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Delivering Evidence-Based Parenting Services to Families in Child Welfare Using Telehealth

University of Washington · with Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) · NCT06109766

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Key facts

Compensation
$75 per visit“The research visits take approximately 80 minutes, and families will be paid $75 for each visit they participate in.”
Who can join
Ages 18+ · All sexes
Healthy volunteers
Accepted
Study type
Interventional · Not applicable
Target enrollment
357
US sites recruiting
1
Study start
October 12, 2023
Record last updated
March 16, 2026

Status re-checked against ClinicalTrials.gov within the last 12 hours.

What the study is about

The goal of this randomized controlled trial is to compare Promoting First Relationships - Home Visit (PFR-HV) to Promoting First Relationships - Telehealth (PFR-T) among parents of 6-12 month olds in the child welfare system. The main questions it aims to answer are:

  • Is PFR-T effective relative to PFR-HV and Usual Care with respect to observed parent sensitive and responsive care, parent knowledge of child social and emotional development, and child externalizing behavior?
  • Is PFR-T effective relative to PFR-HV and Usual Care with respect to child out-of-home placement in foster care relative to the control group?
  • How does PFR-T compare in a benefit-cost analysis to the cost-effectiveness relative to PFR-HV and Usual Care?
  • Are eligible families impacted by the lack of technology and Wi-Fi/cellular data to engage in PFR-T?
  • How does provider adherence and fidelity in delivery of PFR-T compare to adherence and fidelity of PFR-HV?

What will participants be asked to do?

  • Participants will be asked to agree to randomization, resulting in their placement in one of three groups: PFR-HV, PFR-T, or the control group.
  • Participants will be asked to participate in three virtual research visits, over the course of approximately 12 months (families could be finished as early as 9 months, however in our experience, intervention sessions and research visits often need to be rescheduled, delaying completion of the study). The research visits take approximately 80 minutes, and families will be paid $75 for each visit they participate in.
  • During the research visit, the families will be asked to participate in videotaped research activities involving parent-child play and interaction. Parents will be asked to answer questions regarding their background, feelings, parenting opinions, and stress.
  • Families randomized to the PFR-HV intervention are asked to participate in a 10 week in home parenting program which includes videotaped caregiver-child interactions and feedback.
  • Families randomized to the PFR-T intervention are asked to participate in a 10-week parenting program that will occur over Zoom, which will include videotaped caregiver-child interactions and feedback.
  • Families randomized to the control group will be emailed a resource packet with some information about services or programs that might be helpful for them.

Being studied: Promoting First Relationships

Conditions: Parenting; Parent-Child Relations; Child Behavior; Child Maltreatment

Eligibility criteria

Copied from the official record. The study team makes the final decision at screening.

Show full criteria

Inclusion Criteria: Birth parents will be eligible if:

  • they are listed in the official DCYF child welfare database as having an open CPS or FAR intake and a child listed in the case file who is between 6-12 months old,
  • they speak English,
  • they are not currently experiencing an acute hospitalization or incarceration,
  • they have the technological capacity to engage in telehealth, and
  • they have not had PFR in the past.

Exclusion Criteria: Parents will not be eligible if

  • they are experiencing an acute crisis (e.g., hospitalization, incarceration),
  • they don't have stable enough housing to be able to have home visits,
  • they don't have reliable access to internet or cell service and/or a device with a microphone and camera,
  • previously received the Promoting First Relationships ® intervention or Child Parent Psychotherapy (CPP).

Recruiting US locations

  • University of Washington

    Seattle, WA 98195

    Site contact: Monica Oxford, PhD

Study contacts (from the official record)

  • Kristin Klansnic · 206-519-7330 · klansnic@uw.edu
Delivering Evidence-Based Parenting Services to Families in Child… (NCT06109766) | Bored Studies