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The Role of Dosage and Family Profiles in a Child Welfare Home Visiting Program

Hidalgo García, María Victoria; Pérez Padilla, Javier; Camacho Martínez Vara de Rey, Carlos; Jiménez García, Lucía

Abstract

Background: Among the different modalities of family support, home visiting programs have proved to be one of the most effective secondary prevention models for families involved in child welfare services. Despite the promising outcomes and the extensive available literature, further research is needed to investigate target population characteristics and implementation factors that may explain the heterogeneity in the outcomes of these programs for families receiving child welfare services. Objective: This longitudinal study explored the role of dosage and family characteristics related to the effectiveness of the Family Intervention Program (FIP), which is a homebased Spanish child welfare service for supporting families at psychosocial risk. Method: To this end, a quasi-experimental design was followed, including a time-series evaluation of the 289 families receiving the FIP. In order to examine the impact of the FIP, the evolution of child well-being (CWB) was evaluated with Child Well-Being Scales every 6 months. Results: The results showed that the highest average CWB score was observed after 39 months of intervention, observing no improvements in CWB from that point. Similarly, the results showed that the FIP was more effective for single parent families at higher socioeconomic levels. Conclusions: This article provides new knowledge for the understanding of home visiting programs success, concluding that the programs are not equally effective for all family profiles, and that it is necessary to adjust each program to the specific characteristics of the target population.

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Vol.:(0123456789) h ps://doi.o g/10.1007/s10566-024-09826-4 ORIGINAL PAPER The Role o Dosage andFamily P o iles inaChild Wel a e Home Visi ing P og am Vic o ia Hidalgo Ga cía1 · Ja ie Pé ez‑Padilla2,3 · Ca los Camacho Ma ínez‑Va a de Rey4 · Lucía Jiménez Ga cía1 Accep ed: 6 Sep embe 2024 © The Au ho (s) 2024 Abs ac Backg ound Among he di e en modali ies o amily suppo , home isi ing p og ams ha e p o ed o be one o he mos e ec i e seconda y p e en ion models o amilies in ol ed in child wel a e se ices. Despi e he p omising ou comes and he ex ensi e a ail- able li e a u e, u he esea ch is needed o in es iga e a ge popula ion cha ac e is ics and implemen a ion ac o s ha may explain he he e ogenei y in he ou comes o hese p og ams o amilies ecei ing child wel a e se ices. Objec i e This longi udinal s udy explo ed he ole o dosage and amily cha ac e is ics ela ed o he e ec i eness o he Family In e en ion P og am (FIP), which is a home- based Spanish child wel a e se ice o suppo ing amilies a psychosocial isk. Me hod To his end, a quasi-expe imen al design was ollowed, including a ime-se ies e alua ion o he 289 amilies ecei ing he FIP. In o de o examine he impac o he FIP, he e olu ion o child well-being (CWB) was e alua ed wi h Child Well-Being Scales e e y 6 mon hs. Resul s The esul s showed ha he highes a e age CWB sco e was obse ed a e 39mon hs o in e en ion, obse ing no imp o emen s in CWB om ha poin . Simila ly, he esul s showed ha he FIP was mo e e ec i e o single pa en amilies a highe soci- oeconomic le els. Conclusions This a icle p o ides new knowledge o he unde s anding o home isi ing p og ams success, concluding ha he p og ams a e no equally e ec i e o all amily p o- iles, and ha i is necessa y o adjus each p og am o he speci ic cha ac e is ics o he a ge popula ion. Keywo ds Home isi ing p og am· P og am e alua ion· Dosage· Child wel a e· Child wellbeing In oduc ion The e is a widesp ead consensus among esea che s and policymake s on he need o e ec i e in e en ions o p omo ing child well-being in amilies a psychosocial isk, since hese amilies a e unable o adequa