Depressed and Socioeconomically Disadvantaged Mothers' Progression Into a Randomized Controlled Mobile Mental Health and Parenting Intervention: A Descriptive Examination Prior to and During COVID-19.
Depressed and Socioeconomically Disadvantaged Mothers' Progression Into a Randomized Controlled Mobile Mental Health and Parenting Intervention: A Descriptive Examination Prior to and During COVID-19.
复制标题
DOI：
10.3389/fpsyg.2021.719149
复制
发表时间：
2021
影响因子：
3.8
通讯作者：
Feil EG
中科院分区：
文献类型：
--
作者：
Baggett KM;Davis B;Mosley EA;Miller K;Leve C;Feil EG
低收入和抑郁的母亲的婴儿有很高的风险，为不良的发展结果。早期养育从出生起就调节婴儿的经历，早期干预可以支持敏感和反应灵敏的父母做法，通过促进发展能力来优化婴儿的结果。然而，低收入和抑郁的母亲在参与早期干预方面遇到了巨大的挑战。他们获得针对抑郁症的干预措施的机会也极其有限。针对产妇抑郁症和父母做法的干预措施可以改善产妇和婴儿的结果。基于移动的互联网的干预措施克服了资源匮乏的母亲在获得家庭干预措施方面面临的众多障碍。与流行病相关的压力可能会减少家庭资源，并加剧本已负担沉重的母婴二人组的痛苦。在COVID-19疫情等危机期间，基于证据的远程辅导干预至关重要。本文报道了一种移动的干预措施，以改善产妇的情绪和增加父母的做法，促进婴儿的发展。一项正在进行的随机对照试验研究提供了一个独特的机会，可以监测两组抑郁母亲（大流行之前和大流行期间）从转诊到干预开始的进展情况。该研究还检查了基线时的母亲和婴儿特征。样本主要由经历极端贫困的黑人母亲组成，他们自我提到了南部一个大城市的研究，这是美国收入差距最大的城市之一。在大流行之前，97%的研究参与者成功地从同意到干预，而在大流行期间，这一比例明显低于86%。与COVID-19之前的母婴配对相比，COVID-19期间的母婴配对显示出类似的干预前人口统计学特征和自我特征。
Infants of low-income and depressed mothers are at high risk for poor developmental outcomes. Early parenting mediates infant experiences from birth, and early intervention can support sensitive and responsive parent practices that optimize infant outcomes via promoting developmental competencies. However, low-income and depressed mothers experience substantial challenges to participating in early intervention. They also have extremely limited access to interventions targeting depression. Interventions targeting maternal depression and parent practices can improve maternal and infant outcomes. Mobile internet-based interventions overcome numerous barriers that low-resource mothers face in accessing home-based interventions. Pandemic-related stressors likely reduce family resources and exacerbate distress of already heavily-burdened mother-infant dyads. During crises such as the COVID-19 pandemic, evidence-based remote coaching interventions are paramount. This article reports on a mobile intervention for improving maternal mood and increasing parent practices that promote infant development. An ongoing randomized controlled trial study provided a unique opportunity to monitor progression from referral to intervention initiation between two groups of depressed mothers: those prior to the pandemic and during the pandemic. The study also examines mother and infant characteristics at baseline. The sample consisted primarily of Black mothers experiencing extreme poverty who self-referred to the study in a large southern city, which is one of the most income disparate in the United States. Prior to the pandemic, 97% of study participants successfully progressed from consent to intervention, as compared to significantly fewer–86%–during the pandemic. Mother-infant dyads during COVID-19, as compared to those prior to COVID-19, displayed similar pre-intervention demographic characteristics and intrapersonal characteristics.
登录
查看更多内容
DOI：
10.1177/1740774518792277
发表时间：
2018-10
期刊：
Clinical trials (London, England)
影响因子：
--
作者：
Cho HL;Danis M;Grady C
通讯作者：
Grady C
影响因子：
4.6
作者：
Goodman SH;Garber J
通讯作者：
Garber J
DOI：
10.3390/ijerph17238978
发表时间：
2020-12-02
影响因子：
--
作者：
Baggett KM;Davis B;Sheeber LB;Ammerman RT;Mosley EA;Miller K;Feil EG
通讯作者：
Feil EG
DOI：
10.1016/s2214-109x(21)00079-6
发表时间：
2021-06
期刊：
The Lancet. Global health
影响因子：
--
作者：
Chmielewska B;Barratt I;Townsend R;Kalafat E;van der Meulen J;Gurol-Urganci I;O'Brien P;Morris E;Draycott T;Thangaratinam S;Le Doare K;Ladhani S;von Dadelszen P;Magee L;Khalil A
通讯作者：
Khalil A
DOI：
10.1207/s15374424jccp1802_8
发表时间：
1989-06-01
期刊：
JOURNAL OF CLINICAL CHILD PSYCHOLOGY
影响因子：
--
作者：
JOHNSTON, C;MASH, EJ
通讯作者：
MASH, EJ