Can typical US home visits affect infant attachment? Preliminary findings from a randomized trial of Healthy Families Durham.

Accepted

Journal Article

US government-funded early home visiting services are expanding significantly. The most widely implemented home visiting models target at-risk new mothers and their infants. Such home visiting programs typically aim to support infant-parent relationships; yet, such programs' effects on infant attachment quality per se are as yet untested. Given these programs' aims, and the crucial role of early attachments in human development, it is important to understand attachment processes in home visited families. The current, preliminary study examined 94 high-risk mother-infant dyads participating in a randomized evaluation of the Healthy Families Durham (HFD) home visiting program. We tested (a) infant attachment security and disorganization as predictors of toddler behavior problems and (b) program effects on attachment security and disorganization. We found that (a) infant attachment disorganization (but not security) predicted toddler behavior problems and (b) participation in HFD did not significantly affect infant attachment security or disorganization. Findings are discussed in terms of the potential for attachment-specific interventions to enhance the typical array of home visiting services.

Full Text

Duke Authors

Cited Authors

  • Berlin, LJ; Martoccio, TL; Appleyard Carmody, K; Goodman, WB; O'Donnell, K; Williams, J; Murphy, RA; Dodge, KA

Published Date

  • December 2017

Published In

Volume / Issue

  • 19 / 6

Start / End Page

  • 559 - 579

PubMed ID

  • 28714772

Electronic International Standard Serial Number (EISSN)

  • 1469-2988

International Standard Serial Number (ISSN)

  • 1461-6734

Digital Object Identifier (DOI)

  • 10.1080/14616734.2017.1339359

Language

  • eng