Pilot study of a program delivered within the regular service system in Germany: Effect of a short-term attachment-based intervention on maternal sensitivity in mothers at risk for child abuse and neglect

Pillhofer, Melanie; Spangler, Gottfried; Bovenschen, Ina; Kuenster, Anne K.; Gabler, Sandra; Fallon, Barbara; Fegert, Jöerg M.; Ziegenhain, Ute

doi:10.1016/j.chiabu.2014.07.007

Cited by 48 publications

(27 citation statements)

References 37 publications

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“…Furthermore, low effect sizes comparing IG and CG point to quite effective standard care for mothers leading to small differences between IG and CG. Some programs published subgroup analysis showing that programs had differential effects and were especially effective with the high-risk mothers (Pillhofer et al, 2014; In press), lower risk mothers (Sierau et al, under review), and girls in terms of gender effects concerning the children (Sandner & Jungmann, In preparation). Thus, future meta-analyses should include subgroup analyses which was not possible with the current data set.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, the data set at follow-up is not conclusive and may not be representative for all programs. Furthermore, the effects were inhomogeneous with a medium effect size for Good Start at follow-up (d ¼0.54) (Pillhofer et al, 2014) and a negative small to zero effect for "Nobody slips through the net" (d ¼ À0.16) (Sidor et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…Program ( (Zimmermann, 2015) Social Support Questionnaire (Schneewind, 1992) -À 0.15 (0.29) German midwife prevention study (Anding et al, 2013) ESF, Scale Social Support 0.03 (0.18) -Pro Kind (Sierau et al, under review) Perceived social support (Hosser, 2000); Life Satisfaction Questionnaire (Fahrenberg, Myrtek, & Schumacher, & Brähler, 2000), Scales Partner Satisfaction, Social Support 0.13 (0.12) -Symptom-burden Good start (Pillhofer et al, 2014;Zimmermann, 2015) Center for Epidemiological Studies -Depression Scale (CES-D; Hautzinger, Bailer, Hofmeister, & Keller, 2012); General Psychological Distress (Franke, 2000) 0.46 (0.30) 0.29 (0.30) German midwife prevention study (Anding et al, 2013, In preparation) Edinburgh Postnatal Depression Scale (EPDS; Cox, Holden, & Sagovsky, 1987); Brief Symptom Inventory (BSI; Franke, 2000) 0.12 (0.16) -Nobody slips through the Net (KfdN; Sidor et al, 2013) EPDS 0.23 (0.14) -STEEP (Suess et al, In preparation) EPDS; Impact of Event Scales (IES; Weiss & Marmar, 1997) À 0.23 (0.25) -Trauma-preventive psychological intervention for premature birth (Jotzo & Poets, 2005) IES 0.72 (0.30)…”

Section: Mothersmentioning

confidence: 99%

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Effectiveness of early-intervention programs in German-speaking countries – a meta-analysis

Taubner

Wolter

Rabung

2015

Mental Health & Prevention

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Mothersmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of early-intervention programs in German-speaking countries – a meta-analysis

Taubner

Wolter

Rabung

2015

Mental Health & Prevention

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“…In addition, some studies have revealed higher benefits for children from families with lower psychosocial resources, such as was found in the Nurse–Family Partnership program (Kitzman et al., ; Olds et al., ). For German‐speaking countries, which have their own specific cultural environments, early intervention structures, and policies (Benz & Sidor, ), the meta‐analysis of Taubner, Wolter, and Rabung () has revealed that especially the Ulm model showed significant effects on maternal sensitivity (Bovenschen et al., ; Pillhofer et al., ; Ziegenhain, Derksen, & Dreisörner, ). On the other hand, no effects on language development were found (Taubner et al., ).…”

Section: Early Interventions Promoting Maternal Sensitivity and Langumentioning

confidence: 99%

Mediating Role of Maternal Sensitivity: Enhancing Language Development in At‐risk Families

Neuhauser

Ramseier

Schaub

et al. 2018

Infant Mental Health Journal

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Home-visiting programs have gained increasing importance in family-centered prevention and intervention. However, few studies have examined the mechanisms underlying early intervention treatment effects. The goal of this study is to analyze the mediating role of maternal sensitivity in enhancing language development with the home-visiting program Parents as Teachers (PAT). Data were collected and analyzed within the ongoing, long-term ZEPPELIN study, a randomized controlled trial with 251 participating at-risk families. Via longitudinal mediation analysis, we examined whether effects of the PAT on receptive and expressive language outcomes at 24 and 36 months were mediated by maternal sensitivity at 12 months. Within a moderated mediation framework, we investigated whether the level of family psychosocial stress affects this mediation. Results showed that intervention effects on language outcomes are mediated by maternal sensitivity-weakly and through specific pathways. Moderation and moderated mediation analyses indicated that effects of the PAT and also specific mediation effects increase with the level of psychosocial stress. Implications of the results for practice are discussed.

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“…Moreover, some children from lower SES backgrounds also may struggle academically (Sirin, 2005) and therefore have difficulty retaining knowledge presented in school-based CSA prevention programs. Recent work has shown that a short-term attachment-based intervention designed to enhance maternal sensitivity was effective among families at high risk for child abuse, but did not perform better than a control group in families at moderate risk for child abuse (Pillhofer et al, 2015). One aim of the preset study was to examine whether geographic CSA risk markers, such as the amount of documented abuse in the community, are related to school-based education and prevention program effectiveness.…”

Section: Community-level Moderatorsmentioning

confidence: 99%

Community-level moderators of a school-based childhood sexual assault prevention program

Morris

Kouros

Janecek

et al. 2017

Child Abuse & Neglect

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Childhood sexual abuse (CSA) is highly prevalent and associated with a wide variety of negative mental and physical health outcomes. School-based CSA education and prevention programs have shown promise, but it is unclear to what extent community-level characteristics are related to their effectiveness. The present cluster randomized controlled trial evaluated community-level moderators of the Safe@Last program compared to a waitlist control condition. Knowledge gains from pre- to post-intervention were assessed in 5 domains: safe versus unsafe people; safe choices; problem-solving; clear disclosure; and assertiveness. Participants were 1,177 students (46% White, 26% African American, 15% Hispanic, 4% Asian American, 6% Other) in grades 1 through 6 from 14 public schools in Tennessee. Multilevel models accounting for the nesting of children within schools revealed large effect sizes for the intervention versus control across all knowledge domains (d’s ranged from 1.56 to 2.13). The effectiveness of the program was moderated by mean per capita income and rates of substantiated cases of child abuse and neglect in the community. Intervention effects were stronger for youth living in lower as compared to higher income counties, and for youth attending schools in counties with lower as compared to higher abuse/neglect rates. Child characteristics (sex, race) did not moderate intervention effects. This research identified two community-level factors that predicted the effectiveness of a CSA education and prevention program designed to improve children’s knowledge of personal safety skills. School-based CSA prevention programs may require modification for communities with higher rates of child abuse and neglect.

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Pilot study of a program delivered within the regular service system in Germany: Effect of a short-term attachment-based intervention on maternal sensitivity in mothers at risk for child abuse and neglect

Cited by 48 publications

References 37 publications

Effectiveness of early-intervention programs in German-speaking countries – a meta-analysis

Effectiveness of early-intervention programs in German-speaking countries – a meta-analysis

Mediating Role of Maternal Sensitivity: Enhancing Language Development in At‐risk Families

Community-level moderators of a school-based childhood sexual assault prevention program

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