Dosage matters: The relationship between participation in the Nurturing Parenting Program for infants, toddlers, and preschoolers and subsequent child maltreatment

Maher, Erin J.; Marcynyszyn, Lyscha A.; Corwin, Tyler W.; Hodnett, Rhenda

doi:10.1016/j.childyouth.2011.04.014

Cited by 37 publications

(42 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, the benefits of intervening early have been reported in high-risk, trauma-exposed families (Maher, Marcynyszyn, Corwin, & Hodnett, 2011). By disrupting the intergenerational transmission of risk and positively impacting on children's life trajectories, they are cost-effective.…”

Section: Introductionmentioning

confidence: 99%

Perinatal interventions for mothers and fathers who are survivors of childhood sexual abuse

Stephenson

Beck

Busuulwa

et al. 2018

Child Abuse & Neglect

View full text Add to dashboard Cite

Childhood sexual abuse (CSA) is a worldwide problem with severe long-term consequences. A history of CSA can impact the childbearing experience of mothers and fathers; affecting their mental health, parenting skills and compromising infant development. Nonetheless, the perinatal period offers huge opportunity for intervention and hope. This literature review collates evidence for perinatal psychosocial interventions targeting both mothers and fathers who are survivors of CSA. Publications dating from 1970 to June 2016 were searched using Medline, Maternity and Infant Health, PsychINFO, PsychArticles, PubMed and the International Bibliography of the Social Sciences (IBSS). There were no perinatal interventions that considered the needs of survivor fathers. Sixteen publications on 9 psychosocial perinatal interventions for CSA survivors were identified. However, no sub-analyses specific to CSA survivors were reported. Trauma-specific perinatal interventions drew from a range of theoretical models and varied widely in format. Generally interventions were associated with improvements in maternal mental health, parenting competence, infant attachment security and positive public health outcomes. They were safe and feasible to implement, acceptable to parents and therapist, and therapists were able to implement protocols with adequate fidelity. Yet current data is hampered by small sample size, inconsistent reporting of CSA rates and outcome measures, scarcity of observational data and longer-term follow-up. Intervention modifications are proposed for CSA survivors in view of their unique childbearing experiences.

show abstract

Section: Introductionmentioning

confidence: 99%

Perinatal interventions for mothers and fathers who are survivors of childhood sexual abuse

Stephenson

Beck

Busuulwa

et al. 2018

Child Abuse & Neglect

View full text Add to dashboard Cite

show abstract

“…child care or transportation; Muzik et al 2013a; Muzik et al 2015a). This is critical as available evidence does suggest that high-risk, trauma exposed parents who engage in early treatment with their young children (e.g., Nurse Family Partnership, Nurturing Parenting Program) benefit from these interventions (Eckenrode et al 2010; Maher et al 2011), and ultimately these interventions are also cost-effective offsetting potential costs to society due to adverse child outcomes (Reynolds and Temple 2008). …”

Section: Introductionmentioning

confidence: 99%

A community-based randomized controlled trial of Mom Power parenting intervention for mothers with interpersonal trauma histories and their young children

Rosenblum

Muzik

Morelen

et al. 2017

Arch Womens Ment Health

View full text Add to dashboard Cite

Purpose To evaluate the effectiveness of Mom Power, a multifamily parenting intervention to improve mental health and parenting among high-risk mothers with young children in a community-based randomized controlled trial (CB-RCT). Methods Participants (N = 122) were high-risk mothers (e.g., interpersonal trauma histories, mental health problems, poverty) and their young children (age < 6 years), randomized either to Mom Power, a parenting intervention (treatment condition) or weekly mailings of parenting information (control condition). In this study, the 13-session intervention was delivered by community clinicians trained to fidelity. Pre- and post-trial assessments included mothers’ mental health symptoms, parenting stress and helplessness, and connection to care. Results Mom Power was delivered in the community with fidelity and had good uptake (>65%) despite the risk nature of the sample. Overall, we found improvements in mental health and parenting stress for Mom Power participants but not for controls; in contrast, control mothers increased in parent-child role-reversal across the trial period. The benefits of Mom Power treatment (vs. control) were accentuated for mothers with interpersonal trauma histories. Conclusions Results of this CB-RCT confirm the effectiveness of Mom Power for improving mental health and parenting outcomes for high-risk, trauma exposed women with young children.

show abstract

“…The study used data from 528 caregivers participating for the first time in the NPP. Demographic characteristics of the population are summarized in Maher et al (2011). Step Three: Describe the Intervention A detailed description of the intervention needs to accompany any cost analysis to logically link observed outcomes to the program and to capture the program elements with implications for costs. The intervention for this cost analysis, NPP, is based on social learning theory (Bandura, 1977(Bandura, , 1986 and the associated premise that most parenting patterns are learned during childhood and replicated later in life when the child becomes a parent.…”

Section: Methodsmentioning

confidence: 99%

“…The results of the original outcome evaluation demonstrated a significant association between program attendance and repeat maltreatment (Maher et al, 2011); specifically, the odds ratio for attendance of 0.97 (with a standard error of 0.01) Cost savings from 35% reduction in substantiated maltreatment within 2 years of participation in NPP $573,237…”

Section: Step Seven: Calculate Costs Associated With Outcomes For Estmentioning

confidence: 98%

A Cost-Savings Analysis of a Statewide Parenting Education Program in Child Welfare

Maher

Corwin

Hodnett³

et al. 2012

Research on Social Work Practice

Self Cite

View full text Add to dashboard Cite

Objectives: This article presents a cost-savings analysis of the statewide implementation of an evidence-informed parenting education program. Methods: Between the years 2005 and 2008, the state of Louisiana used the Nurturing Parenting Program (NPP) to impart parenting skills to child welfare-involved families. Following these families' outcomes through August 2010, increased program attendance was associated with significant reductions in substantiated incidences and re-reports of child maltreatment. Program costs and benefits (cost savings) were calculated using program, workforce, and administrative data. Results: The benefit-cost ratio of 0.87 demonstrates that the NPP approaches cost neutrality in a short time period, without the consideration of long-term benefits or benefits to other systems. Conclusion: Louisiana's child welfare department should be able to absorb all costs of statewide delivery of the NPP through observed reductions in repeat maltreatment. Targeted program delivery could potentially yield even greater savings.

show abstract

Dosage matters: The relationship between participation in the Nurturing Parenting Program for infants, toddlers, and preschoolers and subsequent child maltreatment

Cited by 37 publications

References 51 publications

Perinatal interventions for mothers and fathers who are survivors of childhood sexual abuse

Perinatal interventions for mothers and fathers who are survivors of childhood sexual abuse

A community-based randomized controlled trial of Mom Power parenting intervention for mothers with interpersonal trauma histories and their young children

A Cost-Savings Analysis of a Statewide Parenting Education Program in Child Welfare

Contact Info

Product

Resources

About