Evaluation of the trust-based relational intervention (tbri) early childhood home visiting program for adoptive families - this study evaluates the effectiveness of the trust-based relational…

The Department of Health and Human Services Administration for Children and Families awarded a $1.799 million cooperative agreement to Texas Christian University on September 30, 2026, under the Adoption Opportunities program (CFDA 93.652) to evaluate the Trust-Based Relational Intervention Early Childhood Home Visiting Program for adoptive families.

The award funds a stepped-wedge cluster randomized trial evaluating TBRI-HV, an in-home parent skill-based intervention designed to support adoptive and fostering-to-adopt families at risk of disruption or dissolution. The study will assess the program's effectiveness on child well-being (behavior and regulation), adult well-being (caregiver-child connection and parenting practices), and adoption stability (placement stability and family adjustment), along with program satisfaction and engagement. The intervention equips caregivers with evidence-informed parenting practices to nurture healthy caregiver-child relationships and address children's behavioral and regulatory needs. The evaluation will randomize nine home-visiting organizations across the United States, recruiting 384 caregivers with children aged 0–6 and following participants for 12 months post-intervention.

Performance occurs in Texas. The cooperative agreement runs through September 29, 2030.

Evaluation of the trust-based relational intervention (tbri) early childhood home visiting program for adoptive families - this study evaluates the effectiveness of the trust-based relational intervention early childhood home visiting program (tbri-HV) on child well-being (behavior, regulation), adult well-being (caregiver-child connection, parenting practices), and adoption stability (placement stability, family adjustment), as well as program satisfaction and engagement. Tbri-HV is an in-home parent skill-based program designed to support adoptive and fostering-to-adopt families at risk of disruption or dissolution. The intervention equips caregivers with evidence-informed parenting practices to nurture healthy caregiver-child relationships and address children's behavioral and regulatory needs. The study employs a stepped-wedge cluster randomized trial design, randomizing nine home-visiting organizations across the united states. A total of 384 caregivers with children aged 0-6 will be recruited and followed for 12 months post-intervention.