ely mee he needs o hei child en (Jiménez e al., Ex ended au ho in o ma ion a ailable on he las page o he a icle / Published online: 19 Sep embe 2024 Child & You h Ca e Fo um (2025) 54:435–452 2019). To unde s and he unc ioning o amilies a psychological isk, he mos sui able heo e ical amewo k is he ecological- ansac ional pe spec i e (B on enb enne , 1979; B on enb enne & Ceci, 1994; Cicche i & Lynch, 1993). F om his app oach, i has been highligh ed ha pa en ing depends on ac o s ela ed o he cha ac e is ics o he pa en s (e.g., de elopmen al ajec o y, pe sonali y, pa en ing skills, e ce e a), he cha ac e is ics o he child en (e.g., age, empe amen , de elopmen al needs, e ce e a) and he psycho- social en i onmen ha su ounds he amily (e.g., social suppo , communi y esou ces, e ce e a) (Belsky, 1984). In acco dance wi h his explana o y model o pa en ing, i is possible o iden i y bo h isk and p o ec i e ac o s a each o he di e en domains and ecological le els. The balance be ween he isk and p o ec i e ac o s p esen in he ecol- ogy o each amily would explain whe he pa en s a e capable o adequa ely mee ing he needs o child en (Cicche i & Valen ino, 2006). To se e amilies ha do no adequa ely co e child en’s needs, amily p ese a ion se ices a e cu en ly a social and poli ical p i- o i y o mos coun ies suppo ed by in e na ional ag eemen s (Council o Eu ope, 2011 and 2016; Uni ed Na ions, 1989). Acco ding o hese egula ions, ca e o a - isk amilies has e ol ed om a adi ional de ici -based model o a posi i e amily suppo app oach wi h he p omo ion o pa en ing skills and communi y s eng hening as he main pu poses o in e en ions (e.g., Daly e al., 2015; Da ies e al., 2019; Gen les-Gibbs, 2016). In he esea ch a ena, his app oach has led o he iden i ica ion o co e componen s and main quali y s anda ds o e idence-based p ac ices and p og ams (Ax o d, 2012; Ba low & Co en, 2018; Ba e , 2010). In he scope o p ac ices, his app oach has in ol ed he di e - si ica ion o in e en ion modali ies o add ess di e se amily needs (Walsh e al., 2015). Among he di e en modali ies o amily suppo , home isi ing p og ams ha e p o ed o be one o he mos e ec i e seconda y p e en ion models o amilies in ol ed in child wel a e se ices (e.g., Acquah & Thé enon, 2020; Lee e al., 2018; Paulsell e al., 2011). Since he la e wen ie h cen u y, home-based pa en ing suppo has gained inc easing ec- ogni ion as a use ul s a egy o p e en child abuse and neglec , o imp o e pa en ing skills and o p omo e child de elopmen (Council o Communi y Pedia ics, 2009). In ac , home isi ing is cu en ly he mos widely used child mal ea men p e en ion s a egy in he Uni ed S a es (Casillas e al., 2016; Supple e al., 2012), and i is a ype o in e en ion used as a amily suppo ool in mos Eu opean coun ies (e.g., Jungmann e al., 2015; Vee man & De Meye , 2015). Home isi ing p og ams a e de ined as amily p e en i e and p ese a ion in e en ions ha use home isi ing as he p ima y se ice deli e y s a - egy. These se ices in ol e assessing amily needs, p o iding educa ion and suppo s o pa en s and connec ing amilies o communi y suppo esou ces. Home isi ing p og ams a y widely in hei app oach, mainly, in e ms o a ge popula ion ( isk p o ile, cul u al g oup, iming o pa en hood), home isi o quali ica ions (p o essional o ained pa ap o- essional), dosage and in ensi y o he in e en ions ( om a ew mon hs o se e al yea s), and he cu iculum and isi con en (Casillas e al., 2016; Segal e al., 2012). Posi i e e ec s o home isi ing p og ams on pa en ing belie s and p ac ices, child heal h and de elopmen in a - isk amilies, as well as hei e ec i eness in p e en ing child mal ea men , ha e been demons a ed in bo h empi ical s udies and me a-analyses (A el- la & Supplee, 2013; Duggan e al., 2018; Paulsell e al., 2010, 2014; Sama-Mille e al., 2017, 2019; Van Assen e al., 2020). The e is also some e idence o he long- e m e ec s o home isi ing p og ams (Michalopoulos e al., 2017). Despi e hese p omising ou comes and he ex ensi e a ailable li e