Minding the Baby Home Visiting: Program Evaluation

Status Completed

Clinical Trial Summary

This is an efficacy study of an intensive home visitation intervention, "Minding the Baby" (MTB). This reflective parenting program (aimed at enhancing maternal reflective capacities), is focused on first-time young mothers and infants living in an urban community. The study, grounded in attachment and human ecology theories integrates advanced practice nursing and mental health care by pairing master's level nurse practitioners and social workers with at-risk young families. Aims of the study are: 1) to determine the efficacy of the MTB intervention in young mothers and infants with respect to a) maternal outcome variables including the quality of the mother-infant relationship, maternal reflective capacities, maternal mastery/self-efficacy, parental competence, and maternal health and life course outcomes (educational success, employment, delaying subsequent child-bearing); and b) infant outcome variables including early attachment, infant health, and developmental outcomes; 2) to monitor fidelity and dose of the program with young mothers; 3) to describe the evolution of reflective capacities in adolescent mothers (contrasting intervention group with control group) through descriptive qualitative analyses of transcribed Pregnancy Interviews and Parent Development Interviews at the last trimester of pregnancy and at 24 months; 4) to conduct cost-effectiveness analyses of the program. The longitudinal two-group study (subjects nested within randomly assigned groups), will include multi-method (self report, interview and direct observation and coding of behaviors) approaches with a cohort of first-time multi-ethnic mothers between the ages of 14-25 (and their infants). MTB home visits occur weekly for intervention families (n=69) beginning in mid pregnancy and continuing through the first year, and then bi-weekly through the second year. Mothers and infants (n=69) in the control group will receive standard prenatal, postpartum and pediatric primary care in one of two community health centers (as will the intervention group) and also receive monthly educational materials about child health and development mailed to their homes. Maternal and infant outcome variables will be followed over time (pregnancy, 4, 12, and 24 months) as well as compared between the 2 groups. Cost analyses and analysis of the dose and sample characteristics linked to efficacy, will allow us to plan for translation of the model into clinical care and community sustainability.

Clinical Trial Description

n/a

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT01458145
Study type	Interventional
Source	Yale University
Contact
Status	Completed
Phase	N/A
Start date	September 2009
Completion date	December 2016

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT02549287` - Comparative Effectiveness Trail to Reduce Child Maltreatment, Improve Client Outcomes and Examine Client Burden	N/A
Completed	`NCT02451059` - Reducing Socioeconomic Disparities in Health at Pediatric Visits	N/A
Terminated	`NCT01395238` - Enhancing Father's Ability to Support Their Preschool Child	N/A
Completed	`NCT01791777` - Effectiveness and Cost-effectiveness of Coaching Models to Promote Implementation of an Evidence-based Parenting Program	N/A
Completed	`NCT02415933` - Child Protective Outcomes Among Ultra-poor Families in Burkina Faso	N/A
Completed	`NCT01304719` - A Computer-based Intervention to Augment Home Visitation Services: The E-Parenting Project	N/A
Recruiting	`NCT06109766` - Delivering Evidence-Based Parenting Services to Families in Child Welfare Using Telehealth	N/A
Withdrawn	`NCT02522741` - Safe Mothers, Safe Children Initiative	N/A
Completed	`NCT04606199` - Examine the Effects of Meditation on Daily Psychological Stress Responses in Woman With a History of Child Adversity	N/A
Active, not recruiting	`NCT04163367` - A Randomized Controlled Study of Safer Kids: A Manualized Intervention to Prevent Child Abuse	N/A
Recruiting	`NCT02225301` - iLookOut for Child Abuse -Online Learning Module for Early Childcare Providers	N/A
Completed	`NCT02979262` - Intimate Partner Violence and Fatherhood Intervention in Residential Substance Abuse Treatment	N/A
Completed	`NCT01294475` - Preventing Child Maltreatment Through A Cellular-Phone Technology-Based Parenting Program	Phase 1/Phase 2
Completed	`NCT00819702` - A Safe Environment for Every Kid (SEEK): A Model for Primary Care	N/A
Recruiting	`NCT06003582` - Co-production and Feasibility RCT of Intervention to Improve the Mental Health of Children With a Social Worker	Phase 1/Phase 2
Recruiting	`NCT05233150` - Child-Adult Relationship Enhancement in Primary Care (PriCARE) / Criando Niños Con CARIÑO (CARIÑO)	N/A
Recruiting	`NCT04752618` - Safe Mothers, Safe Children Initiative	N/A
Recruiting	`NCT05396625` - Reintegration of Children From Institutions in Azerbaijan	N/A
Completed	`NCT04809272` - ePLH Pilot Study: Online Support Parent Groups - ParentChat	N/A
Completed	`NCT03840798` - Disseminating Child Abuse Clinical Decision Support to Improve Detection, Evaluation and Reporting