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Yaholkoski, A. Hurl, K. Theule, J. (2016). Efficacy of the Circle of Security Intervention: A Meta-Analysis. J. Infant Child Adolesc. Psychother., 15(2):95-103.

(2016). Journal of Infant, Child & Adolescent Psychotherapy, 15(2):95-103

Efficacy of the Circle of Security Intervention: A Meta-Analysis

Amber Yaholkoski, B.A, Kylee Hurl, M.A. and Jennifer Theule, Ph.D.

The Circle of Security (COS) intervention aims to teach caregivers to become more responsive to their children’s needs. The present study is a meta-analysis that examined the efficacy of the COS intervention in relation to child attachment patterns, quality of caregiving, caregiver self-efficacy, and caregiver depression. Studies were eligible if they carried out a version of the COS intervention and provided quantitative data amenable to meta-analysis. A total of 10 studies were determined eligible for this meta-analysis. A random effects model was used and Hedge’s g was calculated for the overall effect sizes. Results indicated a medium effect size for the efficacy of the intervention for child attachment security (= 0.65, = .003, k = 4), quality of caregiving (g = 0.60, p = .012, = 4) and reduction of caregiver depression (g = 0.53, p < .001, = 3). There was a significant large effect for improved caregiver self-efficacy (g = 0.98, p < .001, = 2). Results suggest that while the efficacy of the COS intervention demonstrates promising results, more research is needed.

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