Relationship‐based intervention with at‐risk mothers: Factors affecting variations in outcome

Heinicke, Christoph M.; Goorsky, M.; Moscov, S.; Dudley, Katerina; Gordon, Jamie; Schneider, Connie; Guthrie, Don

doi:10.1002/1097-0355(200007)21:3<133::aid-imhj1>3.3.co;2-g

Cited by 18 publications

(28 citation statements)

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“…This finding is consistent with findings of meta-analytic studies on alliance in psychotherapy. However, except for a few parenting interventions studies (e.g., Berlin et al, 1998;Heinicke et al, 2000;Korfmacher et al, 1998) most of the evidence regarding the role of alliance in predicting intervention effects stems from therapeutic services (Hoagwood, 2005). Two meta-analytic studies on child, adolescent, and adult therapy both revealed a substantial association (r 5.22) between therapeutic alliance and outcomes (Martin et al, 2000;Shirk & Karver, 2003), with only a few studies reporting no association (e.g., Motta & Lynch, 1990).…”

Section: Discussionmentioning

confidence: 99%

“…Only two mothers reported not to have used the skills provided by the intervener, whereas over half of the mothers in our study reported implementing the skills, reading the booklet with tips, and discussing the intervention with others. In several studies, active involvement and participation level as measured during the intervention have been linked to intervention effectiveness (e.g., Heinicke et al, 2000;Lieberman et al, 1991). In contrast, Korfmacher and colleagues (1998) found no link between level of participation and outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…In our study, program fidelity was high: all participants received six home visits, each session was standardized in manuals, and intervener skills were extensively trained and supervised. According to the literature, these are the main ingredients for ensuring program fidelity (e.g., Culp et al, 2004;Heinicke et al, 2000). Because of the lack of variation in the number of home visits and the way the intervention was administered, program fidelity was not a potential process variable in our study.…”

Section: The Present Studymentioning

confidence: 99%

“…Other moderating aspects of the intervention process that have been found to predict positive outcomes are the extent to which the program was implemented as planned, regarding content of the intervention, and whether the number of planned contacts was reached. The term fidelity has been used to describe these aspects of the intervention process (e.g., Heinicke et al, 2000;Matthews & Hudson, 2001;Tolan et al, 2002).…”

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confidence: 99%

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Early parenting intervention aimed at maternal sensitivity and discipline: a process evaluation

Stolk

Mesman

Zeijl

et al. 2008

Journal Community Psychology

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This study investigated the influence of the intervention process on the effectiveness of a program aimed at promoting positive parenting. The study involved a homogeneous intervention sample (N 5 120) of mothers and their 1-, 2-, or 3-year-old children screened for high levels of externalizing problems. The alliance between mother and intervener, mothers' active skills implementation, and father involvement were examined in relation to changes in maternal sensitivity and positive discipline strategies. Results revealed that only alliance predicted change in positive parenting. Implications for future process evaluations and intervention programs are discussed. C 2008 Wiley Periodicals, Inc.Studies on (preventive) parenting interventions in early childhood mainly focus on program outcome, determining whether an intervention results in the desired effects.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: The Present Studymentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Early parenting intervention aimed at maternal sensitivity and discipline: a process evaluation

Stolk

Mesman

Zeijl

et al. 2008

Journal Community Psychology

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“…Cicchetti et al [6,7], in a population of depressed mothers and their toddlers did not find any effect of treatment length on attachment security and cognitive development in the children studied. Other studies have shown that the quality of the implication of the mother in the treatment process [19,24,31] and the support of the partner [19] were associated with better outcome. The sex of the child, the mother's educational status, and the presence of environmental risk factors have shown no relationship with outcome [2,7].…”

Section: Introductionmentioning

confidence: 99%

Predictors of outcome in infant and toddlers functional or behavioral disorders after a brief parent–infant psychotherapy

Hervé

Paradis

Rattaz

et al. 2009

Eur Child Adolesc Psychiatry

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The efficacy of parent-child psychotherapies is widely recognized today. There are, however, less data on predictive factors for outcome in infants and toddlers and their parents. The aim of this study was to highlight predictive factors for outcome after a brief psychotherapy in a population of 49 infants and toddlers aged 3-30 months presenting functional or behavioral disorders. Two assessments were performed, the first before treatment and the second a month after the end of the therapy. These assessments included an evaluation of the child's symptoms, and of depressive or anxiety symptoms in the parents. The assessments after therapy show complete or partial improvement in the child's symptoms for nearly three quarters, and a decrease in the number of anxious and depressive mothers, and also in the number of depressive fathers. Three independent factors appear as predictive of unfavorable outcome for the child: frequency and intensity of behavioral problems and fears, and the absence of the father at more than two-thirds of consultations. The outcome for the mother is associated solely with her anxiety score at the start of the therapy. This study underlines the particular difficulties involved in the treatment of infants and toddlers presenting behavioral disturbances and emotional difficulties, and the value of involving the father in treatment.

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Infants at Double Jeopardy: Socioeconomic, Medical, and Attachment‐Based Predictors of Maternal Engagement with an Early Intervention Program

Chin

Teti

2013

Infant Mental Health Journal

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Predictors of parental engagement with early intervention were examined in 138 predominantly low‐income, African American mothers enrolled in a program designed to promote premature infant development and parent–infant relationships. Predictors included sociodemographics, infant medical risk, and mothers’ states of mind regarding attachment. Mothers’ engagement with intervention was assessed using interventionists’ ratings of parental engagement. Higher socioeconomic risk predicted lower engagement regardless of intervention status. Infant medical risk was not significantly associated with engagement. Autonomous (secure) mothers were more engaged with the intervention than were nonautonomous mothers, but only in the intervention group. When socioeconomic risk and maternal attachment status were examined jointly, only socioeconomic risk significantly predicted engagement. Results underscore the need for intervention programs that proactively identify socioeconomic and personological impediments to parental engagement and that are flexibly designed to maximize parental involvement.

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Relationship‐based intervention with at‐risk mothers: Factors affecting variations in outcome

Cited by 18 publications

References 0 publications

Early parenting intervention aimed at maternal sensitivity and discipline: a process evaluation

Early parenting intervention aimed at maternal sensitivity and discipline: a process evaluation

Predictors of outcome in infant and toddlers functional or behavioral disorders after a brief parent–infant psychotherapy

Infants at Double Jeopardy: Socioeconomic, Medical, and Attachment‐Based Predictors of Maternal Engagement with an Early Intervention Program

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