NCT05834907

Hands and Hearts Together

Prevention of Attachment Insecurity, Physiological Dysregulation, and Child Behavior Problems

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 249 (estimated)
• Sponsor: University of Maryland, College Park · Academic / Other
• Sex: All
• Age: 8 Months
• Healthy volunteers: Accepted

Summary

Growing evidence demonstrates that secure attachment in childhood predicts children's healthy social, biological, and behavioral functioning, whereas insecure attachment predicts behavior problems and physiological dysregulation; thus, efforts to foster secure attachment are crucial for promoting the healthy development of children and families. This proposal describes a randomized controlled trial (RCT) of an innovative intervention program that can be widely implemented designed to foster children's secure attachment, promote healthy physiological regulation, and reduce the risk for behavior problems: The Circle of Security ® Parenting (COS-P) intervention. To this end, investigators will conduct an RCT with 249 parent-child dyads enrolled or are eligible but not yet enrolled in two diverse Early Head Start (EHS) programs.

Conditions

• Parent-Child Relations
• Development, Infant
• Parenting
• Development, Child

Interventions

Type	Name	Description
BEHAVIORAL	Circle of Security Parenting	COS-P is an attachment-based, home visiting intervention intended to supporting parents in serving as "a secure base" from which their children can explore the world, and to which their children can return in times of distress (Bowlby, 1988). Such secure base parenting increases the likelihood of children's secure attachment. COS-P also targets parental responses to children's expression of their needs (e.g., crying), and is designed to help parents understand the ways in which their own (parental) dysregulated emotional, physiological, and behavioral responses to children's emotions and behaviors can limit their responsiveness to their children's attachment needs.
BEHAVIORAL	Little Talks	Little Talks is an early literacy home visiting intervention developed for low-income, racial and ethnic minority infants and toddlers, and has been tested in Early Head Start contexts (Manz et al., 2016; Manz et al. 2017). Little Talks uses book sharing to promote early literacy and has been adapted in both English and Spanish. The intervention utilizes modular treatments during home visits, teaching parents how to facilitate language interactions with their children through book sharing. Age appropriate books are given to parents to share with their children during the intervention.

Timeline

• Start date: 2023-03-27
• Primary completion: 2027-06-30
• Completion: 2027-06-30
• First posted: 2023-04-28
• Last updated: 2025-07-03

Locations

2 sites across 1 country: United States