This study seeks to understand how toxic stress leads to psychological and physical health problems and identify ways to buffer children enrolled in Early Head Start (EHS) from such stressors. Specifically, the project has the following objectives: (1) identify families at risk for dysregulated stress physiology as a function of toxic stress exposure, (2) implement the preventative intervention Filming Interactions to Nurture Development (FIND) to improve child's well being, (3) assess the effectiveness of the intervention's implementation, and (4) assess the effectiveness of the FIND and the FIND plus Parent Focused Support (PFS) interventions. Families will be randomly assigned to one of three conditions: (1) EHS standard supports; (2) EHS standard supports plus FIND, a microsocial video-feedback intervention; or (3) EHS standard supports plus FIND with a parent-focused mental health support module (FIND+PFS). The project includes careful attention to factors influencing implementation success and aims to create a fully scalable intervention. Results are expected to determine whether interventions targeted at parenting in general, and caregiver sensitivity in particular, among toxically stressed EHS families improve child development outcomes.
Administration for Children and Families/OPRE Projects