Mothers' AdvocateS In the Community (MOSAIC)- non-professional mentor support to reduce intimate partner violence and depression in mothers: a cluster randomised trial in primary care

Taft, Angela; Small, Rhonda; Hegarty, Kelsey; Watson, Lyndsey F.; Gold, Lisa; Lumley, Judith

doi:10.1186/1471-2458-11-178

Cited by 118 publications

(150 citation statements)

References 33 publications

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“…As well, it is not yet possible to state definitively that one type of home visitor is more effective overall than another, since studies to date have involved a range of home visitors with a variety of educational training backgrounds and occupational titles. For example, Taft et al (2011) examined the role of peer mentors, rather than professional home visitors, in providing social support to pregnant and recent mothers at risk of IPV victimization and found that at follow-up mean abuse scores favoured the intervention group; outcome measures for depression, well-being, and social support also improved, although only at weak levels. Still, these findings suggest that mentorship programs provide a promising approach for social support to new mothers.…”

Section: Early Prevention Home Visiting Programsmentioning

confidence: 99%

A Literature Review of Strategies for the Prevention of Intimate Partner Violence During the Childbearing Years

Sinnott

Artz

2016

IJCYFS

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This narrative literature review examines the peer-reviewed research in English on the prevention of intimate partner violence (IPV) during the childbearing years, published between January 2000 and January 2015. It shows that in the 43 articles that were located there is a disproportionate emphasis on making females responsible for not becoming victims of IPV, especially if they are mothers, who are made responsible for ensuring not only their own but also their children's safety. Also noted is a striking lack of research on the prevention of IPV perpetration in males, particularly fathers. Even the current IPV research that focuses on interventions with males, notes the absence of interventions specifically designed for fathers and calls for both a better understanding of the underlying factors that contribute to male violence and a focus on interventions tailored to preparing men for the challenges of fatherhood. Two such programs are described in the final section of this review.Keywords: intimate partner, domestic violence, domestic abuse, prevention, childbearing, pregnancy, parenthood, transition to parenthood, father, fatherhood, paternal Teila Sinnott, MA is working for the Government of Alberta as a policy analyst as part of a policy internship program. Email: teilasinnott@gmail.com Sibylle Artz, PhD (the corresponding author) is a Professor in the School of Child and Youth Care at the University of Victoria, P.O. Box 1700, STN CSC, Victoria, British Columbia, Canada, V8W 2Y2. Email: sartz@uvic.ca International Journal of Child, Youth and Family Studies (2016) 7(3/4): 324-342 325 Interest in the serious and widespread issue of intimate partner violence (IPV) has increasingly been characterized by a growing concern for the impact of exposure to this violence on children (Jackson & Artz, 2014) Although children may not be the direct victims of IPV, research clearly shows that witnessing violence between family members puts children at risk of adverse outcomes in multiple domains, including neurological, mental, and physiological development; these in turn can lead to poor physical health; multiple behavioural challenges such as conduct disorder, delinquency, and crime, and, eventually, poor academic and employment outcomes ( Artz et al., 2014). The personal impacts of witnessing IPV also come with enormous economic costs to society: costs for the provision of medical care, criminal justice, and other social services, and costs incurred through the loss of productivity in education and the workplace (Andresen & Linning, 2014). Estimates that put the rate of IPV exposure at 125,000 new children in Canada each year approximate a yearly economic expense of $759 million for a single cohort of children (Andresen & Linning, 2014). New costs of course are not "freestanding" and are added each year to the already accumulated lifelong costs of all previous new cases. With $759 million as the benchmark for each new cohort and the cumulative continuing costs over a ten-year period for the ten cohorts ...

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Section: Early Prevention Home Visiting Programsmentioning

confidence: 99%

A Literature Review of Strategies for the Prevention of Intimate Partner Violence During the Childbearing Years

Sinnott

Artz

2016

IJCYFS

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“…40 Promoting adult treatment through pediatric office settings has been shown to be effective for increasing adult vaccination, 41,42 treating postpartum depression, 43 and reducing intimate partner violence in mothers. 44,45 Future research is needed to investigate additional models, such as co-locating services or embedding experts in pediatric settings, to help enhance receipt of smoking treatment of parents.…”

