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  • Children in foster care with symptoms of reactive attachment disorder: feasibility randomised controlled trial of a modified video-feedback parenting intervention
  • Paula Oliveira, Lydia Barge, Eloise Stevens, Sarah Byford, James Shearer, Ruan Spies, Julie Comyn, Kirsty Langley, Paul Ramchandani, Barry Wright, Matt Woolgar, Eilis Kennedy, Stephen Scott, Jane Barlow, Danya Glaser, Rob Senior, Peter Fonagy, Pasco Fearon
  • Journal: BJPsych Open / Volume 8 / Issue 4 / July 2022
  • Published online by Cambridge University Press: 18 July 2022, e134
    • Article
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  • View abstract
    Background

    Looked-after children are at risk of suboptimal attachment patterns and reactive attachment disorder (RAD). However, access to interventions varies widely, and there are no evidence-based interventions for RAD.

    Aims

    To modify an existing parenting intervention for children with RAD in the UK foster care setting, and test the feasibility of conducting a randomised controlled trial (RCT) of the modified intervention.

    Method

    The intervention was modified with expert input and tested on a case series. A feasibility and pilot RCT compared the new intervention with usual care. Foster carers and children in their care aged ≤6 years were recruited across nine local authorities, with 1:1 allocation and blind post-treatment assessments. The modified intervention was delivered in-home by trained mental health professionals over 4–6 months. Children were assessed for RAD symptoms, attachment quality and emotional/behavioural difficulties, and foster carers were assessed for sensitivity and stress.

    Results

    Minimal changes to the intervention programme were necessary, and focused on improving its suitability for the UK foster care context. Recruitment was challenging, and remained below target despite modifications to the protocol and the inclusion of additional sites. Thirty families were recruited to the RCT; 15 were allocated to each group. Most other feasibility outcomes were favourable, particularly high numbers of data and treatment completeness. The revised intervention was positively received by practitioners and foster carers.

    Conclusions

    A large-scale trial may be feasible, but only if recruitment barriers can be overcome. Dedicated resources to support recruitment within local authorities and wider inclusion criteria are recommended.

Introduction to Seismology
  • Introduction to Seismology
  • 3rd edition
  • Peter M. Shearer
  • Published online: 07 May 2020
  • Print publication: 30 May 2019
  • View description
    This third edition provides a concise yet approachable introduction to seismic theory, designed as a first course for graduate students or advanced undergraduate students. It clearly explains the fundamental concepts, emphasizing intuitive understanding over lengthy derivations, and outlines the different types of seismic waves and how they can be used to resolve Earth structure and understand earthquakes. New material and updates have been added throughout, including ambient noise methods, shear-wave splitting, back-projection, migration and velocity analysis in reflection seismology, earthquake rupture directivity, and fault weakening mechanisms. A wealth of both reworked and new examples, review questions and computer-based exercises in MATLAB®/Python give students the opportunity to apply the techniques they have learned to compute results of interest and to illustrate Earth's seismic properties. More advanced sections, which are not needed to understand the other material, are flagged so that instructors or students pressed for time can skip them.

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