a u e, he e idence suppo ing he e ec i eness o home isi ing p og ams is s ill inconclusi e, wi h e iews epo ing mixed esul s, pa icula ly o amilies in ol ed in he child wel a e sys em (Cha in e al., 2012; Chaiyacha i e al., 2018; Lee e al., 2018). Among he easons o e ed o explain he a iabili y in he ob ained Child & You h Ca e Fo um (2025) 54:435–452 436 esul s, he conside able di e si y in he p og am componen s and implemen a ion ac o s has been he mos equen explana ion (Kaye e al., 2018; Segal e al., 2012). In ela ion o p og am componen s associa ed wi h home isi ing e ec i eness, he e iew conduc ed by Gubbel e al. (2021) e ealed ha p og ams ha ocused on imp o - ing he pa en al expec a ions and esponsi eness o a child’s needs yielded ela i ely la ge e ec s. In he e iew by Kaye e al. (2018), p oblem-sol ing s a egies we e a key ing e- dien o e idence-based p og ams. P og ams wi h high le els o pa icipan in ol emen , a s eng hs-based app oach, and a componen o social suppo ha e also been linked o e ec i eness (MacLeod & Nelson, 2000). The consis ency be ween he heo y o change, he needs o he a ge popula ion and he p og am objec i es and ac i i ies has also been demons a ed (Boo h & Lea i , 2011; Segal e al., 2012). Se e al ecen e iews ha e analyzed he impac o implemen a ion ac o s on he de e - mina ion o home isi ing p og ams’ success (Casillas e al., 2016; Paulsell e al., 2014; Segal e al., 2012). Implemen a ion ideli y appea s o be a c ucial e ec i eness mode a- o o home isi ing p og ams, as no ed by implemen a ion scien is s (Du lak & DuP e, 2008; Fixsen e al., 2005). The me a-analy ic e iew o Casillas e al. (2016) e ealed ha se e al implemen a ion ac o s, such as aining, supe ision, and ideli y moni o ing, had a signi ican e ec on p og am ou comes. Despi e hese ad ances, he e a e no conclusi e da a on o he aspec s o p og am deli e y ha may be impo an o p og am success, such as dosage and du a ion o in e en ions. In ela ion o dosage, some s udies ha e ound no e ec o se ice du a ion o in ensi y (Li ell & Schue man, 2002). Howe e , he e idence also shows ha in e en ions o longe du a ion and g ea e in ensi y a e mo e e ec i e (Bilukha e al., 2005; Howa d & B ooks-Gunn, 2009; Lage be g, 2000). In mos cases, dosage is epo ed as aw da a, wi hou analyzing he dosing h esholds equi ed o achie e he expec ed esul s acco ding o he p og am model (Paulsell e al., 2014). To imp o e he unde s anding o dosage, s udies wi h p e es –pos es designs may no be su icien , since i is necessa y o ha e successi e measu emen s h oughou he in e en ion p ocess o know when he ou comes a e achie ed (Singe & Wille , 2003). In addi ion o he obse ed di e ence in he e ec i eness o home isi ing p og ams in e ms o he implemen a ion condi ions, ano he elemen ha adds a iabili y is he one ela ed o he amily p o ile, since he exis ing da a show ha hose in e en ions a e no equally e ec i e o all amilies. In ela ion o a ge popula ion p o ile, al hough mos s ud- ies ha e used e hnically and socioeconomically di e se samples, he esul s a e epo ed o he o al s udy sample, wi hou p o iding da a di e en ia ed by subg oups based on pa - icula cha ac e is ics (Sama-Mille e al., 2019). The sca ce da a a ailable on his aspec a e no consis en . Some s udies indica e g ea e e ec i eness wi h low-income, single and i s - ime mo he s wi hou men al heal h, iolence o addic ion p oblems (Gu e man e al., 2014; Segal e al., 2012). O he s udies ha e epo ed ha pa en s o a lowe socioeco- nomic s a us ha e poo e ou comes (MacLeod & Nelson, 2000). In mos cases, da a come mainly om p og ams de eloped in he Uni ed S a es. Analyzing he di e ences be ween he amilies ha ob ain be e esul s and hose who ob ain lowe bene i s om he in e - en ion, as well as gene a ing in o ma ion om he esul s o hese in e en ions in o he cul u al con ex s, is essen ial o be e unde s anding he e ec i eness o home isi ing p og ams (Swee & Appelbaum, 2004). In he case o Spain, he social and cul u al con ex ela ed o amily and child wel- a