Mellow Babies and Mellow Toddlers: Effects on maternal mental health of a group-based parenting intervention for at-risk families with young children

Levi, Dalia; Ibrahim, Raquib; Malcolm, Ruaridh; MacBeth, Angus

doi:10.1016/j.jad.2018.12.120

Cited by 11 publications

(13 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The present study advocates that the same intervention components can also be effective for improving fathers' wellbeing and confidence in their parenting role, building upon the medium-level effect sizes of MP on maternal mental health and parenting confidence [29][30][31][32]. While traditionally mothers' mental health has received greatest attention, recognition of the importance of fathers' mental health and its role to offspring's development is gathering momentum [19,60], acknowledging that fathers can affect their children both directly, via their genes and quality of their interactions, and indirectly, via their support to the mother and family environment [5,10].…”

Section: Discussionmentioning

confidence: 93%

“…Mellow Parenting has a growing evidence base demonstrating medium-size effects for mothers' mental health, parenting skills, and child outcomes [29][30][31]. These are also supported by qualitative studies [32][33][34].…”

Section: Plos Onementioning

confidence: 99%

“…However, there has been little evidence specific to the Mellow Babies intervention, or the effectiveness of MB with fathers. Specifically, the most recent MP outcome study exploring routine data collected by group facilitators [29] reports findings from a combined sample of mothers attending either a Mellow Babies or a Mellow Toddlers group. Additionally, the two studies identified in a recent MP meta-analysis [30] as having a specific focus on MB had a very small sample of mothers (both n<20), and one of the intervention designers was directly or indirectly involved (the nature of the involvement is unclear), thus reporting on the efficacy (i.e.…”

Section: Plos Onementioning

confidence: 99%

See 2 more Smart Citations

Promoting sensitive parenting in ‘at-risk’ mothers and fathers: A UK outcome study of Mellow Babies, a group-based early intervention program for parents and their babies

Raouna

Malcolm²,

Ibrahim³

et al. 2021

PLoS ONE

Self Cite

View full text Add to dashboard Cite

Background The objective of this study was to evaluate the effectiveness of Mellow Babies (MB) in the UK. MB is a 14-week early parenting intervention program that is delivered in groups and is targeted at ‘at-risk’ parents (both mothers and fathers) and their babies up to 18 months old. Method The study used a pragmatic pre-post intervention design. Outcomes were parental mental health, parenting confidence, quality of life, socio-emotional development of children, and perceived parent-child relationship. Fifteen groups representing n = 91 parent-baby dyads were recruited across the UK between 2017–2018. The sample consisted of 10 Mellow Mums groups (70 mother-baby dyads) and 5 Mellow Dads groups (21 father-baby dyads). Intention-to-treat and ‘completer’ analyses were performed. Results Findings suggest short-term positive outcomes for parents attending MB. Completion of the program was associated with significant improvements in anxiety and overall wellbeing, parenting confidence, and perceived closeness of the parent-child relationship. The significance of these improvements, except for parenting confidence, was maintained in the intention-to-treat analysis. MB engaged and retained a high proportion of parents who could be considered ‘at-risk’ and benefitted fathers and mothers attending the intervention equally. Conclusions This is the first prospective study to explore MB participation for both mothers and fathers and to indicate engagement and potential benefits specifically for ‘at-risk’ parents. Findings further demonstrate the effectiveness of MB as an early intervention program for parents experiencing psychosocial difficulties. Replication by studies using a contrast or control group also incorporating follow-up data would further improve the evidence base for MB.

show abstract

Section: Discussionmentioning

confidence: 93%

Section: Plos Onementioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

See 1 more Smart Citation

Promoting sensitive parenting in ‘at-risk’ mothers and fathers: A UK outcome study of Mellow Babies, a group-based early intervention program for parents and their babies

Raouna

Malcolm²,

Ibrahim³

et al. 2021

PLoS ONE

Self Cite

View full text Add to dashboard Cite

show abstract

“…Regarding early intervention strategies, NICE guidelines recommend interventions based on social learning theory for conduct problems in children aged three to 11 years old (NICE, 2017) and parenting training programmes for hyperactivity/inattention difficulties in children aged five years or younger (NICE, 2018). Considering the importance of attachment quality and parents' mental health as protective factors within the context of the current findings, we also recommend exploring hybrid parenting interventions based on cognitive and attachment theory such as Mellow Parenting (Levi et al, 2019) or social learning theory and attachment theory like the Incredible Years (Webster-Stratton, 2001). Furthermore, in light of the multimorbidity between externalising behaviours and peer problems in the elevated symptoms groups, prevention and intervention efforts should also evaluate and incorporate strategies for addressing negative peer relationships that may precede or emerge alongside or as a consequence of externalising problems.…”

