Mellow Babies and Mellow Toddlers: Effects on maternal mental health of a group-based parenting intervention for at-risk families with young children.
Adolescent
Adult
Anxiety
/ etiology
Child Behavior
Child, Preschool
Depression
/ etiology
Education, Nonprofessional
/ methods
Female
Humans
Infant
Infant, Newborn
Intention to Treat Analysis
Irritable Mood
Male
Mental Health
Middle Aged
Mothers
/ psychology
Outcome Assessment, Health Care
Parenting
/ psychology
Prospective Studies
Self Efficacy
Stress, Psychological
/ etiology
Young Adult
At-risk
Child conduct problems
Infant
Maternal Mental Health
Mellow Parenting
Parenting
Parenting Intervention
Toddler
Journal
Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073
Informations de publication
Date de publication:
01 03 2019
01 03 2019
Historique:
received:
24
08
2018
revised:
15
11
2018
accepted:
24
12
2018
entrez:
24
2
2019
pubmed:
24
2
2019
medline:
20
4
2019
Statut:
ppublish
Résumé
Parental risk factors can have a significant detrimental impact on child development, yet most parenting interventions do not address parental mental health. There is also a dearth of evidence regarding parenting interventions for families with children under two years old. Mellow Parenting (MP) is a suite of parenting interventions targeting at-risk families with complex needs, including those with very young children. Preliminary studies suggest that MP can improve both parent and child outcomes, but no evaluation has been conducted in routine practice. Using a real-world design we analysed routine data from a UK cohort of n = 183 mother-child dyads, collected over a 21-month period. Data were gathered immediately pre- and post-intervention. Outcomes included maternal mental health, parenting confidence, daily parenting stress, and child behaviour. Intention-to-treat and 'completer' analyses were performed. Associations between attendance, participant demographics, and pre-post change in outcomes were modelled. MP participation was associated with improvements in maternal mental health (d = 0.36), parenting confidence (d = 0.42), and a component of child psychosocial behaviour (conduct problems; d = 0.36), but not overall child difficulties, or daily parenting stress. Mothers with a partner experienced larger benefits in mental health and parenting confidence compared to single mothers. Younger mothers, and those with a history of mental health problems, attended more intervention sessions. The study used real-world data and was thus uncontrolled, limiting causal interpretations. This is the first study to explore MP participation on a multi-site national level and suggests that group-based parenting interventions may be effective for at-risk families. These results should be expanded upon via controlled studies that incorporate follow-up data.
Sections du résumé
BACKGROUND
Parental risk factors can have a significant detrimental impact on child development, yet most parenting interventions do not address parental mental health. There is also a dearth of evidence regarding parenting interventions for families with children under two years old. Mellow Parenting (MP) is a suite of parenting interventions targeting at-risk families with complex needs, including those with very young children. Preliminary studies suggest that MP can improve both parent and child outcomes, but no evaluation has been conducted in routine practice.
METHODS
Using a real-world design we analysed routine data from a UK cohort of n = 183 mother-child dyads, collected over a 21-month period. Data were gathered immediately pre- and post-intervention. Outcomes included maternal mental health, parenting confidence, daily parenting stress, and child behaviour. Intention-to-treat and 'completer' analyses were performed. Associations between attendance, participant demographics, and pre-post change in outcomes were modelled.
RESULTS
MP participation was associated with improvements in maternal mental health (d = 0.36), parenting confidence (d = 0.42), and a component of child psychosocial behaviour (conduct problems; d = 0.36), but not overall child difficulties, or daily parenting stress. Mothers with a partner experienced larger benefits in mental health and parenting confidence compared to single mothers. Younger mothers, and those with a history of mental health problems, attended more intervention sessions.
LIMITATIONS
The study used real-world data and was thus uncontrolled, limiting causal interpretations.
CONCLUSIONS
This is the first study to explore MP participation on a multi-site national level and suggests that group-based parenting interventions may be effective for at-risk families. These results should be expanded upon via controlled studies that incorporate follow-up data.
Identifiants
pubmed: 30795486
pii: S0165-0327(18)31867-6
doi: 10.1016/j.jad.2018.12.120
pii:
doi:
Types de publication
Clinical Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
820-827Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.