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Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Study protocol

KContact, an enhanced intervention for contact between children in out-of-home care and their parents: protocol for a cluster randomised controlled trial

Authors: Stephanie Taplin, Tracey Bullen, Morag McArthur, Cathy Humphreys, Margaret Kertesz, Timothy Dobbins

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

When children are unable to safely live at home with their parents, contact between these children and their parents is considered, in most cases, important for maintaining children’s sense of identity and relationships with their parents. However, the research evidence on contact is weak and provides little guidance on how to manage contact and when it is beneficial or potentially harmful. The evidence in relation to contact interventions with parents and their children who are to remain in long-term care is the most limited. A small number of studies have been identified where interventions which were therapeutic, child-focused and with clear goals, particularly aimed at preparing and supporting parents, showed some promising results. This trial aims to build on the existing evidence by trialling an enhanced model of contact in multiple sites in Australia.

Methods/Design

This study is a cluster randomised controlled trial of an enhanced contact intervention with children in long-term care who are having supervised contact with their parents. Intervention sites will implement the kContact intervention that increases the preparation and support provided to parents in relation to contact. Baseline and follow-up interviews are being conducted with parents, carers and agency workers at intervention and control sites. Follow-ups interviews will assess whether there has been an increase in children’s emotional safety and a reduction in distress in response to contact visits with their parents (the primary outcome variable as measured using the Strength and Difficulties Questionnaire), improved relationships between children and their parents, improved parental ability to support contact, and fewer contact visits cancelled.

Discussion

By increasing the evidence base in this area, the study aims to better guide the management and supervision of contact visits in the out-of-home care context and improve outcomes for the children and their families.

