Cathy L. Guttentag|Susan H. Landry|Jeffrey M. Williams|Kathleen M. Baggett|Christine Willard Noria|John G. Borkowski|Paul R. Swank|Jaelyn R. Farris|April Crawford|Robin Gaines Lanzi|Judith J. Carta|Steven F. Warren|Sharon Landesman Ramey
“My Baby &amp; Me”: Effects of an early, comprehensive parenting intervention on at-risk mothers and their children.
The University of Texas Health Science Center at Houston|The University of Texas Health Science Center at Houston|The University of Texas Health Science Center at Houston|University of Kansas|University of Notre Dame|University of Notre Dame|The University of Texas Health Science Center at Houston|University of Notre Dame|The University of Texas Health Science Center at Houston|Georgetown University|University of Kansas|University of Kansas|Georgetown University
study examined efficacy multimodule parenting intervention baby began prenatally continued children reached 25 years age intervention targeted specific parenting skills designed alter trajectories maternal child development 361 highrisk mothers 193 adolescents 168 adults enrolled across 4 states half randomly assigned highintensity hi home visitation coaching program 55 sessions half lowintensity li condition included monthly phone calls coach printed informational materials community resource referrals videotaped observations motherchild play coded 5 time points multiple maternal child behaviors skills compared mothers li group mothers hi group showed higher levels contingent responsiveness higher quality verbal stimulation verbal scaffolding 30 months higher levels warmth greater decreases physical intrusiveness negativity children 24 months 30 months children hi group showed rapid increases higher levels engagement environment expressive language skills social engagement well complex toy play fewer problem behaviors li group gains maternal responsive behaviors mediated effects intervention child outcomes results comparable adolescent adult mothers strong theoretical framework consistent focus maternal responsiveness high dosage trusting relationships coaches thought explain positive outcomes