e p esen s impo an di e ences wi h espec o ha o he Uni ed S a es. A uni e sal- is model o social se ices is well es ablished since he las decade o he las cen u y, while inc easingly ambi ious policies ega ding child en’s igh s and amily suppo ha e been p og essi ely in oduced. Cu en ly, he e a e mode n policies and laws ega ding Child & You h Ca e Fo um (2025) 54:435–452 437 childhood and amily ( igh s o same-sex ma iage, adop ion e o ms and p o ec ion o child en om si ua ions o iolence) ha ha e placed Spain among he bes - anked Eu o- pean coun ies in e ms o ecogni ion o amily di e si y (Pé ez-Ca amés, 2014) and p o- mo ion o posi i e pa en ing (Jiménez e al., 2019). Howe e , amilism, which is deeply oo ed in Spain, has mean ha public spending alloca ed o amily policies, as well as inancial suppo o amilies, emains pa ially below he Eu opean Union a e ages in e ms o bene i s in cash, se ices and ax b eaks (Chu chill e al., 2020). Among o he in e en ion ac ions wi h amilies a isk, home isi p og ams ha e also begun o sp ead in Spain in ecen yea s (Hidalgo e al., 2018), making i necessa y o ob ain e idence o hei e ec i eness in his social con ex . As has been widely highligh ed, e ec i eness e alua ions equi e no only knowing he gene al impac o he in e en ions bu also analyzing he a ge use s and he condi ions unde which he bes esul s a e ob ained (Flay e al., 2005; Go edson e al., 2015). Thus, addi ional empi ical s udies a e necessa y o iden i y bo h dosage h esholds o p oduce ou comes and amily cha ac e is ics associa ed wi h g ea e e ec i eness. To analyze he mode a ing in luence o hese aspec s in he e ec i eness o home isi ing p og ams, i is also impo an o ha e e alua ion designs and measu emen ools ha allow e i ying how changes ake place p og essi ely in he a ge dimensions o he in e en ion. Since he ul ima e aim o hese in e en ions is o p omo e child de elopmen while p e en ing child abuse and neglec , he e alua ion canno be limi ed o checking he dec ease o he ou -o -home placemen a es; i is also necessa y o assess he imp o emen s in he de el- opmen o child en who s ay in hei homes (Be y & McLean, 2014). In his sense, he imp o emen in child well-being can be aken as an app op ia e measu e o he e ec i e- ness o home isi ing p og ams. Among he mos commonly used ools o measu ing child well-being in a - isk amilies is The Child Well-Being Scales (CWBS) (Magu a & Moses, 1986). The CWBS is a use ul ool o measu ing he child well-being and has been used in di e en Eu opean coun ies wi h sa is ac o y indica o s o alidi y and eliabili y (e.g., G imaldi-Puyana e al., 2019; Nunes e al., 2022; Se ba i e al., 2015a and b). Speci ically, many s udies ha e shown he capaci y o hese scales o e alua e p og ams’ e ec i eness and he ollow-up o amilies in ol ed in child wel a e se ices (e.g., Cash & Be y, 2003; Se ba i e al., 2015a and b). Aims o  heP esen S udy Recen e idence shows home isi ing p og ams as a use ul s a egy o imp o ing pa en - ing skills, amily unc ioning and child well-being. Howe e , e ec i eness e alua ions equi e no only knowing he gene al impac o he in e en ions, bu also analyzing he a ge use s and he condi ions unde which he bes esul s a e ob ained. Thus, u he esea ch is needed o in es iga e a ge popula ion cha ac e is ics and implemen a ion ac- o s ha may explain he he e ogenei y in he ou comes o hese p og ams o amilies in ol ed in child wel a e se ices. Likewise, mos o he a ailable da a co espond o he e alua ion o p og ams de eloped in he Uni ed S a es; he e o e, i is necessa y o p oduce u he e idence in o he cul u al con ex s. In his amewo k, his s udy aims o con ibu e wi h new knowledge o he unde s and- ing o home isi ing p og ams’ success, explo ing dosage and amily cha ac e is ics ela ed o he e ec i eness o he Family In e en ion P og am (FIP), a home isi ing p og am de eloped in Spain o amilies a psychosocial isk. Speci ically, he aims o his s udy Child & You h Ca e Fo um (2025) 54:435–452 438 we e: (1) o analyze he imp o emen in child