Effects of Home Visitation on Maternal Competencies, Family Environment, and Child Development: a Randomized Controlled Trial

Sierau, Susan; Dähne, Verena; Brand, Tilman; Kurtz, V.; Klitzing, Kai von; Jungmann, Tanja

doi:10.1007/s11121-015-0573-8

Cited by 66 publications

(56 citation statements)

References 29 publications

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“…A few studies offered minor interventions such as psychoeducation and social worker contact to the control group. 43–46 Eight studies were American, 36 42–44 46–48 two were conducted in the Netherlands, 49–51 and one study each was from Sweden, 52–54 Germany, 55 Italy, 56 New Zealand, 57 58 Norway 45 and the UK. 59 The oldest study was published in 1981 47 and the most recent studies were published in 2015.…”

Section: Resultsmentioning

confidence: 99%

Effects of parenting interventions for at-risk parents with infants: a systematic review and meta-analyses

et al. 2017

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ObjectivesInfancy is a critical stage of life, and a secure relationship with caring and responsive caregivers is crucial for healthy infant development. Early parenting interventions aim to support families in which infants are at risk of developmental harm. Our objective is to systematically review the effects of parenting interventions on child development and on parent–child relationship for at-risk families with infants aged 0–12 months.DesignThis is a systematic review and meta-analyses. We extracted publications from 10 databases in June 2013, January 2015 and June 2016, and supplemented with grey literature and hand search. We assessed risk of bias, calculated effect sizes and conducted meta-analyses.Inclusion criteria(1) Randomised controlled trials of structured psychosocial interventions offered to at-risk families with infants aged 0–12 months in Western Organisation for Economic Co-operation and Development (OECD) countries, (2) interventions with a minimum of three sessions and at least half of these delivered postnatally and (3) outcomes reported for child development or parent–child relationship.ResultsSixteen studies were included. Meta-analyses were conducted on seven outcomes represented in 13 studies. Parenting interventions significantly improved child behaviour (d=0.14; 95% CI 0.03 to 0.26), parent–child relationship (d=0.44; 95% CI 0.09 to 0.80) and maternal sensitivity (d=0.46; 95% CI 0.26 to 0.65) postintervention. There were no significant effects on cognitive development (d=0.13; 95% CI −0.08 to 0.41), internalising behaviour (d=0.16; 95% CI −0.03 to 0.33) or externalising behaviour (d=0.16; 95% CI −0.01 to 0.30) post-intervention. At long-term follow-up we found no significant effect on child behaviour (d=0.15; 95% CI −0.03 to 0.31).ConclusionsInterventions offered to at-risk families in the first year of the child’s life appear to improve child behaviour, parent–child relationship and maternal sensitivity post-intervention, but not child cognitive development and internalising or externalising behaviour. Future studies should incorporate follow-up assessments to examine long-term effects of early interventions.

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Section: Resultsmentioning

confidence: 99%

Effects of parenting interventions for at-risk parents with infants: a systematic review and meta-analyses

et al. 2017

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“…47,48 Examples of such would be home visiting services to help alleviate the stress of parenting and to foster mother-child attachment. 49,50 With mothers' consent, maternity care providers may also consider communicating with the infants' pediatricians about maternal exposure to adversity, because pediatric settings can often connect families to social and economic supports that may prevent further risks. 51,52 Pediatric clinical settings may also use evidence-based screeners to assess parents for risk factors known to be associated with ACEs, such as intimate partner violence, substance abuse, and mental health problems.…”

Section: Discussionmentioning

confidence: 99%

Mothers’ Adverse Childhood Experiences and Their Young Children’s Development

Sun

Patel

Rose-Jacobs

et al. 2017

American Journal of Preventive Medicine

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“…At the core of health promotion and risk prevention directed at children, is the concept of early intervention [ 56 , 57 ]. By supporting families through early interventions, negative outcomes can be prevented and positive development in short- and long-term promoted [ 20 , 24 , 30 , 43 ]. The assumption is that by assessing the child’s and the family’s needs and strengths, a provision of appropriate support and service will improve the child’s and family’s outcome [ 57 ].…”

Section: Resultsmentioning

confidence: 99%

“…However, an existing program framework had to adapt to the universal thrust, be culturally translated and cost- effective. Some high-risk programs implemented in countries comparable to the Norwegian setting reported small intervention effects [ 43 ], and in some cases loss of support for further provision [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

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Formative research in the development of a salutogenic early intervention home visiting program integrated in public child health service in a multiethnic population in Norway

Leirbakk

Torper²,

Engebretsen

et al. 2018

BMC Health Serv Res

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BackgroundFew early intervention programs aimed at maternal and child health have been developed to be integrated in the existing Child Health Service in a country where the service is free, voluntary and used by the majority of the eligible population. This study presents the process and the critical steps in developing the “New Mothers” program.MethodsFormative research uses a mixed method, allowing us to obtain data from multiple sources. A scoping review provided information on early intervention programs and studies, clarifying key elements when framing a new program. Key informant and focus group interviews offered insight of existing challenges, perceptions, identified power structures and offered reflections germane to the identified framework, securing user involvement at all stages. Monthly meetings with the project group enabled feedback loops for the data, securing program advancement.ResultsThe “New Mothers” program was formed based on a salutogenic theory, emphasizing resistance and strengths. Public health nurses in the existing Child Health Service were to offer universally all first-time mothers and children home visits from gestational week 28 until the child reached 2 years, with motivational interviewing and empathic communication as methods to mentor the mothers, help them identify their strengths and resources, and provide support and information.ConclusionsUsing formative research as mixed method ensures incorporation of detailed information from multiple resources when an early intervention program is developed. This method secured program appropriateness, both culturally and at system level, when integrating new elements in the existing service.

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Effects of Home Visitation on Maternal Competencies, Family Environment, and Child Development: a Randomized Controlled Trial

Cited by 66 publications

References 29 publications

Effects of parenting interventions for at-risk parents with infants: a systematic review and meta-analyses

Effects of parenting interventions for at-risk parents with infants: a systematic review and meta-analyses

Mothers’ Adverse Childhood Experiences and Their Young Children’s Development

Formative research in the development of a salutogenic early intervention home visiting program integrated in public child health service in a multiethnic population in Norway

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