CPP + CHW Home Visitation for Parenting Support
(PROMISE Trial)
Trial Summary
What is the purpose of this trial?
Home visitation by community health workers is a commonly utilized approach to support families and prevent child maltreatment. At times, however, more intensive intervention is needed to address familial trauma, depression, or other challenges. This preventive treatment evaluation study evaluates whether adding Child-Parent Psychotherapy (CPP) to a Community Health Worker (CHW) outreach model improves positive parenting and parent-child relationships above CHW alone. The efficacy of CPP has been demonstrated with maltreated and other high-risk populations. This evaluation will examine optimal timing of CPP (beginning prenatally or postnatally) and optimal duration of services (6 vs. 12 months). Additionally, how and for whom CPP is most effective and why will be examined. Assessments of parenting, maternal sensitivity, representational models, cognitions, physiological reactivity, and physical health indicators will be assessed prenatally, and at children's age of 3, 9, and 12 months.
Eligibility Criteria
This trial is for low-income pregnant women on Medicaid at high psychosocial risk. They must be adults and speak English, without severe psychiatric disorders, cognitive limitations, or physical disabilities that would prevent participation in study procedures.Inclusion Criteria
Exclusion Criteria
Treatment Details
Interventions
- Child-Parent Psychotherapy (CPP)
- Community Health Worker (CHW) home visitation
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Rochester
Lead Sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator