Short‐term in‐home intervention reduces depressive symptoms in Early Head Start Latina mothers of infants and toddlers |
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| Authors: | Linda S Beeber Diane Holditch‐Davis Krista Perreira Todd A Schwartz Virginia Lewis Hjordis Blanchard Regina Canuso Barbara Davis Goldman |
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| Institution: | 1. School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC;2. Frances Hill Fox Term Professor.;3. School of Nursing, Duke University, Durham, NC;4. Marcus Hobbs Professor of Nursing and Associate Dean for Research Affairs.;5. Department of Public Policy, University of North Carolina at Chapel Hill, Chapel Hill, NC;6. Associate Professor.;7. Department of Biostatistics, Gillings School of Global Public Health and School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC;8. Research Assistant Professor.;9. Project Manager.;10. Data Manager.;11. Instructor.;12. Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC;13. Scientist and Coordinator of Infant Learning and Assessment. |
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| Abstract: | Depressive symptoms may compromise the ability of low‐income Latina mothers with limited English language proficiency to parent their infants or toddlers. Eighty Early Head Start Latina mothers with limited English language proficiency were randomized to an advanced practice nurse‐delivered, culturally tailored, in‐home psychotherapy intervention, or to usual care. Repeated measures regression analysis showed a significantly greater decrease in depressive symptoms for intervention mothers compared to the usual care group at 22 and 26 weeks (4 weeks post intervention). Intervention mothers' reports of their child's aggression diminished significantly from T1 to T4 compared to usual care mothers (p = .03). Self‐efficacy appeared to only partially mediate the intervention effect, and maternal health moderated the intervention impact. Results indicate that the intervention reduced depressive symptoms and, compared to previous studies in this population, retention of mothers in both intervention and control conditions was improved. © 2009 Wiley Periodicals, Inc. Res Nurs Health 33:60–76, 2010 |
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| Keywords: | care of minority groups/patients depression emotional states/feelings parenting parent‐infant health/parenting growth and development child developmental stages/events growth and development infant developmental stages/events parent‐child relationships family health mental health health promotion/wellness behaviors |
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