Reducing Maternal Depressive Symptoms Through Promotion of Parenting in Pediatric Primary Care

Berkule, Samantha B.; Cates, Carolyn Brockmeyer; Dreyer, Benard P.; Huberman, Harris S.; Arevalo, Jenny; Burtchen, Nina; Weisleder, Adriana; Mendelsohn, Alan L.

doi:10.1177/0009922814528033

Cited by 45 publications

(38 citation statements)

References 48 publications

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“…Screening of infants and toddlers as well as parents for mental health risk and referral to services leads to improvements in mental health and parenting behavior. 44,45 The Reach Out and Read program, which provides parents with children’s books along with guidance and modeling of reading interactions during the pediatric primary care visit, has demonstrated effectiveness on child language development and parent–child interaction. 46 An innovative expansion of this program using video-based feedback to enhance parent–child interaction has been shown to increase parent stimulation for development and to reduce maternal depression.…”

Section: Opportunities For Repairmentioning

confidence: 99%

Poverty, Stress, and Brain Development: New Directions for Prevention and Intervention

Blair

Raver

2016

Academic Pediatrics

371

243

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We review some of the growing evidence of the costs of poverty to children’s neuroendocrine function, early brain development, and cognitive ability. We underscore the importance of addressing the negative consequences of poverty-related adversity early in children’s lives, given evidence supporting the plasticity of executive functions and associated physiologic processes in response to early intervention and the importance of higher order cognitive functions for success in school and in life. Finally, we highlight some new directions for prevention and intervention that are rapidly emerging at the intersection of developmental science, pediatrics, child psychology and psychiatry, and public policy.

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Section: Opportunities For Repairmentioning

confidence: 99%

Poverty, Stress, and Brain Development: New Directions for Prevention and Intervention

Blair

Raver

2016

Academic Pediatrics

371

243

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“…26 Previous studies of VIP have shown beneficial effects on parent-child interactions and reduced family psychosocial stressors, including maternal depression and parenting stress. [27][28][29][30] BB is a lower intensity intervention that uses mailed newsletters highlighting positive parenting strategies. BB has also been shown to enhance responsive parenting and reduce maternal depressive symptoms, although the effects are smaller.…”

mentioning

confidence: 99%

“…BB has also been shown to enhance responsive parenting and reduce maternal depressive symptoms, although the effects are smaller. 27,28 The present article describes findings from a randomized controlled trial (RCT) examining the effects of VIP and BB on parenting, child development, and school readiness. The present analyses examined effects of VIP and BB on children's socioemotional development from 14 to 36 months, a primary outcome of the RCT.…”

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confidence: 99%

Promotion of Positive Parenting and Prevention of Socioemotional Disparities

et al. 2016

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OBJECTIVE: The goal of this study was to determine what effects pediatric primary care interventions, focused on promotion of positive parenting through reading aloud and play, have on the socioemotional development of toddlers from low-income, primarily immigrant households. METHODS:This randomized controlled trial included random assignment to 1 of 2 interventions (Video Interaction Project [VIP] or Building Blocks [BB]) or to a control group. Mother-newborn dyads were enrolled postpartum in an urban public hospital. In VIP, dyads met with an interventionist on days of well-child visits; the interventionist facilitated interactions in play and shared reading through provision of learning materials and review of videotaped parent-child interactions. In BB, parents were mailed parenting pamphlets and learning materials. This article analyzes socioemotional outcomes from 14 to 36 months for children in VIP and BB versus control. RESULTS:A total of 463 dyads (69%) contributed data. Children in VIP scored higher than control on imitation/play and attention, and lower on separation distress, hyperactivity, and externalizing problems, with effect sizes ∼0.25 SD for the sample as a whole and ∼0.50 SD for families with additional psychosocial risks . Children in BB made greater gains in imitation/play compared with control. CONCLUSIONS:These findings support the efficacy of VIP, a preventive intervention targeting parent-child interactions, for enhancing socioemotional outcomes in low-income toddlers. Given the low cost and potential for scalability of primary care interventions, findings support expansion of pediatric-based parenting programs such as VIP for the primary prevention of socioemotional problems before school entry. Medicine/Bellevue Hospital Center, New York, New York; b Department of Psychology, Marymount Manhattan College, New York, New York; and c Department of Pediatrics, SUNY Downstate Medical Center, Brooklyn, New York Dr Weisleder drafted the initial manuscript, conceptualized and designed the study, conducted statistical analyses, and reviewed and revised the manuscript; Dr Mendelsohn conceptualized and designed the study, conducted statistical analyses, designed the data collection instruments, and reviewed and revised the manuscript; Drs Seery and Canfi eld conducted statistical analyses and critically reviewed the manuscript; Drs Brockmeyer Cates and Berkule Johnson conceptualized and designed the study, designed the data collection instruments, coordinated and supervised data collection, and critically reviewed the manuscript; and Drs Dreyer and Huberman conceptualized and designed the study and critically reviewed the manuscript. All authors approved the fi nal manuscript as submitted. a Department of Pediatrics, New York University School ofThis trial has been registered at www. clinicaltrials. gov (identifi er NCT00212576). WHAT'S KNOWN ON THIS SUBJECT: Differences in socioemotional development are an important contributor to poverty-related disparities in school readines...

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“…30,31,34 In a subsequent RCT, these findings have been replicated and extended, showing continued effects on parenting and cognitive stimulation, 35 including enhancements in observed parent verbal input in the context of shared book reading, 36 reduced electronic media exposure, 37 and reductions in harsh discipline, 38 as well as enhancements in child socioemotional development 39 and some reductions in referral to Early Intervention Services. Additionally, effects of VIP have also been shown on a number of psychosocial factors known to affect quality of parent–child interactions such as maternal depressive symptoms 40 and parenting stress. 41 Notably, there are current efforts in New York City through the City’s First Readers initiative 42 to integrate VIP with ROR, and link these interventions with other community-based programs with similar goals.…”

Section: Models Of Intervention In Pediatric Primary Carementioning

confidence: 99%

Mitigating the Effects of Family Poverty on Early Child Development through Parenting Interventions in Primary Care

Cates

Weisleder

Mendelsohn

2016

Academic Pediatrics

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Poverty related disparities in early child development and school readiness are a major public health crisis, the prevention of which has emerged in recent years as a national priority. Interventions targeting parenting and the quality of the early home language environment are at the forefront of efforts to address these disparities. In this article we discuss the innovative use of the pediatric primary care platform as part of a comprehensive public health strategy to prevent adverse child development outcomes through the promotion of parenting. Models of interventions in the pediatric primary care setting are discussed with evidence of effectiveness reviewed. Taken together, a review of this significant body of work shows the tremendous potential to deliver evidence-based preventive interventions to families at risk for poverty related disparities in child development and school readiness at the time of pediatric primary care visits. We also addresss considerations related to scaling and maximizing the effect of pediatric primary care parenting interventions and provide key policy recommendations.

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Reducing Maternal Depressive Symptoms Through Promotion of Parenting in Pediatric Primary Care

Cited by 45 publications

References 48 publications

Poverty, Stress, and Brain Development: New Directions for Prevention and Intervention

Poverty, Stress, and Brain Development: New Directions for Prevention and Intervention

Promotion of Positive Parenting and Prevention of Socioemotional Disparities

Mitigating the Effects of Family Poverty on Early Child Development through Parenting Interventions in Primary Care

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