{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T13:09:50Z","timestamp":1789564190617,"version":"build-2803163510"},"reference-count":52,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Mission Interface Program from the Resilience and Recuperation Plan","award":["grant number 01\/C05-i02 \/2022, approved by Ag\u00eanci"],"award-info":[{"award-number":["grant number 01\/C05-i02 \/2022, approved by Ag\u00eanci"]}]},{"name":"Spanish Society of Clinical Psychology Scholarship for the Promotion of Residencies in Foreign Centers of Excellence","award":["2020 round"],"award-info":[{"award-number":["2020 round"]}]},{"DOI":"10.13039\/501100000272","name":"national institute for health and care research","doi-asserted-by":"publisher","award":["grant number NIHR301919"],"award-info":[{"award-number":["grant number NIHR301919"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trauma, Violence, &amp; Abuse"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>\n                    Despite the recognized need for early interventions to prevent maltreatment and family separation in families involved with child protection services (CPS), evidence for children aged 0 to 5\u2009years remains scarce and inconclusive. This systematic review and meta-analysis aimed to evaluate the effectiveness of psychosocial interventions delivered to these families in reducing the risk of harm, improving parenting quality, and supporting parental functioning. The review included families with children aged 0 to 5\u2009years engaged with CPS and deemed at risk of entering the care system. A systematic search of databases (e.g., PubMed, CINAHL, PsychINFO) was conducted for randomized controlled trials (RCTs) from 1990 to 2024. Eligible studies were assessed for risk of bias using the Revised Cochrane Risk-of-Bias Tool. Meta-analyses used random effects models to estimate standardized mean differences (SMD) or odds ratios (OR). Narrative synthesis was provided for outcomes not appropriate to include in meta-analyses. Fifteen RCTs (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u20092,232 families) were included. Interventions did not demonstrate consistent effects on reducing subsequent maltreatment, as measured by official records (OR\u2009=\u20090.88, 95% CI [0.75, 1.02]) or parent-reported risk of harm (SMD\u2009=\u2009\u22120.07, [\u22120.25, 0.11]). However, significant improvements were observed in parental sensitivity (SMD\u2009=\u20090.53, [0.30, 0.76]), attachment organization (OR\u2009=\u20092.17, [1.64, 2.87]), and parental functioning (SMD\u2009=\u2009\u22120.21, [\u22120.36, \u22120.06]). In conclusion, psychosocial interventions show promise in improving parenting among edge-of-care families but lack consistent evidence for reducing maltreatment risk. Future research should prioritize larger trials with standardized outcome measures to strengthen this evidence base.\n                  <\/jats:p>","DOI":"10.1177\/15248380251366259","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T09:21:33Z","timestamp":1759310493000},"page":"1931-1951","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Psychosocial Interventions for Edge of Care Families in the Early Years: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1523-8225","authenticated-orcid":false,"given":"Paula S.","family":"Oliveira","sequence":"first","affiliation":[{"name":"Anna Freud, London, UK"},{"name":"ProChild CoLab Against Poverty and Social Exclusion Association, Guimar\u00e3es, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyla","family":"Vaillancourt","sequence":"additional","affiliation":[{"name":"City St George\u2019s, University of London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8668-4454","authenticated-orcid":false,"given":"Anna","family":"Gin\u00e9 Rabad\u00e1n","sequence":"additional","affiliation":[{"name":"Anna Freud, London, UK"},{"name":"Hospital Sant Joan de D\u00e9u, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazl\u0131","family":"Akay","sequence":"additional","affiliation":[{"name":"Anna Freud, London, UK"},{"name":"Birmingham City University, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasco","family":"Fearon","sequence":"additional","affiliation":[{"name":"Anna Freud, London, UK"},{"name":"University of Cambridge, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Barlow","sequence":"additional","affiliation":[{"name":"University of Oxford, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,1]]},"reference":[{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2018.08.044"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-8624.2011.01712.x"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S095457941400073X"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0954579421001164"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31390-3"},{"key":"e_1_3_3_8_1","volume-title":"Born into care: Newborn babies subject to care proceedings in England","author":"Broadhurst K.","year":"2018","unstructured":"Broadhurst K., Alrouh B., Mason C., Ward H., Holmes L., Ryan M., Bowyer S. 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