Trial Registration

Trial registered on 7 April 2015 with the Australian New Zealand Clinical Trials Registry ACTRN12615000313​538
Literature
1.
go back to reference Sen R, Broadhurst K. Contact between children in out-of-home placements and their family and friends networks: a research review. Child Family Social Work. 2011;16(3):298–309. Sen R, Broadhurst K. Contact between children in out-of-home placements and their family and friends networks: a research review. Child Family Social Work. 2011;16(3):298–309.
2.
go back to reference Taplin S, Mattick RP. Supervised contact visits: results from a study of women in drug treatment with children in care. Child Youth Serv Rev. 2014;39:65–72. Taplin S, Mattick RP. Supervised contact visits: results from a study of women in drug treatment with children in care. Child Youth Serv Rev. 2014;39:65–72.
3.
go back to reference Quinton D, Selwyn J, Rushton A, Dance C. Contact between children placed away from home and their birth parents: Ryburn's 'reanalysis' analysed. Clin Child Psychol Psychiat. 1999;4(4):519–31. Quinton D, Selwyn J, Rushton A, Dance C. Contact between children placed away from home and their birth parents: Ryburn's 'reanalysis' analysed. Clin Child Psychol Psychiat. 1999;4(4):519–31.
4.
go back to reference Triseliotis J. Contact between Looked after Children and Their Parents: A Level Playing Field? Adoption Fostering. 2010;34(3):59–66. Triseliotis J. Contact between Looked after Children and Their Parents: A Level Playing Field? Adoption Fostering. 2010;34(3):59–66.
5.
go back to reference McWey LM, Acock A, Porter BE. The impact of continued contact with biological parents upon the mental health of children in foster care. Child Youth Serv Rev. 2010;32(10):1338–45.PubMedPubMedCentral McWey LM, Acock A, Porter BE. The impact of continued contact with biological parents upon the mental health of children in foster care. Child Youth Serv Rev. 2010;32(10):1338–45.PubMedPubMedCentral
6.
go back to reference Barber JGD, Paul H. Children in foster care. New York: Routledge; 2004. Barber JGD, Paul H. Children in foster care. New York: Routledge; 2004.
7.
go back to reference Morrison J, Mishna F, Cook C, Aitken G. Access visits: Perceptions of child protection workers, foster parents and children who are Crown wards. Child Youth Serv Rev. 2011;33(9):1476–82. Morrison J, Mishna F, Cook C, Aitken G. Access visits: Perceptions of child protection workers, foster parents and children who are Crown wards. Child Youth Serv Rev. 2011;33(9):1476–82.
8.
go back to reference Saini M, van Wert M, Gofman J. Parent–child supervised visitation within child welfare and custody dispute contexts: An exploratory comparison of two distinct models of practice. Child Youth Serv Rev. 2012;34(1):163–8. Saini M, van Wert M, Gofman J. Parent–child supervised visitation within child welfare and custody dispute contexts: An exploratory comparison of two distinct models of practice. Child Youth Serv Rev. 2012;34(1):163–8.
9.
go back to reference Scott D, O'Neil C, Minge A. Contact between children in out-of-home care and their birth families. Ashfield, NSW: NSW Centre for Parenting Research, Department of Community Services; 2005. Scott D, O'Neil C, Minge A. Contact between children in out-of-home care and their birth families. Ashfield, NSW: NSW Centre for Parenting Research, Department of Community Services; 2005.
10.
go back to reference Assembly UG. Convention on the Rights of the Child. United Nations Treaty Series. 1989;1577:3. Assembly UG. Convention on the Rights of the Child. United Nations Treaty Series. 1989;1577:3.
11.
12.
go back to reference Sinclair I, Gibbs I, Wilson K. Foster Carers: Why they stay and why they leave. London: Jessica Kingsley Publishers; 2004. Sinclair I, Gibbs I, Wilson K. Foster Carers: Why they stay and why they leave. London: Jessica Kingsley Publishers; 2004.
13.
go back to reference Perry A, Rainey B. Supervised, Supported and Indirect Contact Orders: Research Findings. Int J Law Policy Family. 2007;21(1):21–47. Perry A, Rainey B. Supervised, Supported and Indirect Contact Orders: Research Findings. Int J Law Policy Family. 2007;21(1):21–47.
14.
go back to reference Wattenberg E, Troy K, Beuch A. Protective supervision: An inquiry into the relationship between child welfare and the court system. Child Youth Serv Rev. 2011;33(2):346–50. Wattenberg E, Troy K, Beuch A. Protective supervision: An inquiry into the relationship between child welfare and the court system. Child Youth Serv Rev. 2011;33(2):346–50.
15.
go back to reference Ellenbogen S, Wekerle C. Visitation practices in child welfare organizations. J Ontario Assoc Child Aid Soc. 2008;52(1):18–24. Ellenbogen S, Wekerle C. Visitation practices in child welfare organizations. J Ontario Assoc Child Aid Soc. 2008;52(1):18–24.
16.
go back to reference Sinclair I, Baker C, Gibbs I, Wilson K. Foster Children: Where they go and how they get on London. London: Jessica Kingsley Publishers; 2005. Sinclair I, Baker C, Gibbs I, Wilson K. Foster Children: Where they go and how they get on London. London: Jessica Kingsley Publishers; 2005.
