Trust-Based Relational Intervention® – Caregiver Training

Mental Health Promising

Trust-Based Relational Intervention® – Caregiver Training (TBRI-Caregiver Training) is an intervention for caregivers of children who have faced abuse, neglect, and/or other trauma. This program is designed to be highly interactive and is delivered in-person by certified practitioners. TBRI-Caregiver Training uses an attachment-based and trauma-informed approach. It aims to provide parents and caregivers with the tools needed to meet the needs of these children. The training emphasizes three core principles: (1) TBRI Connecting Principles, which focus on building trust and positive relationships between caregivers and children; (2) TBRI Empowering Principles, which focus on addressing children’s physical and environmental needs and building children’s self-regulation skills; and (3) TBRI Correcting Principles, which focus on building children’s social competencies.


TBRI – Caregiver is rated as a promising practice because at least one study achieved a rating of moderate or high on study design and execution and demonstrated a favorable effect on a target outcome.


Date Research Evidence Last Reviewed: Dec 2020


Sources

The program or service description, target population, and program or service delivery and implementation information was informed by the following sources: The California Evidence-based Clearinghouse for Child Welfare, the program or service developer’s website, the program or service manual, and the studies reviewed.


This information does not necessarily represent the views of the program or service developers. For more information on how this program or service was reviewed, visit the Review Process page or download the Handbook.

Target Population

TBRI-Caregiver Training is designed for parents and/or caregivers of children between the ages of 0 to 17 years old who have experienced adversity, early harm, toxic stress, and/or trauma.

Dosage

TBRI-Caregiver Training typically includes four in-person group sessions that last for 6 hours each.

Location/Delivery Setting
Recommended Locations/Delivery Settings

TBRI-Caregiver Training is delivered by certified practitioners in homes, schools, and community-based settings.

Location/Delivery Settings Observed in the Research

  • University

Education, Certifications and Training

TBRI-Caregiver Training is delivered by certified practitioners who have completed TBRI Practitioner Training. Practitioner training consists of two phases. First, practitioners complete an online component that involves nine units of coursework and an interpersonal interview. This component is completed online over ten weeks. Second, practitioners complete five days of intensive on-site training. This training focuses on the application and implementation of TBRI. Practitioners who complete this training receive the TBRI Caregiver Training Package, which includes standardized presentations, manuals, and workbooks for delivering TBRI Caregiver Trainings in their organizations.

Program or Service Documentation
Book/Manual/Available documentation used for review

The TBRI Practitioner Training Notebook and Resource Manual is used in conjunction with the TBRI Practitioner Instructor Workbook and the TBRI slide deck.

Karyn Purvis Institute of Child Development. (2020). TBRI practitioner training notebook and resource manual. Karyn Purvis Institute of Child Development.

Purvis, K., Cross, D. R., & Hurst, J. R. (2013). Trust-Based Relational Intervention® Caregiver Training: TBRI practitioner instructor workbook. Karyn Purvis Institute of Child Development.

Karyn Purvis Institute of Child Development (n.d.). Trust-based Relational Intervention [PowerPoint slides].

Available languages

English, Spanish

Other supporting materials

Overview of TBRI

Contact Information for Developers

Website: https://child.tcu.edu/

Phone: (817) 257-7415

Email: child@tcu.edu

Results of Search and Review Number of Studies Identified and Reviewed for Trust-Based Relational Intervention® – Caregiver Training
Identified in Search 3
Eligible for Review 1
Rated High 0
Rated Moderate 1
Rated Low 0
Reviewed Only for Risk of Harm 0
Outcome Effect Size
and Implied Percentile Effect
N of Studies (Findings) N of Participants Summary of Findings
Child well-being: Behavioral and emotional functioning 0.21
8
1 (13) 96 Favorable: 1
No Effect: 12
Unfavorable: 0

Note: For the effect sizes and implied percentile effects reported in the table, a positive number favors the intervention group and a negative number favors the comparison group.

Outcome Effect Size
and Implied Percentile Effect
N of Studies (Findings) N of Participants Summary of Findings Months after treatment
when outcome measured
Child well-being: Behavioral and emotional functioning 0.21
8
1 (13) 96 Favorable: 1
No Effect: 12
Unfavorable: 0
-
Purvis, 2015
Strengths & Difficulties Questionnaire: Emotional Problems 0.37
14
- 96 - 0
Strengths & Difficulties Questionnaire: Conduct Problems 0.27
10
- 96 - 0
Strengths & Difficulties Questionnaire: Hyperactivity 0.42 *
16
- 96 - 0
Strengths & Difficulties Questionnaire: Peer Problems 0.01
0
- 96 - 0
Strengths & Difficulties Questionnaire: Prosocial Behavior 0.31
12
- 96 - 0
Strengths & Difficulties Questionnaire: Total Problems 0.38
14
- 96 - 0
Trauma Symptom Checklist for Young Children: Anxiety 0.29
11
- 96 - 0
Trauma Symptom Checklist for Young Children: Depression 0.33
12
- 96 - 0
Trauma Symptom Checklist for Young Children: Posttraumatic Stress (Intrusion) -0.18
-7
- 96 - 0
Trauma Symptom Checklist for Young Children: Posttraumatic Stress (Arousal) 0.34
13
- 96 - 0
Trauma Symptom Checklist for Young Children: Posttraumatic Stress (Total Score) 0.19
7
- 96 - 0
Trauma Symptom Checklist for Young Children: Dissociation 0.02
0
- 96 - 0
Trauma Symptom Checklist for Young Children: Sexual Concerns 0.04
1
- 96 - 0

*p <.05

Note: For the effect sizes and implied percentile effects reported in the table, a positive number favors the intervention group and a negative number favors the comparison group. Effect sizes and implied percentile effects were calculated by the Prevention Services Clearinghouse as described in the Handbook of Standards and Procedures, Section 5.10.4 and may not align with effect sizes reported in individual publications.

Only publications with eligible contrasts that met design and execution standards are included in the individual study findings table.

Full citations for the studies shown in the table are available in the "Studies Reviewed" section.

Sometimes study results are reported in more than one document, or a single document reports results from multiple studies. Studies are identified below by their Prevention Services Clearinghouse study identification numbers.

Studies Rated Moderate

Study 10924

Purvis, K., Razuri, E., Howard, A., Call, C., DeLuna, J., Hall, J., & Cross, D. (2015). Decrease in behavioral problems and trauma symptoms among at-risk adopted children following trauma-informed parent training intervention. Journal of Child & Adolescent Trauma, 8(3), 201-210. https://doi.org/10.1007/s40653-015-0055-y




Studies Not Eligible for Review

Study 10918

Howard, A. R., Parris, S. R., Nielsen, L. E., Lusk, R., Bush, K., Purvis, K. B., & Cross, D. R. (2014). Trust-Based Relational Intervention® (TBRI®) for adopted children receiving therapy in an outpatient setting. Child Welfare, 93(5), 47-64.

This study is ineligible for review because it is not a study of the program or service under review (Study Eligibility Criterion 4.1.6).

 

Study 10922

Purvis, K. B., Cross, D. R., Dansereau, D. F., & Parris, S. R. (2013). Trust-Based Relational Intervention (TBRI): A systemic approach to complex developmental trauma. Child & Youth Services, 34(4), 360-386. https://doi.org/10.1080/0145935X.2013.859906

This study is ineligible for review because it is not a study of the program or service under review (Study Eligibility Criterion 4.1.6).