Collaboration to Promote Early Childhood Well Being in Families Experiencing Homelessness

Study Overview
=================
Brief Summary
-----------------
The purpose of this study is to help us learn what are the best services to promote young children's healthy development for families who are experiencing homelessness. Participants may participate in three programs: 1. Healthy Home: four weekly, one-hour group sessions on health topics; 2. Attachment and Biobehavioral Catch-up (ABC): 10, one-hour parenting with parent and child; 3. Healthy Steps: helps families identify, understand and manage parenting challenges completed at well child visits. Participants will be asked to complete surveys, participate in focus groups, and interviews about the experiences with the services offered. Questionnaires about understanding health issues and surveys about parenting behaviors and self-efficacy will also be completed. Study duration is approximately 10 - 12 weeks. Programs may be continued once families move into permanent housing.

Official Title
-----------------
Collaboration to Promote Early Childhood Well Being in Families Experiencing Homelessness

Conditions
-----------------
Families Experiencing Homelessness With Children Under 48 Months of Age

Intervention / Treatment
-----------------
* Behavioral: Healthy Home
* Behavioral: Attachment and Biobehavioral Catch-up Infant (6-24 months) and Toddler (24-48 months).
* Behavioral: HealthySteps


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Head of household of families living at FMF with at least one child under 48 months. All subjects must be English speaking and able to give legally effective consent. Exclusion Criteria: Non-English speaking subjects

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Other
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: families living at Families Moving Forward (FMF)<br> | Behavioral: Healthy Home<br>* An evidence-based health literacy curriculum will be developed and implemented based on competencies of understanding and applying health information. The<br>Behavioral: Attachment and Biobehavioral Catch-up Infant (6-24 months) and Toddler (24-48 months).<br>* ABC includes 10 in-home, manualized sessions with parents and infants, targeting: 1) increasing parents' nurturing when children are distressed, 2) helping parents follow children's lead, 3) decreasing frightening parent behaviors, and (for ABC-Toddler) managing dysregulation.<br>Behavioral: HealthySteps<br>* Healthy Steps helps families identify, understand and manage parenting challenges like feeding, behavior, sleep, development and adjusting to life with a young child<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility of the intervention as measured by a composite of satisfaction surveys and focus groups with families and staff. |  | up to 12 months | 
| Changes in parent and child functioning as measured by composite of observation and self-report. |  | Baseline and 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sustainability as measured by focus groups of staff |  | up to 12 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
homelessness, homeless children, homeless families