Effects of the Family Check-Up Intervention on Child Outcomes: A Systematic Review and Meta-Analysis
| dc.contributor.advisor | Stormshak, Elizabeth | |
| dc.contributor.author | Metcalfe, Robyn | |
| dc.date.accessioned | 2024-08-07T22:26:31Z | |
| dc.date.available | 2024-08-07T22:26:31Z | |
| dc.date.issued | 2024-08-07 | |
| dc.description.abstract | The Family Check-Up (FCU) is a brief, three-session parenting assessment and intervention designed to address child behavioral and emotional concerns by enhancing effective parenting behavior and parent motivation to change. In order to assess the impact on child outcomes, a systematic review and meta-analysis was conducted on randomized controlled trials of the FCU across all age groups to assess overall impacts on child behavior. Additionally, several variables, including both demographic factors (child age, percent of the study sample that is White, and percent of the study sample that is low-socioeconomic status) and implementation factors (sample screening, intervention dosage, the presence of implementation or fidelity concerns, percentage of the intervention group who received the intervention, study retention), were used examined as potential moderators of intervention effects on child outcomes. Fourteen studies (reporting findings in 98 reports) were included in the final analyses, a sample that represents 4598 families. Using intent-to-treat analyses, parents who were randomly assigned to the FCU had children with lower rates of alcohol use (ḡ = 0.15), lower rates of cannabis use (ḡ = 0.14), lower levels of short-term externalizing behavior (ḡ = 0.19; i.e., a one-year follow-up), lower levels of long-term externalizing behavior (ḡ = 0.15; i.e., a two-year follow-up), higher levels of self-regulation skills (ḡ = 0.16), lower levels of peer concerns, (ḡ = 0.13), better health outcomes (ḡ = 0.26), and lower body mass index (ḡ = 0.11) relative to comparison groups that were not assigned to receive the FCU. Very weak evidence was found for the impact of the intervention on internalizing behavior in the short term (ḡ = 0.22) and there was no evidence of an effect of the intervention on tobacco use, long-term internalizing behavior, or school outcomes. These results may under-represent the true intervention effects given the low percentage of families assigned to the FCU who received the intervention in some samples. Moderator analyses were conducted on internalizing and externalizing outcomes. Studies where a higher percentage of the intervention group actually received the FCU had stronger effects on internalizing outcomes. There was evidence of possible publication bias for the analysis examining long-term externalizing behavior (z = 2.23, p = 0.03, b = -.10, 95% CI [-.31, .11]), but a trim and fill analysis suggested that this potential bias was minimal and unlikely to affect the conclusion of beneficial intervention effects. Children of Asian/Pacific Islander, Indigenous American, and Latino/a/e/x descent were underrepresented in the sample, as were fathers and transgender and gender non-conforming parents. This analysis suggests beneficial impacts of the FCU across a range of domains, with additional research needed addressing long-term outcomes, diverse populations, and participant-level moderators of outcomes. | en_US |
| dc.identifier.uri | https://hdl.handle.net/1794/29827 | |
| dc.language.iso | en_US | |
| dc.publisher | University of Oregon | |
| dc.rights | All Rights Reserved. | |
| dc.title | Effects of the Family Check-Up Intervention on Child Outcomes: A Systematic Review and Meta-Analysis | |
| dc.type | Electronic Thesis or Dissertation | |
| thesis.degree.discipline | Department of Counseling Psychology and Human Services | |
| thesis.degree.grantor | University of Oregon | |
| thesis.degree.level | doctoral | |
| thesis.degree.name | Ph.D. |
Files
Original bundle
1 - 1 of 1
Loading...
- Name:
- Metcalfe_oregon_0171A_13975.pdf
- Size:
- 1.31 MB
- Format:
- Adobe Portable Document Format