Home Visits to Mothers with Children Between the Ages 0 to 4 Years: A Mental Health Intervention Strategy in Emerging Countries

Aracena, Marcela; Undurraga, Consuelo; Gómez, Esteban; Leiva, Loreto; Simonsohn, Ariela; Navarro, Pilar

doi:10.5772/38423

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…Reviewers identified 273 articles that were potentially relevant and thus included in full text screening. Thirty-six articles representing 21 randomised trials met criteria for inclusion in this systematic review and seven articles were classified as awaiting assessment because eligibility could not be adequately evaluated given available information (Aracena et al ., 2011; Aracena et al ., 2012; Akbarzadeh et al ., 2016; Shirazi et al ., 2016; Frith et al ., 2017; Kahalili et al ., 2019; Tran et al ., 2019). The most common reasons for exclusion were studies that described an intervention that did not aim to improve MMH and studies that did not include a child outcome (Fig.…”

Section: Resultsmentioning

confidence: 99%

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Tol

Greene

Lasater

et al. 2020

Epidemiol Psychiatr Sci

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Aims Observational studies have shown a relationship between maternal mental health (MMH) and child development, but few studies have evaluated whether MMH interventions improve child-related outcomes, particularly in low- and middle-income countries. The objective of this review is to synthesise findings on the effectiveness of MMH interventions to improve child-related outcomes in low- and middle-income countries (LMICs). Methods We searched for randomised controlled trials conducted in LMICs evaluating interventions with a MMH component and reporting children's outcomes. Meta-analysis was performed on outcomes included in at least two trials. Results We identified 21 trials with 28 284 mother–child dyads. Most trials were conducted in middle-income countries, evaluating home visiting interventions delivered by general health workers, starting in the third trimester of pregnancy. Only ten trials described acceptable methods for blinding outcome assessors. Four trials showed high risk of bias in at least two of the seven domains assessed in this review. Narrative synthesis showed promising but inconclusive findings for child-related outcomes. Meta-analysis identified a sizeable impact of interventions on exclusive breastfeeding (risk ratio = 1.39, 95% confidence interval (CI): 1.13–1.71, ten trials, N = 4749 mother–child dyads, I2 = 61%) and a small effect on child height-for-age at 6-months (std. mean difference = 0.13, 95% CI: 0.02–0.24, three trials, N = 1388, I2 = 0%). Meta-analyses did not identify intervention benefits for child cognitive and other growth outcomes; however, few trials measured these outcomes. Conclusions These findings support the importance of MMH to improve child-related outcomes in LMICs, particularly exclusive breastfeeding. Given, the small number of trials and methodological limitations, more rigorous trials should be conducted.

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Section: Resultsmentioning

confidence: 99%

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Tol

Greene

Lasater

et al. 2020

Epidemiol Psychiatr Sci

View full text Add to dashboard Cite

show abstract

“…Reviewers identified 273 articles that were potentially relevant and thus included in full text screening. Thirty-six articles representing 21 randomised trials met criteria for inclusion in this systematic review and seven articles were classified as awaiting assessment because eligibility could not be adequately evaluated given available information (Aracena et al, 2011;Aracena et al, 2012;Akbarzadeh et al, 2016;Shirazi et al, 2016;Frith et al, 2017;Kahalili et al, 2019;Tran et al, 2019). The most common reasons for exclusion were studies that described an intervention that did not aim to improve MMH and studies that did not include a child outcome (Fig.…”

Section: Resultsmentioning

confidence: 99%

Impact of Maternal Mental Health Interventions on Child-Related Outcomes in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis

Tol,

Greene,

Lasater

et al. 2018

SSRN Journal

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Home Visits to Mothers with Children Between the Ages 0 to 4 Years: A Mental Health Intervention Strategy in Emerging Countries

Cited by 2 publications

References 17 publications

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Impact of maternal mental health interventions on child-related outcomes in low- and middle-income countries: a systematic review and meta-analysis

Impact of Maternal Mental Health Interventions on Child-Related Outcomes in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis

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