Early Intervention Foster Care: A Prevention Trial (EIFC)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified June 2008 by Oregon Social Learning Center.
Recruitment status was  Active, not recruiting
Sponsor:
Collaborator:
Information provided by:
Oregon Social Learning Center
ClinicalTrials.gov Identifier:
NCT00701194
First received: June 17, 2008
Last updated: June 18, 2008
Last verified: June 2008
  Purpose

The Early Intervention Foster Care [EIFC] project is an efficacy trial of the Oregon Social Learning Center Multidimensional Treatment Foster Care Program, a preventive intervention that targets 3 commonly co-occurring variables among young foster children: (1) behavioral problems, (2) physiological dysregulation within the neuroendocrine system (i.e., HPA axis activity), and (3) developmental delays.


Condition Intervention
School Readiness
Developmental Delays
Behavioral: Early Intervention Foster Care (EIFC)

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Early Intervention Foster Care: A Prevention Trial

Further study details as provided by Oregon Social Learning Center:

Primary Outcome Measures:
  • placement stability [ Time Frame: 6 months to 48 months post-intervention ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • attachment and behavioral regulation [ Time Frame: baseline through 48 months post-intervention ] [ Designated as safety issue: No ]
  • neuroendocrine and executive functioning [ Time Frame: baseline through 48 months post-intervention ] [ Designated as safety issue: No ]

Enrollment: 177
Study Start Date: December 1999
Estimated Study Completion Date: March 2010
Estimated Primary Completion Date: March 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
EIFC/MTFC-P
Behavioral: Early Intervention Foster Care (EIFC)
The EIFC/MTFC-P intervention is delivered through a treatment team approach. Foster parents receive preservice training and ongoing consultation from program staff. Children receive individual therapy and attend a therapeutic playgroup. The intervention emphasizes the use of concrete encouragement for prosocial behavior; consistent, nonabusive limit-setting to address disruptive behavior; and close supervision of the child. The EIFC intervention employs a developmental framework in which the challenges of foster preschoolers are viewed from the perspective of delayed maturation and is oriented toward creating optimal environmental conditions to facilitate developmental progress. These conditions include a responsive and consistent caregiver and a predictable daily routine.
Other Name: Multidemensional Treatment Foster Care-Preschool (MTFC-P)
No Intervention: 2
Services as usual
Behavioral: Early Intervention Foster Care (EIFC)
The EIFC/MTFC-P intervention is delivered through a treatment team approach. Foster parents receive preservice training and ongoing consultation from program staff. Children receive individual therapy and attend a therapeutic playgroup. The intervention emphasizes the use of concrete encouragement for prosocial behavior; consistent, nonabusive limit-setting to address disruptive behavior; and close supervision of the child. The EIFC intervention employs a developmental framework in which the challenges of foster preschoolers are viewed from the perspective of delayed maturation and is oriented toward creating optimal environmental conditions to facilitate developmental progress. These conditions include a responsive and consistent caregiver and a predictable daily routine.
Other Name: Multidemensional Treatment Foster Care-Preschool (MTFC-P)
No Intervention: Community Comparison
Non-maltreated community pre-schoolers from low-income biological families.

Detailed Description:

The Early Intervention Foster Care project is an ongoing randomized efficacy trial to evaluate the Early Intervention Foster Care Program (EIFC). EIFC, also known at Multidimensional Treatment Foster Care-Preschool (MTFC-P), is a preventive intervention that is specifically designed to address the needs of preschool-aged foster children and their caregivers. Over the first 5 years of the project data was collected from 177 preschool-aged children, 117 of whom were in the Oregon foster care system and 60 of whom were living with their biological families for a community comparison sample. Foster children in the study were randomly assigned to the EIFC experimental intervention condition or a regular foster care condition (RFC). The following hypotheses are under investigation: (1) Relative to children in the RFC condition, children in the EIFC condition will show greater improvements in temporally proximal outcomes (e.g., behavioral/emotional, salivary cortisol, and developmental) and in temporally distal outcomes (e.g., behavioral functioning in the school setting; long-term placement stability, including reunification or adoption; and mental health status, including psychiatric diagnoses). (2) Proximal outcomes over the course of the intervention will predict distal outcomes during the early elementary school years. (3) Proximal outcomes will be mediated by caregivers' childrearing practices—specifically, engagement with and monitoring of the child in the home, the quality and consistency of parental discipline, and the use of positive reinforcement strategies. (4) The same childrearing practices will mediate the psychosocial adjustment of the child in the aftercare setting (i.e., return to family of origin, placement in adoptive home, or continued placement in long-term foster home). (5) The EIFC intervention will cost-effectively reduce the need for mental health and social services for children, decreasing the length of time that children spend in foster care and reducing the need for special education services for children.

  Eligibility

Ages Eligible for Study:   3 Years to 6 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • child age 3 to 6 years currently in foster care
  • child has entered new foster placement
  • child currently living in Lane County, Oregon

Exclusion Criteria:

  • child is medically or developmentally unable to complete assessment tasks
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00701194

Locations
United States, Oregon
Oregon Social Learning Center
Eugene, Oregon, United States, 97401
Sponsors and Collaborators
Oregon Social Learning Center
Investigators
Principal Investigator: Philip A Fisher, PhD Oregon Social Learning Center
  More Information

Additional Information:
No publications provided

Responsible Party: Philip A. Fisher, Principal Investigator, Oregon Social Learning Center
ClinicalTrials.gov Identifier: NCT00701194     History of Changes
Other Study ID Numbers: R01-MH059780
Study First Received: June 17, 2008
Last Updated: June 18, 2008
Health Authority: United States: Federal Government

Keywords provided by Oregon Social Learning Center:
placement instability
disruptive behavior disorders
school readiness
developmental delays
cortisol
executive functioning
therapeutic foster care
prevention
early intervention

ClinicalTrials.gov processed this record on October 22, 2014