TBRI® 101
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 Last Reviewed (Handbook Version 1.0): 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, download the Handbook of Standards and Procedures, Version 1.0
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
For More Information
Website: https://child.tcu.edu/
Phone: (817) 257-7415
Email: child@tcu.edu
Note: The details on Dosage; Location; Education, Certifications, and Training; Other Supporting Materials; and For More Information sections above are provided to website users for informational purposes only. This information is not exhaustive and may be subject to change.
| 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 |
- |
| Study 10925 - Online TBRI vs. Business As Usual (Razuri, 2016 - Not conducted in a usual care or practice setting) | |||||
| 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, Version 1.0, Section 5.10.4 and may not align with effect sizes reported in individual publications. The Prevention Services Clearinghouse uses information reported in study documents and, when necessary, information provided by authors in response to author queries to assign study ratings and calculate effect sizes and statistical significance (see Section 7.3.2 in the Handbook of Standards and Procedures, Version 1.0). As a result, the effect sizes and statistical significance reported in the table may not align with the estimates as they are reported in study documents.
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.
The participant characteristics display is an initial version. We encourage those interested in providing feedback to send suggestions to preventionservices@abtglobal.com.
The table below displays locations, the year, and participant demographics for studies that received moderate or high ratings on design and execution and that reported the information. Participant characteristics for studies with more than one intervention versus comparison group pair that received moderate or high ratings are shown separately in the table. Please note, the information presented here uses terminology directly from the study documents, when available. Studies that received moderate or high ratings on design and execution that did not include relevant participant demographic information would not be represented in this table.
For more information on how Clearinghouse reviewers record the information in the table, please see our Resource Guide on Study Participant Characteristics and Settings.
| Characteristics of the Participants in the Studies with Moderate or High Ratings | ||||||
|---|---|---|---|---|---|---|
|
Study Location
|
Study Year
|
Age or Grade-level
|
Race, Ethnicity, Nationality
|
Gender
|
Populations of Interest*
|
Household Socioeconomic Status
|
| Study 10925 - Online TBRI vs. Business As Usual | ||||||
| Characteristics of the Children and Youth | ||||||
| USA | -- | Average age: 8 years |
41% White/Caucasian 29% Black/African American 18% Asian 9% Hispanic/Latino 3% Other 1% Native American |
50% Male 50% Female |
82% Experienced neglect, 44% Experienced physical abuse, 25% Experienced sexual abuse | -- |
| Characteristics of the Adults, Parents, or Caregivers | ||||||
| USA | -- | Average age: 43 years |
95% White/Caucasian 2% Other 1% Hispanic/Latino 1% Black/African American 1% Asian |
-- | 100% Parents of children who were domestically or internationally adopted and had resided in the adoptive home for at least one year |
1% Income: $25,000-$34,999 2% Income: $35,000-$49,999 7% Income: $50,000-$74,999 25% Income: $75,000-$99,999 15% Income: $100,000-$150,000 25% Income: $150,000 + |
“--” indicates information not reported in the study.
* The information about disabilities is based on initial coding. For more information on how the Clearinghouse recorded disability information for the initial release, please see our Resource Guide on Study Participant Characteristics and Settings. The Clearinghouse is currently seeking consultation from experts, including those with lived experience, and input from the public to enhance and improve the display.
Note: Citations for the documents associated with each 5-digit study number shown in the table can be found in the “Studies Reviewed” section below. Study settings and participant demographics are recorded for all studies that received moderate or high ratings on design and execution and that reported the information. Studies that did not report any information about setting or participant demographics are not displayed. For more information on how participant characteristics are recorded, please see our Resource Guide on Study Participant Characteristics and Settings.
Studies Rated Moderate
Study 10925Razuri, 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
This study was not conducted in a usual care or practice setting (Handbook Version 1.0, Section 6.2.2)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 (Handbook Version 1.0, Section 4.1.6).