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Research and Evaluation Resources

Exchange Parent Aide is an evidenced-based model based on outcomes from one randomized controlled study, one retrospective study, one comparison study, and two quasi-experimental studies. Families receiving Exchange Parent Aide services for at least six months experience:

  1. Reduced parental stress, maternal depression and maternal anxiety
  2. Reduced psychological aggression towards and physical assault on their children
  3. Greater mastery of parental skills
Additional findings show the impact of fathers when served by Parent Aides and that parents who completed the Exchange Parent Aide program had fewer subsequent, substantiated reports to Child Protective Services (CPS) of child abuse or neglect than those parents who refused to participate or dropped out of the Parent Aide program.
Please read further to learn more or contact us to discuss these findings or to learn more about Exchange Parent Aide.
Bryan, G.; Guterman, N.B. The Preventive Impact of Parent Aide Services on Physical Child Abuse and Neglect: Findings from the First Randomized Clinical Trial -- Presentation made at the Children's Bureau's 18th National Confernence on Child Abuse and Neglect, April, 2012.
Bryan, G.; Guterman, N.B. and Napolean-Hanger, C. Parent Aides: Home Visitation That Works - Preliminary Results from a Randomized Trial - PDF download -- Presentation made at 25th Annual San Diego International Conference on Child and Family Maltreatment, January 2011.
The Secondary and Tertiary Prevention of Child Abuse and Neglect-- An Evaluation of the Parent Aide Program at the Child Abuse Prevention Center in Dallas, Texas -- Presentation made at 2004 Symposium of the National Exchange Club Foundation (NECF)
Follow the Example of Others -- Two Program Evaluation Case Studies -- Presentation made at 2007 Symposium of the National Exchange Club Foundation (NECF)
*  Neil B. Guterman Jiyoung K. Tabonea, George M. Bryan, Catherine A. Taylor, Cynthia Napoleon-Hanger, Aaron Banman, University (2013).  Examining the effectiveness of home-based parent aide services to reduce risk for physical child abuse and neglect: Six-month findings from a randomized clinical trial.  Journal of Child Abuse and Neglect, Volume 37, Issue 8, August 2013, Pages 566-577.  
Objective: This study set out to carry out a feasible, real-world, randomized clinical trialto examine the benefits of home-based paraprofessional parent aide services in reducingphysical abuse and neglect risk in high-risk parents.
Methods: Families were randomly assigned to receive either parent aide plus case managemanage-ment services (n = 73) or case management services only (n = 65), collecting in-home data on physical child abuse and neglect and proximal risk and protective factors, just prior toservice initiation, and again after six months of services.
Results: Mothers receiving parent aide and case management services reported significant improvements from baseline to six-month follow-up in self-reported indicators of physicalchild abuse risk, as well as improvements on parental stress, mastery, depression, and anx-iety, whereas mothers receiving only case management services did not. The slopes of such observed changes across groups, however, were not found to be statistically significantly different. No discernable improvements were found with regard to indicators of risk for child neglect.
Conclusions: As the first randomized clinical trial examining the effectiveness of parent aide services, this study provides the first controlled evidence examining the potential benefits of this service modality. This study suggests promising trends regarding the benefit of parent aide services with respect to physical child abuse risk reduction and related predictors, but evidence does not appear to suggest that such services, as they are presently delivered, reduce child neglect.     
*  Harder, J. (2005). Prevention of child abuse and neglect: An evaluation of a home visitation Parent Aide program using recidivism data. Research on Social Work Practice, 15, 246-256.
Objective: The purpose of this research was to examine the secondary and tertiary prevention of child abuse and neglect through an evaluation of the Parent Aide program at the Child Abuse Prevention Center in Dallas, Texas.
Method: Using a quasi-experimental, retrospective research design, this project compared abuse recidivism rates for those parents who completed, dropped out, or refused to participate in a home visitation child abuse prevention program.
Results: Parents who completed the Parent Aide program had fewer subsequent, substantiated reports to Child Protective Services (CPS) of child abuse or neglect than those parents who refused to participate or dropped out of the Parent Aide program.
Conclusions: A home visitation program can be effective in reducing the risk for child abuse and neglect at the secondary and/or tertiary level. Treatment integrity remains a critical issue, especially initial engagement of parents and participant attrition.
Related Websites
California Evidence Based Clearinhouse 
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