Adversity profiles among Canadian families: A secondary data analysis of a randomized controlled trial of the Family Check-Up®.
Laetitia Mélissande Amédée, Andrea Gonzalez, Krysta Andrews et al.
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In 30 seconds
This randomized controlled trial analyzed data from 206 Canadian families to explore the effectiveness of the Family Check-Up® (FCU®) across different adversity profiles. The study identified four profiles of family adversity and found that FCU® participation was linked to reduced externalizing behaviors, particularly in males from the High Cumulative Adversity group (ß = -0.525, p = .002).
Key findings
- Four family adversity profiles were identified: Socioeconomically Disadvantaged/Low Social Support, Low Adversity, Caregiver Mental Health Vulnerabilities, and High Cumulative Adversity.
- FCU® participation was associated with lower externalizing behaviors across profiles, except for the Socioeconomically Disadvantaged/Low Social Support group.
- The strongest effect on externalizing behaviors was observed in males from the High Cumulative Adversity profile (ß = -0.525, p = .002).
- No effects were found for internalizing behaviors.
Why it matters
Understanding how different family adversity contexts influence responses to early childhood mental health programs is crucial for tailoring interventions. This study emphasizes the importance of considering family risk factors and child sex in prevention strategies.