Section: Figurementioning

confidence: 99%

Clinical Decision Support Tool for Parental Tobacco Treatment in Primary Care

et al. 2016

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We created a clinical decision support (CDS) tool and evaluated its feasibility, acceptability, usability, and clinical impact within the electronic health record to help primary care pediatricians provide smoking cessation treatment to parents/caregivers who smoke. METHODS:This prospective study of pediatric clinicians and parents was conducted at 1 urban primary care site. Clinicians received training in smoking cessation counseling, nicotine replacement therapy (NRT) prescribing, referral to an adult treatment program, and use of the CDS tool. The tool prompted clinicians to ask about secondhand smoke exposure, provide an electronic NRT prescription, and refer. Feasibility was measured by using electronic health record utilization data, and acceptability and usability were assessed with the use of clinician surveys. Parents reported clinical impact, including NRT accepted and used.RESULTS: From June to August 2015, clinicians used the tool to screen for secondhand smoke exposure at 2286 (76%) of 3023 visits. Parent smokers were identified at 308 visits, and 165 parents (55% of smokers) were interested in and offered treatment. Twenty-four (80%) of 30 eligible pediatric clinicians used the tool. Ninety-four percent of clinicians surveyed (n = 17) were satisfied with the tool, and the average system usability scale score was 83 of 100 (good to excellent range). We reached 69 of 100 parents sampled who received treatment; 44 (64%) received NRT, and 17 (25%) were currently using NRT. CONCLUSIONS:A CDS tool to help urban primary care pediatric clinicians provide smoking cessation treatment was feasible, acceptable, usable, and influenced clinical care. A larger scale investigation in varied practice settings is warranted.

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“…Prior research indicates that interpersonal stress may be exacerbated by the presence of young children and result in increased conflict and aggression between intimate partners (Taft et al 2011;Shortt et al 2013). This finding is especially significant for intervention and prevention activities conducted among parents because the activities may need to consider the increased stress associated with parenting young children, including physical fatigue, reduced financial resources, and new relationship dynamics between partners (Deater-Deckard 2008).…”

Section: Discussionmentioning

confidence: 99%

“…Support may be especially important for mothers in rural areas given the increased odds of intimate partner aggression related to isolation in rural areas (PeekAsa et al 2011). Mothers' Advocates in the Community (MOSAIC), a nonprofessional mentor support program for postpartum mothers, reduces the frequency and severity of intimate partner aggression victimization and improves the overall perception of health (Taft et al 2011). It is theorized that the emotional and practical support received from the mentors reduces the strain experienced by the mothers, which results in the positive effects of the intervention.…”

Section: Implications For Primary Preventionmentioning

confidence: 99%

Perpetration and Victimization of Intimate Partner Aggression Among Rural Mothers

Schwab‐Reese

Harland

Smithart

2015

Violence and Gender

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Intimate partner aggression is a leading cause of injury among women of child-bearing age. Research suggests that pregnancy and the postpartum period are times of increased vulnerability to aggression. Since rural women are at an increased risk of intimate partner aggression, research is needed to examine the role of pregnancy and the presence of children on intimate partner aggression among this vulnerable population. The purpose of this study is to examine the association between young children and intimate partner aggression victimization and perpetration among a rural sample. This analysis utilized data from biologic females of child-bearing age from the Keokuk County Rural Health Study, a cohort study of over 1,000 rural families conducted from 1994 to 2011. Crude and adjusted logistic regression was used to determine the relationship between having a young child and experiencing four forms of intimate partner aggression: verbal aggression perpetration, verbal aggression victimization, physical aggression perpetration, and physical aggression victimization. Having young children was significantly associated with increased odds of perpetrating verbal aggression but not victimization of verbal aggression or perpetration and victimization of physical aggression. This significant relationship persisted after adjustment for education, employment, or location of residence but not age or marital status. The increased odds of perpetrating verbal aggression among mothers in a rural area highlight the need for interventions designed for rural parents. One method of reducing intimate partner aggression may be to incorporate intimate partner aggression prevention activities into existing child abuse intervention activities.

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Mothers' AdvocateS In the Community (MOSAIC)- non-professional mentor support to reduce intimate partner violence and depression in mothers: a cluster randomised trial in primary care

Cited by 118 publications

References 33 publications

A Literature Review of Strategies for the Prevention of Intimate Partner Violence During the Childbearing Years

A Literature Review of Strategies for the Prevention of Intimate Partner Violence During the Childbearing Years

Clinical Decision Support Tool for Parental Tobacco Treatment in Primary Care

Perpetration and Victimization of Intimate Partner Aggression Among Rural Mothers

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