Hitkashrut

Note: The Hitkashrut program was not responsive to the CEBC's inquiry. The following information was obtained from publicly available sources.

Scientific Rating:
2
Supported by Research Evidence
See scale of 1-5
Child Welfare System Relevance Level:
Medium
See descriptions of 3 levels

About This Program

Hitkashrut has been rated by the CEBC in the area of: Parent Training Programs that Address Behavior Problems in Children and Adolescents.

Target Population: Families with children who are showing early signs of conduct problem development

Brief Description

Hitkashrut, which means "attachment" in Hebrew, is a theory-based, common elements co-parent training program that targets families with children who are showing early signs of conduct problem development. Using a family systems approach, this program aims to motivate children to shift from antisocial to prosocial attitudes by reshaping the parent-child relationship and improving collaboration among parents and between parents and teachers. This program targets callous/unemotional traits and low effortful control, which are indicators of a developmental trajectory toward antisocial or disruptive behaviors. The program involves 14 group sessions facilitated by psychologists that include psychoeducational instruction, group discussions, role plays, and homework assignments. The program's six components are:

  • Interaction quality/time
  • Parent-child communication skills
  • Behavior management
  • Discipline skills
  • Parent self-regulation capacity
  • Couple communication skills

Hitkashrut uses a collaborative model in which both caregivers and teachers are involved in behavior management. This program was designed to be cost-efficient for use with diverse communities. While it is manual-based, it attempts to maximize flexibility and cultural adaptability.

Education and Training Resources

Publicly available information indicates there is a manual that describes how to implement this program, and there is some training available for this program.
See contact info below.

Relevant Published, Peer-Reviewed Research

This program is rated a "2 - Supported by Research Evidence" on the Scientific Rating Scale based on the published, peer-reviewed research available. The program must have at least one rigorous randomized controlled trial with a sustained effect of at least 6 months. The article(s) below that reports outcomes from an RCT showing a sustained effect of at least 6 months has an asterisk (*) at the beginning of its entry. Please see the Scientific Rating Scale for more information.

Child Welfare Outcome: Child/Family Well-Being

Show relevant research...

*Somech, L. Y., & Elizur, Y. (2012). Promoting self-regulation and cooperation in pre-Kindergarten children with conduct problems: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 51(4), 412-422. doi:10.1016/j.jaac.2012.01.019

Type of Study: Randomized controlled trial
Number of Participants: 209 families

Population:

  • Age — Children: 32-64 months (approximately 2.67-5.33 years), Parents: 21-62 years
  • Race/Ethnicity — Children: Not specified, Parents: 78% Israeli, 7.7% European, 5.6% North American, 3.9% South American, and 4.8% African
  • Gender — Children: 163 Males and 46 Females, Parents: Not specified
  • Status — Participants were families with children referred by pre-K teachers who were at risk for conduct problems.

Location/Institution: Jerusalem

Summary: (To include comparison groups, outcomes, measures, notable limitations)
The study evaluates the effectiveness and mechanisms of the Hitkashrut program for early intervention with preschoolers at risk for conduct problems (CP). Participants were assigned to 14-session Hitkashrut co-parent training groups (n=140 couples) or to minimal intervention control groups with referral to local services as necessary (n=69 couples). Measures utilized include the Strengths and Difficulties Questionnaire (SDQ), the Eyberg Child Behavior Inventory (ECBI), Effortful Control (EC), the Callous/Unemotional traits (CU), the Parental Stress Index-Short Form, the Marital Quality Scale (MQS-I), and the Alabama Parenting Questionnaire – Preschool, Revised. Results indicate at both follow-ups that parents in the Hitkashrut group reported clinically significant improvement in conduct problems, callous unemotional traits and effortful control as compared to the control group. Limitations include high attrition at follow-up for control group and reliance on self-reported measures.

Length of postintervention follow-up: 1 month and 1 year.

Elizur, Y., Somech, L. Y., & Vinokur, A. D. (2016). Effects of parent training on callous-unemotional traits, effortful control, and conduct problems: Mediation by parenting. Journal of Abnormal Child Psychology. Advance online publication. doi:10.1007/s10802-016-0163-7

Type of Study: Randomized control trial (secondary data analysis)
Number of Participants: 209 families

Population:

  • Age — Children: 32-64 months (approximately 2.67-5.33 years), Parents: 21-62 years
  • Race/Ethnicity — Children: Not specified, Parents: 78% Israeli, 7.7% European, 5.6% North American, 3.9% South American, and 4.8% African
  • Gender — Children: 163 Males and 46 Females, Parents: Not specified
  • Status — Participants were families with children referred by pre-K teachers who were at risk for conduct problems.

Location/Institution: Jerusalem

Summary: (To include comparison groups, outcomes, measures, notable limitations)
The study utilized data from Somech & Elizur (2012) to evaluate the effectiveness and mechanisms of the Hitkashrut program for early intervention with preschoolers at risk for conduct problems. Participants were assigned to 14-session Hitkashrut co-parent training groups (n=140 couples), or to minimal intervention control groups with referral to local services as necessary (n=69 couples). Measures utilized include the Strengths and Difficulties Questionnaire (SDQ), the Eyberg Child Behavior Inventory (ECBI), Effortful Control (EC), the Callous/Unemotional Traits (CU), the Parental Stress Index-Short Form, the Marital Quality Scale (MQS-I), and the Alabama Parenting Questionnaire – Preschool, Revised. Results for the Hitkashrut group indicate significant concurrent treatment effects on conduct problems and on either CU traits or EC between 1-month and 1-year follow-up. Treatment effects on CU traits, EC, and conduct problems were mediated by ineffective parenting. Limitations include high attrition at follow-up for control group and reliance on self-reported measures.

Length of postintervention follow-up: 1 month and 1 year.

References

No reference materials are currently available for Hitkashrut.

Contact Information

Name: Yoel Elizur
Email:

Date Research Evidence Last Reviewed by CEBC: July 2016

Date Program Content Last Reviewed by Program Staff: August 2016

Date Program Originally Loaded onto CEBC: August 2016