Effects of parent training on teenage mothers and their infants

Field, Tiffany; Widmayer, Susan M.; Greenberg, Reena; Stoller, Hherilyn

doi:10.1097/00004583-198211000-00026

Cited by 31 publications

(78 citation statements)

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“…Only Field et al 38,39 demonstrated a significant intervention effect on weight and length during infancy (at 4 and 12 months). Data from the IHDP at 8 years did demonstrate that intervention infants had higher weights, heights, and head circumferences compared with control infants, but only among those weighing ,1500 g at birth.…”

Section: Morbidity and Health Service Utilizationmentioning

confidence: 97%

“…Although a total of 11 studies provided Bayley MDI data, 2 studies, Teti et al 29 and Brooten and colleagues, 15,16 were empirically omitted from the metaanalysis because of disparate follow-up ages (3-4 months and 18 months, respectively). The remaining 9 pooled studies 27,28,[30][31][32][33][34][35][36][37][38][39][40][41][42][43][44] (n = 516) demonstrate a statistically significant overall effect on the standardized mean difference (SMD) in Bayley MDI scores in the home-visited group versus the control group, with a pooled SMD of 0.50 (95% confidence interval [CI], 0.18 to 0.83) (Fig 2, Panel A). However, significant statistical heterogeneity was noted between the studies (I 2 = 67.8%, P = .002).…”

Section: Infant Developmentmentioning

confidence: 99%

“…However, significant statistical heterogeneity was noted between the studies (I 2 = 67.8%, P = .002). On further review of potential causes for study heterogeneity, we observed that when the 5 programs reporting weekly or biweekly initial visits were analyzed separately, [30][31][32][33]35,[37][38][39]41,42 the pooled SMD was 0.90 (95% CI 0.60 to 1.19) and there was no longer significant statistical heterogeneity (I 2 = 8.8%, P = .36). In contrast, the remaining 4 programs with initial visit frequency that was not well defined or less than biweekly 27,28,34,36,40,43,44 had a pooled SMD of 0.12 (95% CI -0.12 to 0.35) when analyzed separately, again with no statistical heterogeneity (I 2 = 0.0%, P = .66).…”

Section: Infant Developmentmentioning

confidence: 99%

“…28 As shown in Because 8 studies provided either a total score or subscale score for the Home Observation for Measurement of the Environment (HOME) Inventory, we conducted a meta-analysis of effect sizes for HOME Inventory scores using studies with data at or near 1 year of age. Of these, 2 studies, Affleck et al 45 and Zahr 28 were empirically omitted from the meta-analysis because of disparate follow-up ages (6 months and 18 months, respectively).The remaining 6 pooled studies [25][26][27]30,38,39,41,42,46,47 (n = 336) demonstrate a statistically significant overall effect on the HOME Inventory scores in the home-visited group versus the control group, with a pooled SMD of 0.79 (95% CI 0.57-1.02) (Fig 2, Panel B). Given the lack of significant statistical heterogeneity between studies (I 2 = 0.0%, P = .77), we also repeated this analysis using a fixed effects model, and results were identical.…”

Section: Parent-infant Interactionmentioning

confidence: 99%

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Home Visiting and Outcomes of Preterm Infants: A Systematic Review

2013

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METHODS: Searches of Medline, Cumulative Index to Nursing and Allied Health Literature, Cochrane Database of Systematic Reviews, Cochrane Controlled Trial Register, PsycINFO, and Embase were conducted. Criteria for inclusion were (1) cohort or controlled trial designs; (2) homebased, preventive services for infants at medical or social risk; and (3) outcomes reported for infants born preterm or low birth weight (,2500 g). Data from eligible reports were abstracted by 2 reviewers. Random effects meta-analysis was used to synthesize data for developmental and parent interaction measures. RESULTS:Seventeen studies (15 controlled trials, 2 cohort studies) were reviewed. Five outcome domains were identified: infant development, parent-infant interaction, morbidity, abuse/neglect, and growth/ nutrition. Six studies (n = 336) demonstrated a pooled standardized mean difference of 0.79 (95% confidence interval 0.57 to 1.02) in Home Observation for Measurement of the Environment Inventory scores at 1 year in the home-visited groups versus control. Evidence for other outcomes was limited. Methodological limitations were common.

