{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:36:01Z","timestamp":1792787761610,"version":"4.5.0"},"reference-count":50,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Eunice Kennedy Shriver National Institute Of Child Health & Human Development (NICHD) of the National Institutes of Health","award":["R01HD090176"],"award-info":[{"award-number":["R01HD090176"]}],"id":[{"id":"https:\/\/ror.org\/04byxyr05","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Child Maltreat"],"abstract":"<jats:p>\n                    Promoting First Relationships\u00ae (PFR) is a 10-session, evidence-based home-visiting program adapted for reunified birth families. We conducted a randomized controlled trial involving 240 parent-child dyads (child age 1\u20135 years) who had been reunited after a prior child welfare system removal. Birth parents and their children were randomized to PFR or a resource and referral (control) condition following baseline assessment. Compared to prior trials, completion of the PFR intervention was low (57%). Intent-to-treat analyses revealed no statistically significant differences in parenting outcomes or child behavior. Children in the PFR condition were less likely to be removed from their parents\u2019 home within 1.5 years of baseline (9.9% vs. 16.0%), but this difference was not statistically significant (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .159). Results are discussed in terms of the adversity experienced by this population, high attrition, and historical context of the trial that was impacted by the COVID-19 pandemic and changes to child welfare laws in Washington State. Clinical Trial Registry Number: NCT04382677\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/clinicaltrials.gov\/\">https:\/\/clinicaltrials.gov<\/jats:ext-link>\n                    .\n                  <\/jats:p>","DOI":"10.1177\/10775595261488410","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T13:59:21Z","timestamp":1790863161000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Randomized Controlled Trial of Promoting First Relationships\u00ae Program With Parent-Child Dyads Reunified After Child Welfare System Separation"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0506-843X","authenticated-orcid":false,"given":"Monica Lynn","family":"Oxford","sequence":"first","affiliation":[{"name":"University of Washington, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7710-5220","authenticated-orcid":false,"given":"Jonika Brianne","family":"Hash","sequence":"additional","affiliation":[{"name":"University of Washington, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9826-5389","authenticated-orcid":false,"given":"Mary Jane","family":"Lohr","sequence":"additional","affiliation":[{"name":"University of Washington, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1357-5706","authenticated-orcid":false,"given":"Charles Newell Burch","family":"Fleming","sequence":"additional","affiliation":[{"name":"University of Washington, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7909-0931","authenticated-orcid":false,"given":"Dana Christine","family":"Nelson","sequence":"additional","affiliation":[{"name":"University of Washington, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4768-0181","authenticated-orcid":false,"given":"Susan Joan","family":"Spieker","sequence":"additional","affiliation":[{"name":"University of Washington, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"e_1_3_5_2_1","volume-title":"Manual for the ASEBA preschool forms & profiles","author":"Achenbach T. 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