"My Baby & Me": effects of an early, comprehensive parenting intervention on at-risk mothers and their children.
"My Baby & Me": effects of an early, comprehensive parenting intervention on at-risk mothers and their children.
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DOI：
10.1037/a0035682
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发表时间：
2014-05
影响因子：
4
通讯作者：
Ramey SL
中科院分区：
文献类型：
--
作者：
Guttentag CL;Landry SH;Williams JM;Baggett KM;Noria CW;Borkowski JG;Swank PR;Farris JR;Crawford A;Lanzi RG;Carta JJ;Warren SF;Ramey SL
这项研究检验了多模块育儿干预的效果，“我的宝宝和我”，从产前开始，一直持续到孩子2.5岁。干预的目标是特定的育儿技能，旨在改变母婴发展轨迹。在来自4个州的361名高危母亲（193名青少年，168名成年人）中，一半被随机分配到高强度（HI）家访指导计划（55次），另一半被分配到低强度（LI）条件，包括每月从教练那里打电话，打印信息材料和社区资源推荐。在5个时间点对观察到的母子游戏录像进行编码，记录多种母子行为和技能。与LI组的母亲相比，HI组的母亲在30个月时表现出更高水平的偶然反应、更高质量的言语刺激和更多的言语脚手架，在孩子24个月时表现出更高水平的温暖，身体侵入性和消极情绪的减少幅度更大。到30个月时，高智商组的孩子比低智商组的孩子表现出更快的增长，对环境、表达语言技能和社会参与的参与程度更高，以及更复杂的玩具游戏和更少的问题行为。母亲反应性行为的增加介导了干预对儿童结局的影响。青少年母亲和成年母亲的结果具有可比性。强有力的理论框架、对母亲反应性的持续关注、高剂量以及与教练的信任关系被认为是解释积极结果的原因。
This study examined the efficacy of a multimodule parenting intervention, “My Baby & Me,” that began prenatally and continued until children reached 2.5 years of age. The intervention targeted specific parenting skills designed to alter trajectories of maternal and child development. Of 361 high-risk mothers (193 adolescents, 168 adults) enrolled across 4 states, half were randomly assigned to the high-intensity (HI) home visitation coaching program (55 sessions), and half to a low-intensity (LI) condition that included monthly phone calls from a coach, printed informational materials, and community resource referrals. Videotaped observations of mother–child play were coded at 5 time points for multiple maternal and child behaviors and skills. Compared to mothers in the LI group, mothers in the HI group showed higher levels of contingent responsiveness, higher quality verbal stimulation, and more verbal scaffolding by 30 months, with higher levels of warmth and greater decreases in physical intrusiveness and negativity when their children were 24 months. By 30 months, children in the HI group showed more rapid increases and higher levels of engagement with the environment, expressive language skills, and social engagement, as well as more complex toy play and fewer problem behaviors than those in the LI group. Gains in maternal responsive behaviors mediated the effects of the intervention on child outcomes. Results were comparable for adolescent and adult mothers. A strong theoretical framework, consistent focus on maternal responsiveness, high dosage, and trusting relationships with coaches are thought to explain the positive outcomes.
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影响因子：
4.8
作者：
DuMont, Kimberly;Mitchell-Herzfeld, Susan;Dorabawila, Vajeera
通讯作者：
Dorabawila, Vajeera
影响因子：
--
作者：
Howard, Kimberly S.;Brooks-Gunn, Jeanne
通讯作者：
Brooks-Gunn, Jeanne
影响因子：
3.6
作者：
Fernandez, Melanie A.;Eyberg, Sheila M.
通讯作者：
Eyberg, Sheila M.
影响因子：
3.6
作者：
Briggs-Gowan, MJ;Carter, AS;Cicchetti, DV
通讯作者：
Cicchetti, DV
影响因子：
4
作者：
Landry, SH;Smith, KE;Vellet, S
通讯作者：
Vellet, S