{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:42:57Z","timestamp":1787013777494,"version":"build-2736575974"},"reference-count":37,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,9,5]],"date-time":"2019-09-05T00:00:00Z","timestamp":1567641600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["K01AA020486"],"award-info":[{"award-number":["K01AA020486"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alcoholism Clin &amp;amp; Exp Res"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      When the primary disabilities associated with fetal alcohol spectrum disorders (\n                      <jats:styled-content style=\"fixed-case\">FASD<\/jats:styled-content>\n                      ) are not well supported, individuals are at higher risk for mental health problems and other secondary conditions. The Families on Track (FOT) intervention was designed to prevent secondary conditions and improve family functioning in children with\n                      <jats:styled-content style=\"fixed-case\">FASD<\/jats:styled-content>\n                      . Promising results from a pilot study demonstrated positive effects on child and caregiver outcomes immediately following the intervention. The objective of this study was to examine the sustainability of these effects 6\u00a0months postintervention.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty children (ages 4 to 8) with prenatal alcohol exposure and their caregivers were enrolled in the original study. Families were randomized to the FOT intervention or an active comparison group that provided comprehensive assessment and individualized feedback. The intervention integrated a positive parenting curriculum and a child skills group. Families were assessed at baseline, postintervention, and 6\u2010month follow\u2010up visits. Follow\u2010up data were available for 24 families on child and caregiver outcomes. Data were analyzed using effect size calculations and analysis\u2010of\u2010variance techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Relative to the comparison group, intervention families showed continued gains in parenting efficacy and maintained prior improvements in\n                      <jats:styled-content style=\"fixed-case\">FASD<\/jats:styled-content>\n                      knowledge over the follow\u2010up period. Although intervention families reported a decrease in their needs being met over the follow\u2010up period, they continued to report their needs being met to greater extent than those in the comparison group. Consistent with postintervention outcomes, children in both groups exhibited similar decreases in child disruptive behavior 6\u00a0months following the intervention. Unfortunately, positive gains seen at postintervention for child self\u2010esteem and emotion regulation were attenuated at follow\u2010up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This pilot study yielded promising effects on important areas of caregiver functioning. However, the intervention's impact on child functioning waned over time, suggesting the need for sustained or alternate child intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.14180","type":"journal-article","created":{"date-parts":[[2019,8,13]],"date-time":"2019-08-13T11:04:28Z","timestamp":1565694268000},"page":"2242-2254","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Six\u2010Month Follow\u2010up of the Families on Track Intervention Pilot Trial for Children With Fetal Alcohol Spectrum Disorders and Their Families"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2091-3686","authenticated-orcid":false,"given":"Christie L. M.","family":"Petrenko","sequence":"first","affiliation":[{"name":"Mt. 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