RT Article T1 Adding Structured Components to Home Visitation to Reduce Mothers’ Risk for Child Maltreatment: a Randomized Controlled Trial JF Journal of family violence VO 39 IS 3 SP 483 OP 496 A1 van der Stouwe, Trudy A2 Leijten, Patty A2 Asscher, Jessica J. A2 Deković, Maja 1961- A2 van der Put, Claudia E. LA English YR 2024 UL https://krimdok.uni-tuebingen.de/Record/188542759X AB PurposeHome visitation program effects are generally small, which may be caused by flexible intervention content leading to inconsistent outcomes. In this study we therefore examined whether the effectiveness of a Dutch home visitation program (i.e., Supportive Parenting) can be improved by adding structured intervention components targeting key risk factors for child maltreatment: parental sense of competence, perceived stress, parental anger, and PTSD symptoms.MethodParticipants were randomly assigned to an experimental group (n = 74) that received four additional intervention components in two home visits, or a control group (n = 60) that received regular Supportive Parenting. Outcomes were assessed before (T1) and after (T2) the first, and before (T3) and after (T4) the second home visit. Effects were examined using ANCOVA for primary outcomes: parental sense of competence, perceived stress, parental anger, and PTSD symptoms, and secondary outcomes: risk of child maltreatment, parental warmth, and negative parenting. Moderation effects were examined for T1 scores, child temperament and life events.ResultsMothers who received the intervention components showed less stress compared to the control group at T3 and T4. There were no differences between groups on other outcomes and no moderation effects, although parental sense of competence reduced and anger increased within the experimental group specifically.ConclusionThe structured components may enhance the effectiveness of Supportive Parenting to reduce parenting stress. Future research into how other outcomes can be improved is needed. K1 PTSD symptoms K1 Parental anger K1 perceived stress K1 Parental sense of competence K1 Increased effect K1 Child maltreatment prevention K1 Home visitation program DO 10.1007/s10896-023-00509-7