Mother-Infant Interaction: Effects of a Home Intervention and Ongoing Maternal Drug Use

Schuler, Maureen E.; Nair, Prasanna; Black, Maureen M.; Kettinger, Laurie

doi:10.1207/s15374424jccp2903_13

Cited by 61 publications

(58 citation statements)

References 33 publications

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“…Previous research with the present population indicated that maternal behavior during mother-infant interaction at 6 months postpartum was associated with ongoing maternal drug use and Intervention Group status. 13 In the Intervention Group, drug use was not associated with maternal responsiveness. In the Control Group, mothers who continued to use drugs were less responsive to their babies than mothers who were drug free.…”

Section: Introductionmentioning

confidence: 89%

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Ongoing Maternal Drug Use, Parenting Attitudes, and a Home Intervention: Effects on Mother-Child Interaction at 18 Months

Schuler

Nair

Black

2002

Journal of Developmental & Behavioral Pediatrics

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This prospective study examined the effects of ongoing maternal drug use, parenting attitudes, and a home-based intervention on mother-child interaction among drug-using women and their children. At 2 weeks postpartum, mothers and infants were randomly assigned to either an Intervention (n = 67) or Control (n = 64) Group. Intervention families received weekly visits until 6 months postpartum and biweekly visits from 6 to 18 months by trained lay visitors. The home intervention was designed to increase maternal empowerment and promote child development. Control families received brief monthly tracking visits. Mother-child interaction was evaluated at 18 months through observation of play. Mothers who continued to use cocaine and/or heroin had lower competence scores (p < .05); poor parenting attitude was also associated with lower competence scores during mother-child interaction (p < .05). Although the intervention had no measured effect, ongoing maternal drug use and poor parenting attitudes were associated with less optimal maternal behavior during mother-child interaction.The focus of much of the research on drug-using mothers and their infants has been on the short-and long-term effects of prenatal drug exposure. However, recent research 1 indicates that developmental and behavioral outcomes once thought to be specific to prenatal cocaine exposure are actually associated with other factors, such as the quality of the child's environment. Drug-exposed children raised in homes with ongoing parental drug use are more likely to display problems in cognitive development than drug-exposed children raised in drug-free environments. 2,3 Women who continue to use drugs after the infants are born are often unable to provide a stable, consistent, nurturing environment for their children. [4][5][6] Maternal drug use is associated with higher parenting stress 7 and poorer parenting attitudes, 8,9 and poor parenting attitudes such as a belief in harsh discipline were associated with less optimal maternal behavior during a parent-child observation session. 10 Factors such as ongoing maternal drug use and poor parenting attitudes may be associated with less optimal maternal and child behavior during mother-child interaction among substanceabusing mothers and their drug-exposed children.Home-intervention programs have often been used with drug-using women and their children. Using community health nurses, one home-based program provided health education and a child-development curriculum over the first 12 months postpartum. 11 Although the number of home visits varied by family, the intervention led to better motherinfant interaction at 3 months postpartum. Another home-based program using community nurses provided a child-development curriculum and maternal support during biweekly home visits (mean number of visits = 12) over the first 18 months postpartum. 12 Infants in the Intervention Group had higher cognitive scores and a more stimulating and responsive Copyright © 2002 home environment in comparison with Con...

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Section: Introductionmentioning

confidence: 89%

“…The mother-child interactions were scored using rating scales 21,22 that have been used previously with this population 13 and in another population of at-risk, inner-city, African-American families. 23 Research indicates that these rating scales have good reliability and adequate validity.…”

Section: Methodsmentioning

confidence: 99%

Ongoing Maternal Drug Use, Parenting Attitudes, and a Home Intervention: Effects on Mother-Child Interaction at 18 Months

Schuler

Nair

Black

2002

Journal of Developmental & Behavioral Pediatrics

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“…There were no significant differences in continued illicit drug use (two studies, 351 reported, at 3 years, no significant difference in incidence of cognitive delay using the Bayley MDI (RR 1.36, 95% CI 0.41 to 4.45) and an increase in incidence of psychomotor delay using the Bayley PDI of borderline statistical significance (RR 3.26, 95% CI 1.00 to 10.59; RR 0.27, 95% CI 0.03 to 0.51). Meta-analysis of two studies 351,352 found no significant differences in cognitive development (Bayley MDI: FE WMD 3.92, 95% CI -0.56 to 8.41) or psychomotor development (Bayley PDI: FE WMD 3.22, 95% CI -0.01 to 6.44). Schuler 2000 352 reported a significant reduction in child protection services (RR 0.38, 95% CI 0.20 to 0.74)…”

Section: Resultsmentioning

confidence: 90%

“…Grant et al 341 reported only outcomes for child health (and so was excluded from our review). Schuler et al 342 reported no significant difference for continued illicit drug use, continued alcohol use or failure to enrol in a drug treatment programme. Overall, the review concluded that there was insufficient evidence to recommend the routine use of home visits for women with a drug or alcohol problem.…”

Section: Lifestyle Advisor Engaged In Improving Maternal and Infant Hmentioning

confidence: 99%

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An evidence synthesis of qualitative and quantitative research on component intervention techniques, effectiveness, cost-effectiveness, equity and acceptability of different versions of health-related lifestyle advisor role in improving health.

Carr

Lhussier²,

Forster³

et al. 2011

Health Technol Assess

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. ii ii HTA NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service' . The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of pro...

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Witnessing Violence Among Inner-city Children of Substance-Abusing and Non–Substance-Abusing Women

Schuler

Nair²

2001

Arch Pediatr Adolesc Med

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Mother-Infant Interaction: Effects of a Home Intervention and Ongoing Maternal Drug Use

Cited by 61 publications

References 33 publications

Ongoing Maternal Drug Use, Parenting Attitudes, and a Home Intervention: Effects on Mother-Child Interaction at 18 Months

Ongoing Maternal Drug Use, Parenting Attitudes, and a Home Intervention: Effects on Mother-Child Interaction at 18 Months

An evidence synthesis of qualitative and quantitative research on component intervention techniques, effectiveness, cost-effectiveness, equity and acceptability of different versions of health-related lifestyle advisor role in improving health.

Witnessing Violence Among Inner-city Children of Substance-Abusing and Non–Substance-Abusing Women

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