well-being h oughou he in e en ion p o- cess, and (2) o explo e he a iabili y in he e ec i eness o he in e en ion as a unc ion o ce ain indi idual and amily cha ac e is ics. In ela ion o he i s objec i e and acco d- ing o he exis ing e idence in he li e a u e, we expec ha he longe he in e en ion, he g ea e he e ec i eness. In ela ion o he second objec i e, we expec di e ences acco d- ing o socio-economic le el, amily s uc u e and child en’s age. Speci ically, and acco d- ing o he a ailable e idence, ou hypo hesis is ha g ea e e ec i eness will be obse ed in single and low-income amilies wi h younge child en. Me hod In e en ion The Family In e en ion P og am (FIP) is an e idence-based home isi ing p og am ha is pa o he local esou ces o amily a en ion ca ied ou in a own in No he n Spain (Pamplona Ci yhall, 2008), wi hin he se ices p o ided by he Child P o ec ion Sys em (CPS) in Spain (OSB, 2015; Spanish Minis y o Heal h, Social Se ices and Equali y, 2013). The FIP is designed o a - isk amilies a ended by amily p ese a ion se ices. The FIP is suppo ed by di e en heo e ical models, mainly he sys emic model, he cog- ni i e-beha io al model, and he humanis ic heo ies. The con en s ackled in he FIP a e aimed a he p omo ion o pa en al compe encies (con lic sol ing, communica ion, a en- ion o child en’s needs, household managemen ) and o he pe sonal skills (p o essional in eg a ion, heal h and quali y o li e), which a e wo ked on bo h in he en i e amily as a whole and in he di e en membe s o he amily o p omo e he de elopmen and well- being o he child en. The implemen a ion o he FIP includes 2–5 weekly isi s o 2h o 2yea s, al hough he du a ion can be ex ended i he amily di icul ies pe sis . The p o es- sionals who ca y ou he in e en ion a e psychologis s, social educa o s and social wo k- e s wi h specialized aining in he p og am and p e ious expe ience in amily in e en ion. In e en ion me hods include cogni i e-beha io echniques (e.g., modeling), psycho-edu- ca ional guidelines and o ien a ion, emo ional suppo and playing-based ac i i ies. Case moni o ing wi h child wel a e se ice p ac i ione s was ca ied ou on a mon hly basis. Pa icipan s All he amilies who we e unde he in e en ion o he FIP pa icipa ed in he s udy. Thus, 289 amilies ook pa in his FIP ial, which las ed 27mon hs on a e age, wi h an in en- si y o h ee weekly sessions (M = 2.95, SD = 0.78, Min. = 2, Max. = 5), which las ed 2 h pe session. The p o essionals in cha ge o he implemen a ion classi ied he amilies as being a medium–high psychosocial isk in a 11-poin scale a ing om 0 ( e y low isk) o 10 (ex emely high isk). Acco ding o his assessmen , 93.03% o he sample ob ained a sco e o 5 o mo e wi h a mean o 7.15 poin s (SD = 1.69, Min. = 1, Max. = 10). The mos equen amily s uc u e was he single pa en amily (61.24%), al hough mos o hem we e de ined by he s abili y o hei composi ion (86.85%). The amilies we e cons i- u ed by app oxima ely 4 membe s (M = 3.70, SD = 1.36) wi h a ound 2 child en (M = 1.96, SD = 0.95). The esul s ega ding he economic le el indica e ha 10.03% we e ex emely poo , 24.22% we e p eca ious and 36.33% p esen ed low income. Child & You h Ca e Fo um (2025) 54:435–452 439 Among he pa en s o he pa icipa ing amilies, 43.59% p esen ed a basic educa ion le el and 31.49% had no educa ion. Only 6.57% o he pa en s had uni e si y s udies and 18.35% comple ed high school. Mo eo e , he e was a high pe cen age o mig an pa - en s (39.58%), who had li ed in Spain o an a e age o 9.71yea s (SD = 4.64, Min = 1, Max = 30). The child en o hese amilies we e equi ably dis ibu ed in e ms o sex, since 59.17% we e boys and 40.83% we e gi ls. The mean age o he child en was 10.76yea s (SD = 4.40, Min = 0, Max = 18). Measu es Socio‑Demog aphic P o ile We used an ad hoc ques ionnai e o collec sociodemog aphic in o ma ion a bo h he am- ily and indi idual le els, epo ing amily composi ion (numbe o amily membe s and child en a home), amily s uc u e (single-pa en / wo-pa en s uc u e), amily s abili y (in