Section: Risk and Protective Factors For Group Membershipmentioning

confidence: 99%

Multi-Trajectories of Conduct Problems, Hyperactivity/Inattention, and Peer Problems Across Childhood: Results from the Growing Up in Scotland Birth Cohort

Morales

MacBeth

Swartzman

et al. 2022

Res Child Adolesc Psychopathol

Self Cite

View full text Add to dashboard Cite

Using a person-centred approach, this study inspected multi-trajectories of conduct problems, hyperactivity/inattention and peer problems, and associated risk factors for group membership. The sample included 3,578 children (50.8% males) from a population birth cohort in Scotland (Growing Up in Scotland). The parental version of the Strengths and Difficulties Questionnaire (SDQ) was used when children were 4, 5, 6, 7, and 10 years old. Antecedent factors at the perinatal, child, and family levels were collected using parental reports, observation, and standardised assessments at 10, 24, and 36 months. A group-based multi-trajectory analysis was employed. Findings showed that a six-group model best fit the data. Identified groups included non-engagers, normative, decreasing externalising/low peer problems, low externalising/moderate peer problems, moderate externalising/increasing peer problems and multimorbid moderate-high chronic. Findings suggest multimorbidity between externalising behaviours and peer problems in the more elevated groups. Two common protective factors emerged across all groups: caregiver mental health and parent-infant attachment. Identified risk factors were specific to group membership. Risk factors for the most elevated group included single-parent status, social deprivation, previous neonatal intensive care unit admission, child sex, whilst children’s expressive language was a protective factor. Taken together, findings contribute to the emerging literature modelling trajectories of externalising behaviours and peer problems simultaneously and have important practical implications for prevention of problems in childhood, by identifying targets at the perinatal, child, and family levels.

show abstract

“…This necessitates developmental supportive care using Early Intervention (EI) programs. Widely used developmental programs like (Newly Individualized Developmental Care And Assessment Program) NIDCAP [5][6][7], (Norwegian Physical Therapy Study For Preterm Infants) [8] NOPPI, ( Victorian Infant Brain Study) ViBES plus, (Coping for and Caring for Infants with Special Needs) COPCA [10]and parenting programs [11] work on broad guidelines of consistency of care-giving during the hospital stay as well as post discharge. However, home based developmental programs have gained paramount importance in the recent times.…”

mentioning

confidence: 99%

Effect of individualized home-based intervention program in preterm infants at 35-36 weeks gestational age using prechtl’s general movement assessment: a pre-post experimental study

Jain¹,

Metgud²

2021

IJPR

View full text Add to dashboard Cite

Background: Preterm birth associated with various abnormalities can have a detrimental impact on an infant’s developmental outcome which marks the need of a landmark tool to detect an abnormality at an early age and incorporate specific intervention strategies. Positive effects of intervention on developmental outcomes have been noted, however tailored home-based intervention programs on developmental enhancements are essential. Purpose: To evaluate the impact of Individualized Home Based Developmental Program on the neurodevelopmental outcome of preterm infants using Prechtl’s General Movement Assessment. Methodology: Ninety preterm infants admitted to the NICU (Neonatal Intensive Care Unit)of a tertiary care hospital in Tertiary care hospital at Belagavi, Karnataka, India. The study was carried out for a duration of 12 months. Participants were conveniently selected from a population-based sample from May 2018 to March 2019. Based on the inclusion criteria of the study, these infants were screened for the movement trajectories on Prechtl’s GMA at 3-36- and 38-40-weeksGA(Gestational Age) respectively. Out of the 90 infants, 19 infants showing abnormal movement trajectories were recruited for individualized home-based developmental program for a duration of 12 weeks followed by re-evaluation at 3 months post term age. Results: The results were statistically significant (p<0.001) with 14 out of 19 infants exhibiting 70% improvement with normal Fidgety movements at 3 months post term age. Conclusion: IHBP delivered for 12 weeks was found to be effective in promoting developmental outcome in preterm infants. KEY WORDS: Preterm infants, Prechtl’s General Movement Assessment, home-based early intervention.

show abstract

Mellow Babies and Mellow Toddlers: Effects on maternal mental health of a group-based parenting intervention for at-risk families with young children

Cited by 11 publications

References 51 publications

Promoting sensitive parenting in ‘at-risk’ mothers and fathers: A UK outcome study of Mellow Babies, a group-based early intervention program for parents and their babies

Promoting sensitive parenting in ‘at-risk’ mothers and fathers: A UK outcome study of Mellow Babies, a group-based early intervention program for parents and their babies

Multi-Trajectories of Conduct Problems, Hyperactivity/Inattention, and Peer Problems Across Childhood: Results from the Growing Up in Scotland Birth Cohort

Effect of individualized home-based intervention program in preterm infants at 35-36 weeks gestational age using prechtl’s general movement assessment: a pre-post experimental study

Contact Info

Product

Resources

About