Has there been any evaluation?
Yes
Key evaluation results:
Several evaluations have been conducted including randomized controlled trials that demonstrated the following outcomes:
• Parents who received the EPP intervention reported significantly fewer concerns with their child’s challenging behavior compared with parents in the wait-list control group at posttest (Fung & Fox, 2014; Harris et al, 2014; Harris et al, 2015; Love & Fox, 2017)
• Parents who received the EPP intervention rated their children as having more positive behaviors compared with parents in the wait-list control group at posttest (Fung & Fox, 2014, Harris et al, 2015; Harris et al, 2016, Love & Fox, 2017))
• Both parents and children who received the EPP intervention were rated as having better quality interaction during a play assessment (Fung & Fox, 2014, Harris et al, 2015) and better scores on a global assessment of parent-child relationships (Fung & Fox, 2014) compared with those in the wait-list control group
• Parents who received the EPP intervention reported less frequent use of verbal and corporal punishment and more frequent use of positive nurturing activities compared with parents in the wait-list control group at posttest (Fung & Fox, 2014, Harris et al, 2015; Harris et al, 2016)
• At posttest, children in the intervention group had significant improvement in overall psychological, social and occupational/school functioning compared with those in the wait-list control group (Fung & Fox, 2014)
• At posttest, children in the intervention group had fewer trauma symptoms (Love & Fox, 2017).
Is there an evaluation currently in progress or planned?
Ongoing data collection often as a part of a doctoral student’s dissertation or to meet grant requirements (e.g., SAMHSA).
Publications about the program:
Fox RA, Holtz CA. Treatment outcomes for toddlers with behavior problems from families in poverty. Child and Adolescent Mental Health. 2009; 14:183-189.
Fung MH & Fox RA. The culturally-adapted Early Pathways program for young Latino children in poverty: A randomized controlled trial. Journal of Latina/o Psychology. 2014; 2(3):131-145.
Gresl BL, Fox RA, Fleischmann A. Home-based parent-child therapy in low income African-American, Caucasian and Latino Families: A comparative examination of treatment outcomes. Child & Family Therapy. 2014; 36(1):33-50.
Carrasco JM & Fox RA. Varying treatment intensity in a home-based parent and child therapy program for families living in poverty: A randomized controlled trial. Journal of Community Psychology. 2012; 40(5):621-630.
Gresl, BL, Fox, RA, & Besasie, LA. Development of a barriers scale to predict early treatment success for young children in poverty with behavior problems. Clinical Practice in Pediatric Psychology. 2016; 4 249-262.
Harris, SE, Fox, RA, & Holtz, CA Screening for significant behavior problems in young children living in poverty. Journal of Child and Family Studies 2016;25: 1076-1085.
Harris SE, Fox RA, Love JR. Early Pathways therapy for young children in poverty: A randomized controlled trial. Counseling Outcome Research and Evaluation. 2015; 6:3-17.
Holtz, CA, Fox, RA, & Meurer, J R. Incidence of behavior problems in toddlers and preschool children from families living in Poverty. Journal of Psychology, 2015;149:161-174.
Love, JR & Fox, RA. Home-based parent child therapy for young traumatized children living in poverty: A randomized controlled trial. Journal of Child and Adolescent Trauma, 2017;10(2): 1-11.
Mattek, RJ, Harris, SE, & Fox. RA. Predicting treatment success in child and parent therapy among families in poverty. Journal of Genetic Psychology. 2016; 177: 44-54.
Rated/Reviewed by Evidence Based Registries:
SAMHSA’s National Evidence Based Practice Resource Center
California Evidence-Based Clearinghouse for Child Welfare
The National Traumatic Stress Network Treatments and Practices, Trauma Interventions