*The efficacy of the attachment-based SAFE® prevention program: a randomized control trial including mothers and fathers

Attach Hum Dev. 2019 Oct;21(5):510-531. doi: 10.1080/14616734.2019.1582599. Epub 2019 Apr 23.

Abstract

SAFE® is a primary prevention program to promote secure infant-parent attachment. SAFE explicitly addresses mothers and fathers. In this current first study, efficacy was assessed in a low-risk German sample using a randomized control trial with an active control intervention. A high rate of fathers' participation was achieved: in SAFE 84.6% and in the control group intervention 73.9% of the fathers participated. Infant-parent attachment was assessed at the end of the year-long programs. There was a significant difference between groups in terms of secure infant-father attachment, but not of infant-mother attachment. In SAFE, 84.6% of the infants were securely attached to their father (n = 39), in comparison to 65.8% in the control group (n = 38). The proportion of secure infant-mother attachment was 66.7% in the SAFE group (n = 54) and 64.0% in the control group (n = 50). The program was successful in promoting infant-father attachment security.

Keywords: Attachment-based prevention; SAFE; father involvement; infant-father attachment; infant-mother attachment.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Child, Preschool
  • Father-Child Relations*
  • Fathers / education*
  • Fathers / psychology
  • Female
  • Germany
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Mother-Child Relations*
  • Mothers / education*
  • Mothers / psychology
  • Object Attachment*
  • Parenting
  • Socioeconomic Factors
  • Time Factors