Community-delivered infant-parent psychotherapy improves maternal sensitive caregiving: Evaluation of the Michigan model of infant mental health home visiting.


Journal

Infant mental health journal
ISSN: 1097-0355
Titre abrégé: Infant Ment Health J
Pays: United States
ID NLM: 8007859

Informations de publication

Date de publication:
03 2020
Historique:
pubmed: 4 4 2020
medline: 22 9 2020
entrez: 4 4 2020
Statut: ppublish

Résumé

The current study evaluated the effectiveness of a home-based psychotherapeutic Infant Mental Health Home Visiting (IMH-HV) intervention for enhancing parenting sensitivity; a secondary aim was to evaluate whether the use of video feedback was associated with greater treatment response. Participants were N = 78 mothers and their children (age at entry ranged from prebirth to 24-month old (M = 9.8, SD = 8.4), who were initiating IMH-HV services with community mental health-based therapists (N = 51). Dyads were assessed during extended home visits via standardized interviews and observational and questionnaire methods within the first month of treatment (baseline), and again 6 and 12 months thereafter. Following each of these extended home visits, study evaluators completed a standard Q-sort to capture observations of maternal sensitivity during the visit. Therapists completed fidelity checklists used to derive the total number of IMH-HV sessions received (i.e., dosage) and frequency with which therapists provided video feedback. Results indicated a dose-response relationship between number of sessions and maternal sensitivity, and that video review with parents independently contributed to improved maternal sensitivity. Discussion focuses on the effectiveness of this community-based psychotherapeutic home visiting model for enhancing parenting, as well as the value of video feedback as a specific therapeutic strategy.

Identifiants

pubmed: 32242953
doi: 10.1002/imhj.21840
doi:

Types de publication

Clinical Trial Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

178-190

Informations de copyright

© 2020 Michigan Association for Infant Mental Health.

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Auteurs

Katherine L Rosenblum (KL)

Department of Psychiatry, University of Michigan, Ann Arbor, Michigan.

Maria Muzik (M)

Department of Psychiatry, University of Michigan, Ann Arbor, Michigan.

Jennifer M Jester (JM)

Department of Psychiatry, University of Michigan, Ann Arbor, Michigan.

Alissa Huth-Bocks (A)

University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio.

Nora Erickson (N)

Department of Psychiatry, University of Michigan, Ann Arbor, Michigan.

Mary Ludtke (M)

Michigan Department of Health and Human Services, Lansing, Michigan.

Debbie Weatherston (D)

Alliance for the Advancement of Infant Mental Health, Southgate, Michigan.

Holly Brophy-Herb (H)

Department of Family and Child Ecology, Michigan State University, East Lansing, Michigan.

Betty Tableman (B)

The Guidance Center, Michigan Association for Infant Mental Health, Southgate, Michigan.

Emily Alfafara (E)

Department of Psychiatry, University of Michigan, Ann Arbor, Michigan.

Rachel Waddell (R)

Department of Psychiatry, University of Michigan, Ann Arbor, Michigan.

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