Randomized Trial of Promoting First Relationships for New Mothers Who Received Community Mental Health Services in Pregnancy

Autor/inn/en	Oxford, Monica L.; Hash, Jonika B.; Lohr, Mary J.; Bleil, Maria E.; Fleming, Charlie B.; Unützer, Jurgen; Spieker, Susan J.
Titel	Randomized Trial of Promoting First Relationships for New Mothers Who Received Community Mental Health Services in Pregnancy
Quelle	In: Developmental Psychology, 57 (2021) 8, S.1228-1241 (14 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Oxford, Monica L.) ORCID (Hash, Jonika B.) ORCID (Lohr, Mary J.) ORCID (Fleming, Charlie B.) ORCID (Spieker, Susan J.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0012-1649
DOI	10.1037/dev0001219
Schlagwörter	Program Effectiveness; Home Visits; Mothers; Neonates; Infants; Depression (Psychology); Anxiety; Posttraumatic Stress Disorder; Pregnancy; Child Behavior; Child Development; Mental Health; Child Welfare; Well Being; Washington + Suchen Sie Ihr Suchwort? Hausbesuch; Mother; Mutter; Neugeborenes Kind; Infant; Toddler; Toddlers; Kleinkind; Angst; Schwangerschaft; Kindesentwicklung; Psychohygiene; Kindeswohl; Well-being; Wellness; Wohlbefinden
Abstract	The effectiveness of Promoting First Relationships (PFR), a 10-week home visiting program with video feedback, was tested in a randomized controlled trial involving 252 mothers and their 8- to 12-week-old infants. Mothers were eligible if they initiated treatment after mental health screening (depression, anxiety, posttraumatic stress disorder [PTSD]) at a community or public health primary care center in pregnancy. At baseline, 51% had mild to severe depression symptoms, 54% had mild to severe anxiety, and 35% had PTSD. Their ages ranged from 18 to 42 years. Mothers were 66% White, 18% Black, and 16% other races. Forty-seven percent identified as Hispanic, and 33% preferred to read and speak in Spanish. The median family annual income was less than $20,000. The PFR program or receipt of a resource packet (control condition) followed the baseline assessment and randomization; we assessed outcomes when infants were age 6 and 12 months. Compared to mothers in the control condition, mothers in the PFR condition had significantly (ps < 0.05) higher observed sensitivity scores at both follow-up time points (d = 0.25, d = 0.26), had improved understanding of infant-toddler social-emotional needs at both time points (d = 0.21, d = 0.45), and reported less infant externalizing behavior at age 12 months (d = 0.28). This study is the fourth completed randomized controlled trial of the PFR program, all involving populations experiencing adversity. (As Provided).
Anmerkungen	American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01