Implementation Methodology, Department of Psychiatry and Behavioral Sciences,Northwestern University Feinberg School of Medicine,Chicago,USA;2.REACH Institute,Arizona State University,Arizona,USA;3.University of Pittsburgh,Pittsburgh,USA;4.Oregon Research Institute,Oregon,USA;5.University of Virginia,Virginia,USA |
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Abstract: | A key challenge of community-based prevention programs is engaging families in the context of services settings involving children and families. The Family Check-Up (FCU) program is designed to engage families in parenting support appropriate to their level of need by use of assessment-enhanced motivational interviewing. This study involved families screened for risk who were seeking services at women, infant, and children’s offices in three geographical regions (N?=?731). Families in the randomized intervention group (N?=?367) were offered the FCU yearly, from age 2 through 10. The results of multivariate modeling indicated that caregivers reporting high levels of perceived caregiving stress (i.e., depression, low parenting satisfaction, daily hassles) participated at a higher rate in two critical components (feedback and follow-up support interventions) of the FCU program over the 8-year trial period than caregivers reporting lesser degrees of stress. The implications of these findings are discussed in the context of family-centered programs for the prevention of child behavior problems and directions for future research. |
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