Prevention of Childhood Maltreatment in Families With Young Children

Bradley Hospital

Status: Active, not recruiting

Conditions: Child Exposure to Intimate Partner Violence; Child Maltreatment

Treatments: Behavioral: Enhanced First Connections

Study type: Interventional

Funder types: Other

Identifiers

NCT04341376

R01CE003103

Details and patient eligibility

About

This study will examine the efficacy of Enhanced First Connections, which is a short-term perinatal home visiting program that includes infant and early childhood mental health consultation. Mothers with a history of adversity or trauma will be the focus of this research. Hypothesized outcomes of Enhanced First Connections include the prevention of child maltreatment (child abuse and neglect), prevention of child exposure to adult intimate partner violence, increases in family engagement in longer-term evidence based home visiting programs, increases in family engagement in specialized support services to address maternal adversity and trauma, reductions in maternal risk factors, and the promotion of positive parenting and the parent-child relationship.

Enrollment: 200 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Pregnant women
• Recruited in the second or third trimester of pregnancy
• At least one self-reported experience of adversity or trauma
• English or Spanish speaking

Exclusion criteria

• Does not meet all inclusion criteria above

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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200 participants in 2 patient groups

Enhanced First Connections

Experimental group

Description:

Enhanced First Connections is a short-term risk assessment and response home visiting referral program. The goal of Enhanced First Connections is to identify family needs and link families to community resources, including evidence based home visiting models. Enhanced First Connections includes prenatal identification and engagement of women with an adversity or trauma history, and infant and early childhood mental health consultation. Women who enroll in Enhanced First Connections are expected to receive between four and eight home visits before being referred to other community resources.

Treatment:

Behavioral: Enhanced First Connections

Treatment as Usual

No Intervention group

Description:

Women who receive Treatment as Usual will follow the usual course of clinical care throughout their pregnancy and into the postpartum period, and will be eligible for the typical array of community services that may be offered to them.