Pre-intervention child maltreatment risks, intervention engagement, and effects on child maltreatment risk within an RCT of MHealth and parenting intervention
IntroductionEvidence-based mental health and parenting support services for mothers postpartum can reduce risk for child maltreatment. However, women suffering economic and cultural stressors disproportionately shoulder the burden of infant caregiving while experiencing profound barriers to accessin...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-07-01
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| Series: | Frontiers in Digital Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fdgth.2023.1211651/full |
| _version_ | 1797783062253142016 |
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| author | Kathleen M. Baggett Betsy Davis Connie Olwit Edward G. Feil |
| author_facet | Kathleen M. Baggett Betsy Davis Connie Olwit Edward G. Feil |
| author_sort | Kathleen M. Baggett |
| collection | DOAJ |
| description | IntroductionEvidence-based mental health and parenting support services for mothers postpartum can reduce risk for child maltreatment. However, women suffering economic and cultural stressors disproportionately shoulder the burden of infant caregiving while experiencing profound barriers to accessing mental health and parenting services. This article reports on an MHealth and parenting intervention targeting maternal mood and positive parent practices within a randomized controlled trial, which provided a unique opportunity to view pre-intervention child maltreatment risk, its relationship to subsequent intervention engagement, and intervention engagement effects on pre-post child maltreatment risk reduction.MethodPrincipal component factor analysis was conducted to identify a modifiable pre-intervention child maltreatment risk construct within a combined MHealth and parenting intervention sample of 184 primarily Black mothers and their infants. An independent t-test was conducted to compare pre-intervention child maltreatment risk levels between mothers who went on to complete at least two-thirds of the intervention and those who did not. A GLM repeated measures analysis of variance was conducted to determine effects of intervention engagement on child maltreatment risk reduction.ResultsPre-intervention child maltreatment risk did not differentiate subsequent maternal intervention completion patterns. Mothers who completed two-thirds of the intervention, compared to those who did not, demonstrated significant reductions in pre-post child maltreatment risk.DiscussionFindings underscore the potential of MHealth parenting interventions to reduce substantial child maltreatment risk through service delivery addressing a range of positive parenting and behavioral health needs postpartum, a particularly vulnerable developmental period for maternal depression and child maltreatment risk. |
| first_indexed | 2024-03-13T00:20:48Z |
| format | Article |
| id | doaj.art-deffa965763a4596ba3aecd39104bc69 |
| institution | Directory Open Access Journal |
| issn | 2673-253X |
| language | English |
| last_indexed | 2024-03-13T00:20:48Z |
| publishDate | 2023-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Digital Health |
| spelling | doaj.art-deffa965763a4596ba3aecd39104bc692023-07-11T16:33:13ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2023-07-01510.3389/fdgth.2023.12116511211651Pre-intervention child maltreatment risks, intervention engagement, and effects on child maltreatment risk within an RCT of MHealth and parenting interventionKathleen M. Baggett0Betsy Davis1Connie Olwit2Edward G. Feil3Mark Chaffin Center for Healthy Development, School of Public Health, Georgia State University, Atlanta, GA, United StatesOregon Research Institute, Eugene, OR, United StatesMark Chaffin Center for Healthy Development, School of Public Health, Georgia State University, Atlanta, GA, United StatesOregon Research Institute, Eugene, OR, United StatesIntroductionEvidence-based mental health and parenting support services for mothers postpartum can reduce risk for child maltreatment. However, women suffering economic and cultural stressors disproportionately shoulder the burden of infant caregiving while experiencing profound barriers to accessing mental health and parenting services. This article reports on an MHealth and parenting intervention targeting maternal mood and positive parent practices within a randomized controlled trial, which provided a unique opportunity to view pre-intervention child maltreatment risk, its relationship to subsequent intervention engagement, and intervention engagement effects on pre-post child maltreatment risk reduction.MethodPrincipal component factor analysis was conducted to identify a modifiable pre-intervention child maltreatment risk construct within a combined MHealth and parenting intervention sample of 184 primarily Black mothers and their infants. An independent t-test was conducted to compare pre-intervention child maltreatment risk levels between mothers who went on to complete at least two-thirds of the intervention and those who did not. A GLM repeated measures analysis of variance was conducted to determine effects of intervention engagement on child maltreatment risk reduction.ResultsPre-intervention child maltreatment risk did not differentiate subsequent maternal intervention completion patterns. Mothers who completed two-thirds of the intervention, compared to those who did not, demonstrated significant reductions in pre-post child maltreatment risk.DiscussionFindings underscore the potential of MHealth parenting interventions to reduce substantial child maltreatment risk through service delivery addressing a range of positive parenting and behavioral health needs postpartum, a particularly vulnerable developmental period for maternal depression and child maltreatment risk.https://www.frontiersin.org/articles/10.3389/fdgth.2023.1211651/fulldigital MHealthparenting supportchild maltreatmentviolence preventioninfant |
| spellingShingle | Kathleen M. Baggett Betsy Davis Connie Olwit Edward G. Feil Pre-intervention child maltreatment risks, intervention engagement, and effects on child maltreatment risk within an RCT of MHealth and parenting intervention Frontiers in Digital Health digital MHealth parenting support child maltreatment violence prevention infant |
| title | Pre-intervention child maltreatment risks, intervention engagement, and effects on child maltreatment risk within an RCT of MHealth and parenting intervention |
| title_full | Pre-intervention child maltreatment risks, intervention engagement, and effects on child maltreatment risk within an RCT of MHealth and parenting intervention |
| title_fullStr | Pre-intervention child maltreatment risks, intervention engagement, and effects on child maltreatment risk within an RCT of MHealth and parenting intervention |
| title_full_unstemmed | Pre-intervention child maltreatment risks, intervention engagement, and effects on child maltreatment risk within an RCT of MHealth and parenting intervention |
| title_short | Pre-intervention child maltreatment risks, intervention engagement, and effects on child maltreatment risk within an RCT of MHealth and parenting intervention |
| title_sort | pre intervention child maltreatment risks intervention engagement and effects on child maltreatment risk within an rct of mhealth and parenting intervention |
| topic | digital MHealth parenting support child maltreatment violence prevention infant |
| url | https://www.frontiersin.org/articles/10.3389/fdgth.2023.1211651/full |
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