TBRI® 101

Mental Health Promising

TBRI® 101 is a self-administered approach to Trust-Based Relational Intervention® for caregivers of children who have experienced abuse, neglect, and/or other trauma. This program includes self-guided virtual training that is delivered through a series of video lessons. TBRI® 101 uses an attachment-based and trauma-informed approach. It aims to provide parents and caregivers with the tools needed to meet the needs of their children. The training emphasizes three core principles: (1) TBRI Connecting Principles, which focus on engaging children and building caregiver mindfulness in order to strengthen relationships; (2) TBRI Empowering Principles, which focus on strategies to help children learn crucial skills associated with self-regulation and meeting the physical and environmental needs (e.g., structuring the day, managing transitions) of children; and (3) TBRI Correcting Principles, which focus on building children’s social competencies and ability to navigate the social world.


TBRI 101 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 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® 101 is designed for parents and/or caregivers of children who have experienced adversity, early harm, toxic stress, and/or trauma.   

Dosage

TBRI® 101 is self-paced and therefore not time-limited. The online course contains five modules. Each module contains a series of videos. In total, the course contains about 7.5 hours of content. 

Location/Delivery Setting
Recommended Locations/Delivery Settings

TBRI® 101 is delivered online, and therefore can be conducted in the home or any location with internet accessibility.

Location/Delivery Settings Observed in the Research

  • Online

Education, Certifications and Training

TBRI® 101 is a stand-alone web-based intervention and is not delivered by a practitioner.

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

Karyn Purvis Institute of Child Development. (2014). TBRI® 101: A self-guided course in Trust-Based Relationship [Online Course].

Available languages

English

Other supporting materials

Overview of TBRI

Overview of TBRI 101

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 TBRI® 101
Identified in Search 2
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 0.14
5
1 (15) 256 Favorable: 1
No Effect: 14
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 0.14
5
1 (15) 256 Favorable: 1
No Effect: 14
Unfavorable: 0
-
Razuri, 2016
Strengths and Difficulties Questionnaire: Emotional Problems 0.17
6
- 256 - 0
Strengths and Difficulties Questionnaire: Conduct Problems 0.16
6
- 256 - 0
Strengths and Difficulties Questionnaire: Hyperactivity/Inattention 0.34 *
13
- 256 - 0
Strengths and Difficulties Questionnaire: Peer Problems 0.05
2
- 256 - 0
Strengths and Difficulties Questionnaire: Prosocial Behavior 0.03
1
- 256 - 0
Strengths and Difficulties Questionnaire: Total Difficulties 0.09
3
- 256 - 0
Trauma Symptoms Checklist for Young Children: Anxiety 0.05
1
- 256 - 0
Trauma Symptoms Checklist for Young Children: Depression 0.05
1
- 256 - 0
Trauma Symptoms Checklist for Young Children: Anger/Agression 0.15
5
- 256 - 0
Trauma Symptoms Checklist for Young Children: Post-traumatic Stress--Intrusion 0.20
8
- 256 - 0
Trauma Symptoms Checklist for Young Children: Post-traumatic Stress--Avoidance 0.19
7
- 256 - 0
Trauma Symptoms Checklist for Young Children: Post-traumatic Stress--Arousal 0.16
6
- 256 - 0
Trauma Symptoms Checklist for Young Children: Post-traumatic Stress--Total 0.15
6
- 256 - 0
Trauma Symptoms Checklist for Young Children: Post-traumatic Stress--Dissociation 0.18
7
- 256 - 0
Trauma Symptoms Checklist for Young Children: Post-traumatic Stress--Sexual Concerns 0.07
2
- 256 - 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 10925

Razuri, E. B., Howard, A. R. H., Parris, S. R., Call, C. D., DeLuna, J. H., Hall, J. S., Purvis, K. B., & Cross, D. R. (2016). Decrease in behavioral problems and trauma symptoms among at-risk adopted children following web-based trauma-informed parent training intervention. Journal of Evidence-informed Social Work, 13(2), 165-178. https://doi.org/10.1080/23761407.2015.1014123




Studies Not Eligible for Review

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).