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This study included 242 parents and their toddlers residing in the United States, most of whom were living in poverty (37% white, 25% Black, 19% Latin\u00e9, 17% Multiracial, and 2% Asian; median income\u00a0=\u00a0$1555 per month). Families were randomly assigned to Recipe 4 Success or usual practice home visits within home visitor caseload. Home visitors tended to rate their working alliance as very strong versus less strong. Within\u2010group regression equations revealed that, among families with a less strong working alliance, Recipe 4 Success was more effective than usual practice home visits in improving parents\u2019 sensitive scaffolding, responsive food parenting practices, and toddlers\u2019 self\u2010regulation. In contrast, among families who had a strong working alliance, Recipe 4 Success was more effective than usual practice home visits in changing toddlers\u2019 healthy eating habits, including reducing body mass index for toddlers with overweight\/obesity. These findings highlight how families with varying strengths of working alliances may benefit differently from highly structured evidence\u2010based curricula.<\/jats:p>","DOI":"10.1002\/imhj.70105","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T15:27:55Z","timestamp":1780932475000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Helping families thrive while developing a strong working alliance: The benefits of Recipe 4 Success"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1621-9395","authenticated-orcid":false,"given":"Sarah M.","family":"Braaten","sequence":"first","affiliation":[{"name":"University of Wisconsin\u2010Madison  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1345-1666","authenticated-orcid":false,"given":"Robert L.","family":"Nix","sequence":"additional","affiliation":[{"name":"University of Wisconsin\u2010Madison  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori A.","family":"Francis","sequence":"additional","affiliation":[{"name":"Pennsylvania State University  University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7699-8899","authenticated-orcid":false,"given":"Mark E.","family":"Feinberg","sequence":"additional","affiliation":[{"name":"Pennsylvania State University  University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle L.","family":"Hostetler","sequence":"additional","affiliation":[{"name":"Pennsylvania State University  University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia A.","family":"Stifter","sequence":"additional","affiliation":[{"name":"Pennsylvania State University  University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sukhdeep","family":"Gill","sequence":"additional","affiliation":[{"name":"Penn State York  York Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2014.03.023"},{"key":"e_1_2_7_3_1","unstructured":"Bayley N.(1969).Bayley Scales of Mental Development.Psychologica Corporation."},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.74.3.468"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.11111\/cdev.12448"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2015.11.010"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0085885"},{"key":"e_1_2_7_8_1","unstructured":"Braaten S. 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