e ms o composi ion), and amily socio-economic le el (ex eme: he amily does no ha e an income o he han ha coming om inancial suppo om public o p i a e o ganiza- ions; p eca ious: uns able and sca ce amily income, whe e some o he adul s wo k, e en spo adically, and some imes depend on inancial suppo o co e basic needs; low: s able and su icien amily income, whe e a leas one o he pa en s has a s able job wi h li le o no quali ica ion and he amily has no impo an inancial needs; medium: amily income is s able and comes om medium-skill jobs; high: household income is s able and comes om highly quali ied jobs). In o ma ion abou ca egi e s was p o ided in e ms o na ion- ali y (non-mig an /mig an , yea s o esidence) and educa ion le el (no educa ion -p ima y school no comple ed-, basic educa ion le el -p ima y school comple ed-, and high school o uni e si y s udies). The sex and age o he child en a home we e also epo ed. Psychosocial Risk Assessmen The p ac i ione s epo ed a p e es abou he psychosocial isk le el o each amily in e ms o sa is ac ion o he child en’s needs in a Like scale om 0 ( e y low isk) o 10 (ex emely high isk). Child Well‑Being The sa is ac ion o he basic child needs was assessed using he Spanish e sion o he Child Well-Being Scales (CWBS, Magu a & Moses, 1986), which was alida ed in he Spanish con ex by De Paul & A uaba ena (1999). The CWBS consis s o 43 i ems and p o ides a amily sco e (28 i ems, e.g., “Consis ency o discipline”), a child sco e (14 i ems, e.g., “Academic pe o mance”) and a global sco e (43 i ems, e.g., “Pa en al ela- ions”); he amily sco e was used in his s udy. The i ems a e a ed by p ac i ione s as in o man s on 4- o 6-poin scales, anging om adequacy o inc easing deg ees o inad- equacy, which a e hen con e ed o scales o 1–100 poin s, wi h 100 indica ing ha he e alua ed dimension is sa is ied. CWBS e alua es he deg ee o exis ing p oblems and no he deg ee o compe ence, hus any sco e below 100 indica es ha child well-being is comp omised. Child & You h Ca e Fo um (2025) 54:435–452 440 P ocedu e The esul s p esen ed in his pape e e o he longi udinal assessmen o child well-being (CWB) and ela ed a iables om all amilies ha bene i ed om FIP h oughou he s udy in he no he egion o Spain. A ime-se ies e alua ion design (T1–T12) o he popula ion o amilies ecei ing he FIP in e en ion h oughou he s udy was ollowed, allowing us o examine he CWB slopes as a unc ion o he FIP in e en ion leng h in ela ion o child and amily a iables (Yano i zky & VanLea , 2008). CPS p ac i ione s e e o he FIP o hose amilies ha , a e an in-dep h, igo ous assessmen , exhibi inadequa e pa en ing compe ences and ela ed child o adolescen isk o nega i e de elopmen al ou comes. Child wel a e se ice p ac i ione s con ac ed he amilies o en oll in he FIP in e en ion i hey me he ollowing c i e ia: (1) being en olled in child wel a e se ices; (2) ha ing a child unde 18 conside ed o be a isk o nega i e de elopmen al ou comes; (3) inadequa e pa en ing compe encies wi h oom o imp o emen as de e mined by child wel a e se ices; and (4) bo h pa en s and child en consen ing he ea men . Fo hose amilies en olled in he FIP in e en ion, ec ui men o pa icipa e in he s udy was ca ied ou by he FIP p ac i ione s du ing he i s mon h since s a ing he ea - men . In he ec ui men session, he pa icipan s we e in o med abou he main cha ac- e is ics o he ea men , as well as he objec i es o he ial. The amilies we e in o med abou he aims o he p ojec and he con iden ial and anonymous na u e o he da a. E e y amily pa icipa ed in his s udy olun a ily, a e signing an in o med consen o m in acco dance wi h he Decla a ion o Helsinki. This s udy is adhe ed o he legal equi e- men s o da a p o ec ion in Spain, and e hical app o al was ob ained om he se ice ha implemen s he FIP. No mone a y incen i es we e o e ed. The FIP p ac i ione s illed in he measu es desc ibed abo e. The socio-demog aphic p o ile and he isk assessmen we e in o med a p e es . Child well-being scales we e illed in T1 ( h ee mon