17.
go back to reference Farmer E, Moyers S. Kinship care: Fostering effective family and friends placements. London: Jessica Kingsley Publishers; 2008. Farmer E, Moyers S. Kinship care: Fostering effective family and friends placements. London: Jessica Kingsley Publishers; 2008.
18.
go back to reference Hunt J, Waterhouse S, Lutman E. Parental Contact for Children Placed in Kinship Care through Care Proceedings. Child Family Law Quarterly. 2010;22:71–92. Hunt J, Waterhouse S, Lutman E. Parental Contact for Children Placed in Kinship Care through Care Proceedings. Child Family Law Quarterly. 2010;22:71–92.
19.
go back to reference Tilbury C, Osmond J. Permanency planning in foster care: A research review and guidelines for practitioners. Aust Soc Work. 2006;59(3):265–80. Tilbury C, Osmond J. Permanency planning in foster care: A research review and guidelines for practitioners. Aust Soc Work. 2006;59(3):265–80.
20.
go back to reference Beyer M. Visit Coaching: Building on Family Strengths to Meet Children’s Needs. New York: NYC Administration for Children’s Services; 2004. Beyer M. Visit Coaching: Building on Family Strengths to Meet Children’s Needs. New York: NYC Administration for Children’s Services; 2004.
21.
go back to reference Beyer M. Visit Coaching: Building on Family Strengths to Meet Children's Needs. Juv Fam Court J. 2008;59(1):47–60. Beyer M. Visit Coaching: Building on Family Strengths to Meet Children's Needs. Juv Fam Court J. 2008;59(1):47–60.
22.
go back to reference Smith GT, Shapiro VB, Sperry RW, LeBuffe PA. A Strengths-based Approach to Supervised Visitation in Child Welfare. Child Care Prac. 2014;20(1):98–119. Smith GT, Shapiro VB, Sperry RW, LeBuffe PA. A Strengths-based Approach to Supervised Visitation in Child Welfare. Child Care Prac. 2014;20(1):98–119.
23.
go back to reference Osmond J, Tilbury C. Permanency Planning Concepts. Child Aust. 2012;37(03):100–7. Osmond J, Tilbury C. Permanency Planning Concepts. Child Aust. 2012;37(03):100–7.
24.
go back to reference Fernandez E. Accomplishing Permanency: Reunification Pathways and Outcomes for Foster Children. New York. Springer. 2013 Fernandez E. Accomplishing Permanency: Reunification Pathways and Outcomes for Foster Children. New York. Springer. 2013
25.
go back to reference Hojer I. Birth parents' perception of sharing the care of their child with foster parents. Vulnerable Children and Youth Stud. 2009;4(2):161–8. Hojer I. Birth parents' perception of sharing the care of their child with foster parents. Vulnerable Children and Youth Stud. 2009;4(2):161–8.
26.
go back to reference Donner A, Klar N. Design and Analysis of Cluster Randomization Trials in Health Research. In: London Arnold. 2000. Donner A, Klar N. Design and Analysis of Cluster Randomization Trials in Health Research. In: London Arnold. 2000.
27.
go back to reference Miller-Lewis LR, Sawyer AC, Searle AK, Mittinty MN, Sawyer MG, Lynch JW. Student-teacher relationship trajectories and mental health problems in young children. BMC Psychol. 2014;2(1):27.PubMedPubMedCentral Miller-Lewis LR, Sawyer AC, Searle AK, Mittinty MN, Sawyer MG, Lynch JW. Student-teacher relationship trajectories and mental health problems in young children. BMC Psychol. 2014;2(1):27.PubMedPubMedCentral
28.
go back to reference Healy K, Darlington Y. Service user participation in diverse child protection contexts: principles for practice. Child Family Soc Work. 2009;14(4):420–30. Healy K, Darlington Y. Service user participation in diverse child protection contexts: principles for practice. Child Family Soc Work. 2009;14(4):420–30.
29.
go back to reference Project TQA. A Methodology for Preparing ‘IDEAL’ Treatment Outlines in Psychiatry. Aust N Z J Psychiatry. 1982;16(3):153–8. Project TQA. A Methodology for Preparing ‘IDEAL’ Treatment Outlines in Psychiatry. Aust N Z J Psychiatry. 1982;16(3):153–8.
30.
go back to reference Shapiro VBS. Heidi. : A Strengths-based Approach to Supervised Visitation in Child Welfare. In: Evidence Informed Practice Series. California Social Work Education Center Research and Training Network. 2014. Shapiro VBS. Heidi. : A Strengths-based Approach to Supervised Visitation in Child Welfare. In: Evidence Informed Practice Series. California Social Work Education Center Research and Training Network. 2014.
31.
go back to reference Cutshaw CA, Affronti M, Elliot SA, Beyer M. Family Visit Coaching for Children in Foster Care: Setting a Research Agenda and Diving. In: 18th National Conference on Child Abuse and Neglect: 2012; Washington, D.C. 2012. Cutshaw CA, Affronti M, Elliot SA, Beyer M. Family Visit Coaching for Children in Foster Care: Setting a Research Agenda and Diving. In: 18th National Conference on Child Abuse and Neglect: 2012; Washington, D.C. 2012.
32.