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Section: Morbidity and Health Service Utilizationmentioning

confidence: 97%

Section: Infant Developmentmentioning

confidence: 99%

Section: Infant Developmentmentioning

confidence: 99%

Section: Parent-infant Interactionmentioning

confidence: 99%

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Home Visiting and Outcomes of Preterm Infants: A Systematic Review

2013

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“…Our search yielded 11 reports of 7 studies of 5 home visiting models. [14][15][16][17][18][19][20][21][22][23][24] Overall, study findings were mixed. Two of the 5 models reported significant reductions or delays in repeat pregnancy or birth.…”

mentioning

confidence: 99%

Hawaii's Healthy Start Home Visiting Program: Determinants and Impact of Rapid Repeat Birth

et al. 2004

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ABSTRACT. Objective. Healthy People 2010 calls for reductions in rapid repeat births (RRBs), defined as births occurring within 24 months after a previous birth for women of all ages, and prevention of repeat births during adolescence, regardless of the birth interval. Home visiting has been promoted as a mechanism to prevent child abuse and neglect and to improve pregnancy outcomes. This study aims to assess the impact of home visiting in preventing RRB and its malleable determinants and assesses the influence of RRB on the mother and the index child. We hypothesized that maternal desire to have a RRB, access to a family planning site, and use of birth control would be significant malleable determinants and that the effects of the program in preventing RRB would be mediated through its influence on these variables. We also hypothesized that the occurrence of RRB would result in increased stress and family dysfunction, resulting in adverse maternal and child outcomes such as severe maternal stress, maternal neglect of the index child, decreased maternal warmth toward the index child, and increased behavior problems of the index child.Methods. The Healthy Start Program (HSP) is a home visiting program to prevent child abuse and neglect and to promote child health and development among newborns of families identified as being at risk for child maltreatment. This study was a randomized, controlled trial of Hawaii's HSP, in which eligible families were randomly assigned to home-visited and control groups. A total of 643 families at risk for child abuse were enrolled between November 1994 and December 1995. Data to measure RRB and malleable determinants were collected through structured maternal interviews and observation of the home environment. We measured RRB through maternal self-report by asking about a subsequent birth in follow-up interviews at 1, 2, and 3 years. To measure the malleable determinants, we measured the mother's desire for a RRB at baseline and at the 1-year interview and determined whether she had access to a family planning site. The mother was also asked which contraceptive methods she had ever used in the past and which methods, if any, she used in the year following the index child's birth. We measured 3 maternal parenting outcomes at the year 3 follow-up interview, ie, parenting stress, neglectful behavior toward the index child, and warmth toward the index child. We used odds ratios with 95% confidence intervals (CIs) to measure the strength of associations. Multiple logistic regression was used to assess 1) program effects on RRB and its malleable determinants, 2) the impact of the malleable determinants on RRB, and 3) the association between RRB and adverse maternal and child outcomes.Results Conclusions. Overall, 20% of the mothers in our sample of at-risk families had a RRB, which was far greater than the national average of 11%. RRB was associated with a greater likelihood of adverse consequences for both the mother and the index child. The lack of program effects can be traced to sho...

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Teenage parenting in different cultures, family constellations, and caregiving environments: Effects on infant development

Field

Widmayer

Adler

et al. 1990

Infant Ment. Health J.

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Teenage parenting was investigated in different ethnic groups (Cuban and American Black), family constellations (single‐parent, nuclear, and extended families), and primary caregiving arrangements (mother versus other). One hundred sixty‐four infants born to a representative sample of teenage mothers were observed during interactions with their mothers and were given developmental assessments when they were 12, 18, and 24 months of age. Being a Cuban mother, living in a nuclear family, and being a secondary caregiver were each associated independently with stronger social support systems and more positive child‐rearing attitudes and mother‐infant play interactions. Despite these early advantages, maternal stimulation and infant performance decreased over the second year of life irrespective of ethnic group, family constellation, and caregiving arrangements.

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Effects of parent training on teenage mothers and their infants

Cited by 31 publications

References 0 publications

Home Visiting and Outcomes of Preterm Infants: A Systematic Review

Home Visiting and Outcomes of Preterm Infants: A Systematic Review

Hawaii's Healthy Start Home Visiting Program: Determinants and Impact of Rapid Repeat Birth

Teenage parenting in different cultures, family constellations, and caregiving environments: Effects on infant development

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