hs om p e es ) and e e y six mon hs up o he end o he in e en ion, collec ing da a up o T12 (up o mon h 69). Thus, a T1, 289 subjec s comple ed he e alu- a ion, whe eas, a T2, he sample dec eased o 237 pa icipan s (comple ed he ea men : n = 26, o he easons: n = 26), and 162 pa icipan s emained a T3 (comple ed he ea - men : n = 40, o he easons: n = 35). A T4, he e we e 111 pa icipan s (comple ed he ea men : n = 39, o he easons: n = 12), d opping o 70 a T5 (comple ed he ea men : n = 34, o he easons: n = 17), and, inally, 19 pa icipan s comple ed he e alua ion in T6 (comple ed he ea men : n = 33, o he easons n = 18). Then, om T6 o T12, hese sub- jec s emained in he s udy un il he end o he ea men . The main eason o lea ing he ial was ending he ea men . O he equen easons included: abandoning he ea men ; child en’s in eg i y in jeopa dy, equi ing an ou -o -home measu e; and mo ing o ano he ci y. Less equen easons e e ed o he absence o posi i e esul s om he ea men o child en eaching legal adul hood. Da a Analyses The e ec s o he in e en ion we e examined a he amily le el. P elimina y and desc ip- i e analyses we e pe o med using SPSS so wa e .18 (SPSS Inc., 2009). E olu ion o CWB om T1 o T12 was analyzed o de e mine he impac o he FIP leng h and, hus, he op imum leng h o he in e en ion. To his end, mul i-le el eg ession Child & You h Ca e Fo um (2025) 54:435–452 441 equa ions we e pe o med using SPSS so wa e .18 (SPSS Inc., 2009). PseudoR2 was examined as he e ec size indica o . This alue was ob ained by squa ing he co ela ion be ween he alue p edic ed in he dependen a iable by he model and he eal alue o ha dependen a iable (Singe & Wille , 2003). The indi idual ajec o ies on child well-being h ough he in e en ion and he mode - a ing ole o indi idual and amily a iables in such change om T1 o T7 we e examined h ough linea hie a chical model analyses using HLM -7 s a is ical so wa e (Rauden- bush e al., 2011). Six models we e es ed: he null model examined be ween-pe son a i- abili y in CWB o e ime; model 1 o andom in e cep s and slopes es ed be ween-pe - son a iabili y on in e cep s and on slopes (le el-1 model); and models 2–6 analyzed he e ec o mode a ing a iables bo h on in e cep s and on slopes (M2: socio-economic le el, 1 = ex eme, 2 = p eca ious, 3 = low, 4 = medium, 5 = high; M3: amily s uc u e, 0 = wo- pa en , 1 = single-pa en ; M4: na ionali y, 0 = non-mig an , 1 = mig an ; M5: child sex, 0 = boy, 1 = gi l; M6: child age, yea s). Two ypes o indexes we e examined as goodness- o - i indica o s. Fi s ly, he de iance index o each model was p o ided ( he lowe he be - e , Raudenbush & B yk, 2002), as well as he compa a i e de iance be ween consecu i e models (wi h a signi icance es on he di e ence be ween chi squa e s a is ics). Secondly, pseudoR2, le el-1 pseudoR2 ( educ ion in esidual a iance om le el 1 compa ed o he null model), in e cep pseudoR2 ( educ ion in in e cep esidual a iance om le el 2 in consecu i e models) and slope pseudoR2 ( educ ion in slope esidual a iance om le el 2 in consecu i e models) we e compu ed (Singe & Wille , 2003). PseudoR2 sco es we e in e p e ed as negligible i < 0.02, small i > 0.02 and < 0.15, medium i > 0.15 and < 0.35, and la ge i > 0.35. Resul s In o de o examine he e olu ion o CWB, he desc ip i e s a is ics om T1 o T12 a e p o ided in Table1. CWB was 86.72 in T1 and inc eased o 90.58 in T7, whe e he highes mean CWB sco e was obse ed. The e o e, a mul i-le el eg ession equa ion was compu ed conside - ing T1- o-T7 sco es. The eg ession slope was 0.10, wi h a signi icance le el o p = 0.001 Table 1 CWB means and s anda d de ia ions om T1–T12 Min. – Max M SD T1–3mon hs 54.24-100 86.72 6.92 T2–9mon hs 66.24-100 87.52 7.18 T3–15mon hs 57.78-100 88.61 7.83 T4–21mon hs 60.08-100 88.99 7.54 T5–27mon hs 56.12-100 88.42 8.76 T6–33mon hs 55.90-97.93 89.20 9.99 T7–39mon hs 79.37-98.83 90.58 5.79 T8–45mon hs 80.79-100 90.32 6.09 T9–51mon hs 76.16-93.45 85.43 6.80 T10–57mon hs 87.33-94.03 89.51 2.41 T11–63mon hs 84.49-95.62 88.94 