There are pre-implementation materials to measure organizational or provider readiness for Attachment and Biobehavioral Catch-up - Infant (ABC-I) as listed below:

A half-hour screening is used to predict which potential coaches are likely to be most successful. This screening is conducted remotely through video conferencing with potential coaches. After the screening, ABC Parenting Institute staff informs the parent coach (or their agency) about their suitability for training. This step is conducted before training.

There is formal support available for implementation of Attachment and Biobehavioral Catch-up - Infant (ABC-I) as listed below:

Supervision is conducted for at least 6 months via video conferencing using Zoom (HIPAA-compliant video conference software that the program provides). Parent coach trainees have two required supervision meetings per week: General Clinical Supervision and in-the-moment (ITM) Commenting Supervision:

• General Clinical supervision is 1-hour per week group supervision conducted in groups of 2 or 3, with an expert-level supervisor. Supervision includes video review each week.
• In-the-moment (ITM) Commenting supervision is a 30-minute session per week conducted by staff members at ABC Parenting Institute. A 5-minute segment from the parent coach's case is assigned to the parent coach and staff member for coding prior to the supervision session. The supervision is directed at enhancing coding reliability (so that parent coaches will learn to identify triggers for comments and components of comments) and at enhancing comment quality and frequency.

After the supervision period, parent coaches' adherence and fidelity are evaluated for certification. If they pass, coaches are certified for two years. After two years, parent coaches can participate in a brief webinar and complete a quiz (which assesses adherence and fidelity) to become re-certified at no cost.

Parent coaches also receive support in terms of program evaluation, which is required during the supervision period. Program evaluation measures include brief sensitivity assessments and parent/caregiver questionnaires before and after ABC.

Taken together, this formal support is intended to ensure treatment adherence, provide fidelity monitoring, and provide program evaluation efforts.

There are fidelity measures for Attachment and Biobehavioral Catch-up - Infant (ABC-I) as listed below:

Parent coaches are reviewed for both their adherence and their fidelity to the model. Parent coaches are measured on their adherence to manual content and general clinical issues. For treatment adherence, there is a short list of specific issues from each session that are to be covered from manual content. For treatment fidelity, a parent coach's frequency and quality level of "in-the-moment" commenting is monitored and tracked each week in addition to a qualitative review. ABC parent coaches are required to record all ABC sessions during the supervision period.

There are no implementation guides or manuals for Attachment and Biobehavioral Catch-up - Infant (ABC-I).

Research has been conducted on how to implement Attachment and Biobehavioral Catch-up - Infant (ABC-I) as listed below:

• Caron , E., & Dozier, M. (2022). Self-coding of fidelity as a potential active ingredient of consultation to improve clinicians’ fidelity. Administration and Policy in Mental Health and Mental Health Services, 49, 237–254. https://doi.org/10.1007/s10488-021-01160-4

• Caron, E., Kipp, E. C., Costello, A. H., Bernard, K., Schein, S. S., Roben, C. K. P., & Dozier, M. (2022). Parent coaching fidelity trajectories of in-person and telehealth sessions during the COVID-19 Pandemic. Evidence-Based Practice in Child and Adolescent Mental Health, 7(3), 341–348. https://doi.org/10.1080/23794925.2021.1996300

• Caron, E. B., Lind, T., & Dozier, M. (2021). Strategies that promote trainee engagement in active and experiential learning: Micro-level sequential analysis. The Clinical Supervisor, 40(1), 112–133. https://doi.org/10.1080/07325223.2020.1870023

• Roben, C. K. P., Kipp, Evan, Schein, Stevie S., Costello, Amanda H., & Dozier, M. (2022). Transitioning to telehealth due to COVID-19: Maintaining model fidelity in a home visiting program for parents of vulnerable infants. Infant Mental Health Journal, 43(1), 173–184. https://doi.org/10.1002/imhj.21963

• Schein, S. S., Roben, C. K. P., Costello, A. H., & Dozier, M. (2022). Assessing changes in parent sensitivity in telehealth and hybrid implementation of Attachment and Biobehavioral Catch-Up during the COVID-19 pandemic. Child Maltreatment, 28(1), 24–33. https://doi.org/10.1177/10775595211072516

• West, A. L., Berlin, L. J., Goodman, A., Endy, K., Manzon, C., & Harden, B. J. (2022). Home-based Early Head Start plus Attachment and Biobehavioral Catch-up: A qualitative study of implementation outcomes. Journal of Child and Family Studies, 31(4), 1057–1068. https://doi.org/10.1007/s10826-021-02189-7