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  • The Circle of Security Parenting Program (COS-P): A Randomized Controlled Trial of a Low Intensity, Individualized Attachment-based Program with At-risk Caregivers

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    Embargoed until: 2023-08-05
    File version
    Accepted Manuscript (AM)
    Author(s)
    Zimmer-Gembeck, Melanie J
    Rudolph, Julia
    Edwards, Elia-Jade
    Swan, Kellie
    Campbell, Shawna M
    Hawes, Tanya
    Webb, Haley J
    Griffith University Author(s)
    Rudolph, Julia I.
    Zimmer-Gembeck, Melanie
    Edwards, Elia R.
    Campbell, Shawna M.
    Year published
    2022
    Metadata
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    Abstract
    The Circle of Security–Parenting Intervention (COS-P; Cooper et al., 2009) is a psychoeducational program for caregivers of young children that has been widely disseminated. The program is founded in attachment theory and relies on computer-delivered content and parent reflection and discussion to teach concepts of safety and security to promote better caregiver-child relationships and child wellbeing. The present study is a randomized controlled trial of COS-P, individually delivered to 85 Australian caregivers (51 COS-P, 34 waitlist control) who reported parenting distress and child disruptive behaviors. Caregivers completed ...
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    The Circle of Security–Parenting Intervention (COS-P; Cooper et al., 2009) is a psychoeducational program for caregivers of young children that has been widely disseminated. The program is founded in attachment theory and relies on computer-delivered content and parent reflection and discussion to teach concepts of safety and security to promote better caregiver-child relationships and child wellbeing. The present study is a randomized controlled trial of COS-P, individually delivered to 85 Australian caregivers (51 COS-P, 34 waitlist control) who reported parenting distress and child disruptive behaviors. Caregivers completed a baseline assessment and repeated the assessment after completion of COS-P or 8 weeks on the waitlist. Caregivers completed surveys to report child symptoms, and parenting stress, anxious and avoidant attachment, reflective functioning, parenting practices, and depressive symptoms. No differences in COS-P vs. waitlist participants were found at baseline. Analyses of complete data (35 COS-P, 25-26 waitlist) revealed a greater decline in caregivers’ attachment anxiety and negative parenting relative to waitlist, but only attachment anxiety in intent-to-treat analyses. Other improvements were found, but these extended to both the COS-P and waitlist conditions and did not differ between conditions. Overall, effects of COS-P were small and rarely significant, suggesting the need to consider alternative programs that have evidence of effectiveness when providing services to at-risk families.
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    Journal Title
    Behavior Therapy
    Volume
    53
    Issue
    2
    DOI
    https://doi.org/10.1016/j.beth.2021.07.003
    Copyright Statement
    © 2022 Association for Behavioral and Cognitive Therapies. Published by Elsevier Ltd. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
    Subject
    Child and adolescent development
    Family care
    Psychology
    Publication URI
    http://hdl.handle.net/10072/406852
    Collection
    • Journal articles

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