go back to reference Gearing RE, El-Bassel N, Ghesquiere A, Baldwin S, Gillies J, Ngeow E. Major ingredients of fidelity: A review and scientific guide to improving quality of intervention research implementation. Clin Psychol Rev. 2011;31(1):79–88.PubMed Gearing RE, El-Bassel N, Ghesquiere A, Baldwin S, Gillies J, Ngeow E. Major ingredients of fidelity: A review and scientific guide to improving quality of intervention research implementation. Clin Psychol Rev. 2011;31(1):79–88.PubMed
33.
go back to reference Paxman M, Tully L, Burke S, Watson J. Pathways of Care: Longitudinal study on children and young people in out-of-home care in New South Wales. 2013. Paxman M, Tully L, Burke S, Watson J. Pathways of Care: Longitudinal study on children and young people in out-of-home care in New South Wales. 2013.
34.
go back to reference Goodman R. Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adol Psychiat. 2001;40(11):1337–45. Goodman R. Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adol Psychiat. 2001;40(11):1337–45.
35.
go back to reference Pianta RC. Child–parent relationship scale. University of Virginia: Unpublished measure; 1992. Pianta RC. Child–parent relationship scale. University of Virginia: Unpublished measure; 1992.
36.
go back to reference Orme JG, Cox ME, Rhodes KW, Coakley T, Cuddeback GS, Buehler C. Casey home assessment protocol (CHAP): Technical manual. Knoxville: TN: University of Tennessee, Children’s Mental Health Services Research Center; 2006. Orme JG, Cox ME, Rhodes KW, Coakley T, Cuddeback GS, Buehler C. Casey home assessment protocol (CHAP): Technical manual. Knoxville: TN: University of Tennessee, Children’s Mental Health Services Research Center; 2006.
37.
go back to reference Ondersma SJ, Chaffin MJ, Mullins SM, LeBreton JM. A brief form of the Child Abuse Potential Inventory: Development and validation. J Clin Child Adolesc Psychol. 2005;34(2):301–11.PubMed Ondersma SJ, Chaffin MJ, Mullins SM, LeBreton JM. A brief form of the Child Abuse Potential Inventory: Development and validation. J Clin Child Adolesc Psychol. 2005;34(2):301–11.PubMed
38.
go back to reference Antony MM, Bieling PJ, Cox BJ, Enns MW, Swinson RP. Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychol Assess. 1998;10(2):176. Antony MM, Bieling PJ, Cox BJ, Enns MW, Swinson RP. Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychol Assess. 1998;10(2):176.
39.
go back to reference Lovibond S, Lovibond PF: Manual for the depression anxiety stress scales: Psychology Foundation of Australia; Sydney Australia 1996. Lovibond S, Lovibond PF: Manual for the depression anxiety stress scales: Psychology Foundation of Australia; Sydney Australia 1996.
40.
go back to reference Whenan R, Oxlad M, Lushington K. Factors associated with foster carer well-being, satisfaction and intention to continue providing out-of-home care. Child Youth Serv Rev. 2009;31(7):752–60. Whenan R, Oxlad M, Lushington K. Factors associated with foster carer well-being, satisfaction and intention to continue providing out-of-home care. Child Youth Serv Rev. 2009;31(7):752–60.
41.
go back to reference Doley R, Bell R, Watt B, Simpson H. Grandparents raising grandchildren: investigating factors associated with distress among custodial grandparent. J Family Stud. 2015;ahead-of-print:1–19. Doley R, Bell R, Watt B, Simpson H. Grandparents raising grandchildren: investigating factors associated with distress among custodial grandparent. J Family Stud. 2015;ahead-of-print:1–19.
42.
go back to reference Hiscock H, Bayer JK, Price A, Ukoumunne OC, Rogers S, Wake M. Universal parenting programme to prevent early childhood behavioural problems: cluster randomised trial. BMJ. 2008;336(7639):318–21.PubMedPubMedCentral Hiscock H, Bayer JK, Price A, Ukoumunne OC, Rogers S, Wake M. Universal parenting programme to prevent early childhood behavioural problems: cluster randomised trial. BMJ. 2008;336(7639):318–21.PubMedPubMedCentral
43.
go back to reference Dittman CK, Farruggia SP, Palmer ML, Sanders MR, Keown LJ. Predicting success in an online parenting intervention: The role of child, parent, and family factors. J Fam Psychol. 2014;28(2):236–43.PubMed Dittman CK, Farruggia SP, Palmer ML, Sanders MR, Keown LJ. Predicting success in an online parenting intervention: The role of child, parent, and family factors. J Fam Psychol. 2014;28(2):236–43.PubMed
44.
go back to reference Salveron M, Lewig K, Arney F. Parenting groups for parents whose children are in care. Child Abuse Rev. 2009;18(4):267–88. Salveron M, Lewig K, Arney F. Parenting groups for parents whose children are in care. Child Abuse Rev. 2009;18(4):267–88.
Metadata
Title
KContact, an enhanced intervention for contact between children in out-of-home care and their parents: protocol for a cluster randomised controlled trial
Authors
Stephanie Taplin
Tracey Bullen
Morag McArthur
Cathy Humphreys
Margaret Kertesz
Timothy Dobbins
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2461-3

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