4.83 T12–69mon hs 84.08-93.21 88.64 6.46 Child & You h Ca e Fo um (2025) 54:435–452 442 and an associa ed PseudoR2 o 0.013, indica ing a signi ican inc ease o CWB om T1 o T7, wi h 1.3% o a iance being explained by ime. A second eg ession equa ion was compu ed om T7 o T12, in o de o es he s abiliza ion o CWB du ing ha pe iod. The eg ession slope was 0.001 wi h a signi icance le el o p = 0.993 and an associa ed Pseu- doR2 o 0.003, indica ing no signi ican inc ease o CWB om T7 o T12. Once CWB s abiliza ion was es ablished in T7, linea hie a chical models on CWB indi idual ajec o ies and he mode a ing ole o indi idual and amily a iables we e examined om T1 o T7. Table2 shows he be a alues, - alues and signi icance le el o each a iable in each model. Goodness-o - i indexes in e ms o (compa a i e) de iance and pseudoR2s a e p o ided. Va iance componen s o es ed models a e also epo ed. The null model showed signi ican be ween-pe son di e ences o e ime in CWB, such as 𝜎2 0 = 41.497 , χ2 (276) = 2330.45, p < 0.001. This alue, along wi h he esidual a iance ( 𝜎2 e = 16.963 ) allowed calcula ing he in aclass co ela ion, as ollows: The in aclass co ela ion o he null model exp essed ha 70.98% o a iabili y in CWB was due o be ween-pe son di e ences. The null model de iance was 5615.60. M1 o andom in e cep s and slopes showed be ween-pe son a iabili y on he in e - cep s ( 𝜎2 0 = 40.741, p < 0.001) and on he slopes ( 𝜎2 1 = 0.103, p < 0.001), exp essing di e - ences be ween amilies in baseline and di e en ajec o ies h ough he in e en ion, as well as an imp o emen o 47.8% in wi hin- a iance by inco po a ing ime in o he equa ion. The compa ison wi h he null model showed a signi ican dec ease in he de iance ( Δ de iance = 191.63, p < 0.001). PseudoR2 o M1 was 0.013, se ing as a s a ing poin o compa ing wi h le el-2 models. The inclusion o he amily socio-economic le el in M2 showed a signi ican dec ease in he de iance ( Δ de iance = 14.39, p < 0.001) and a ele an inc ease o PseudoR2 o 0.072. Thus, he amily socio-economic le el inc eased he p edic i e capaci y o he model o 7.2%. The β slope was 0.07, wi h a signi ican alue ( 275 = 2.26, p < 0.05), indica ing highe imp o emen on CWB o hose amilies wi h be e socio-economic s a us. M3 showed a signi ican dec ease in he de iance ( Δ de iance = 17.31, p < 0.001) and a ele an inc ease o PseudoR2 o 0.138. Thus, he amily s uc u e inc eased he p edic i e capaci y o he model o 13.80%. The slope showed ha single-pa en amilies inc eased CWB o a g ea e ex en wi h espec o wo-pa en amilies (β = 0.08, 274 = 2.27, p < 0.05). M4 did no show a signi ican dec ease in he de iance ( Δ de iance = 3.33, non-sig- ni ican ), bu an inc ease o PseudoR2 o 0.162. Thus, na ionali y inc eased he p edic i e capaci y o he model o 16.20%. The slope showed ha mig an and non-mig an amilies d aw pa allel ajec o ies h oughou he in e en ion (β = 0.07, 273 = 1.12, non-signi ican ). Simila ly, M5 did no p o ide a signi ican dec ease in he de iance ( Δ de iance = 0.36, non-signi ican ), bu a sligh inc ease o PseudoR2 o 0.166. Thus, he child en’s sex inc eased he p edic i e capaci y o he model o 16.60%. 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Au ho s and A ilia ions Vic o ia Hidalgo Ga cía1 · Ja ie Pé ez‑Padilla2,3 · Ca los Camacho Ma ínez‑Va a de Rey4 · Lucía Jiménez Ga cía1 * Ja ie Pé ez-Padilla [email p o ec ed] Vic o ia Hidalgo Ga cía [email p o ec ed] Ca los Camacho Ma ínez-Va a de Rey a [email p o ec ed] Lucía Jiménez Ga cía [email p o ec ed] 1 De elopmen al andEduca ional Psychology Depa men , Facul y o Psychology, Uni e si y o Se ille, Se ille, Spain 2 Psychology Depa men , Facul y o Humani ies andEduca ional Sciences, Uni e si y o Jaen, Campus de Las Lagunillas, 23071Jaén, Spain 3 Resea ch G oup HUM604: Li es yle De elopmen in heLi e Cycle andHeal h P omo ion o Uni e si y o Huel a, Huel a, Spain 4 Expe imen al Psychology Depa men , Facul y o Psychology, Uni e si y o Se ille, Se ille, Spain Child & You h Ca e Fo um (2025) 54:435–452 452