whether a short intervention can lead to a better quality in the relation between foster care parent and foster child.secundary questions:This better quality in the relation correlates to a reduction in at risk symptoms in the child.This better…
ID
Source
Brief title
Condition
- Other condition
- Family issues
Synonym
Health condition
infant mental health
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
In all the children partcipating there will be measuring of cortisol in saliva,
at the start and after half a year.
We'd like to prove that the intervention helps to reduce stress levels in the
child, expressed by normalisation of the diurnal rhythm of cortisol.
It can also be expressed by less symptoms on cbcl and itsea
With EAS (emotional availibility scales) we want to evaluate the quality of
interaction between foster parent and foster child. For this purpose there will
be made a videoobservation at the start and half a year later.
Foster care parents do rate a list with items concerning satisfaction and
mastery at the start and after half a year. (Nosi)
Symptoms in the child will be measured with IBQ (children < 1 year) or ITSEA
before the intervention and after half a year.
Primary outcome:
To prove that this intervention has a positive effect on the quality of
interaction (relation) between foster parent and foster child.
Secondary outcome
The improvement of quality in relation helps to reduce emotional and behavioral
problems in the child
The improvement of quality in relation helps to reduce levels of stress in the
foster child, expressed bij normalisation of diurnal rhythm in salival cortisol.
The intervention helps to give the foster parents a better sense of mastery
Background summary
In the last ten years there has been a lot of research in foster care.
This research looked into the question of matching between foster care parent
and foster child.
Also there has been research about the background and personality traits of the
foster care parents and the quality of the support of foster care workers.
This kind of research was also done in the Netherlands, but over all it is not
much.
There has been done research about characteristics of fosterchildren, but there
has been little research in problematic behavior and what kind of problems
these children have when they enter foster care.
Also there is little known how foster care parents handle these problems and
how this affects there motivation.
There is little known about the severity of these kind of problems, how this
affects the relation between foster parent and foster child and wether this
relation can influence the development .
In the Netherlands foster care parents get at the start a short introductory
course about what foster care should be.
There is little to help foster care parents in a methodic way,and it isn't well
researched.
But there are many potential problems.
The child that enters in foster care has experienced different kinds of stress.
There has been stress which let to the placement in foster care, there is
stress to adjust to the new situationin foster care. The child is at risk.
Foster care parents have to react in a sensible and sensitive way to this
stress induced situation and this is not always easy to do.
Research suggests that the risk of failure is a lot bigger when the child shows
behavioral problems.
Study objective
whether a short intervention can lead to a better quality in the relation
between foster care parent and foster child.
secundary questions:
This better quality in the relation correlates to a reduction in at risk
symptoms in the child.
This better quality in the relation correlates to a normalisation in diurnal
salival cortisol
The intervention leads to a subjective feeling of competence in foster care
parents
Study design
Pretest-posttest design with a control group and a non-equivalent group.
1: prevalence of relevant symptoms, measured with Ibq (infant behavior
questionnair) or itsea (infant toddler social and emotional assesment) in
foster children 0-3
Also analysis of cortisol in saliva to determine interference in diurnal rhythm
by (fysical) stress
These findings define a group of children at risk.
2:The at risk children are randomised in a RCT (random controlled trial)
One arm of the RCT gets an intervention which targets the relation between
foster parent and foster child.
The aim is to improve the sensitivity of the foster parent, the pedagogic
ability, the other arm of the RCT gets care as usual.
At the start of the intervention and after half a year there will be a video
observation, which will be evaluated bij means of the EAS (emotional
availibilty scales, Z.Biringen).
3: After half a year we will again measure the relevant symptoms in the child,
using cbq and itsea and by measuring cortisol in saliva.
Intervention
The foster parent/foster child intervention is standardised in 6 methodological
contacts.
The intervention targets certain topics like:
Security/insecurity
How to observe and how to react
Calming down and repare
Taking care
Support, also future help for the foster care parents
The interventionis a combination of psycho-education en video interaction
observation with feedback in the next session.
The intervention is clear, evidence based and usable as an intervention to be
used by a social worker.
The social worker gets education how to do this intervention, also there will
be a 6 weeks supervision how to do it
Social workers are keeping a diary
The aim of the intervention is to improve the sensitivity of the foster care
parents in order to improve the qualitity of the interaction between foster
parent and foster child.
Study burden and risks
6 visits of one hour in 12 weeks max
In organised foster care in the Netherlands there is a great demand for this
kind of intervention
Compared to other comparable interventions ( circle of security, VIPP= video
interaction positive parenting) it is a relative short term intervention
pikeursbaan 3
7411GT Deventer
NL
pikeursbaan 3
7411GT Deventer
NL
Listed location countries
Age
Inclusion criteria
age 0-4
foster care with duration of half a year
informed consent foster parents, and biological parents
Exclusion criteria
genetic deficiency
congenital abnormality
foster care just for a few weeks
there is not informed consent
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL23620.091.08 |