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Short-term in-home intervention reduces depressive symptoms in Early Head Start Latina mothers of infants and toddlers
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, cultura...
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| Published in: | Research in nursing & health 2010-02, Vol.33 (1), p.60-76 |
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| container_end_page | 76 |
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| container_title | Research in nursing & health |
| container_volume | 33 |
| creator | Beeber, Linda S. Holditch-Davis, Diane Perreira, Krista A. Schwartz, Todd Lewis, Virginia Blanchard, Hjordis Canuso, Regina Goldman, Barbara Davis |
| description | 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 |
| doi_str_mv | 10.1002/nur.20363 |
| format | article |
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Schwartz, Todd ; Lewis, Virginia ; Blanchard, Hjordis ; Canuso, Regina ; Goldman, Barbara Davis</creator><creatorcontrib>Beeber, Linda S. ; Holditch-Davis, Diane ; Perreira, Krista ; A. Schwartz, Todd ; Lewis, Virginia ; Blanchard, Hjordis ; Canuso, Regina ; Goldman, Barbara Davis</creatorcontrib><description>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</description><identifier>ISSN: 0160-6891</identifier><identifier>EISSN: 1098-240X</identifier><identifier>DOI: 10.1002/nur.20363</identifier><identifier>PMID: 20043296</identifier><identifier>CODEN: RNHEDO</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Adult and adolescent clinical studies ; Biological and medical sciences ; care of minority groups/patients ; child ; Comparative analysis ; Depression ; Depression - prevention & control ; Depression - psychology ; depression, emotional states/feelings ; developmental stages/events ; Early Intervention (Education) - methods ; emotional states/feelings ; family health ; Female ; General aspects ; growth and development ; growth and development, child, developmental stages/events ; growth and development, infant, developmental stages/events ; health promotion/wellness behaviors ; Hispanic Americans ; Hispanic Americans - psychology ; Home Nursing - methods ; Humans ; Infant ; Infants ; Intervention ; Latin American people ; Low income groups ; Male ; Medical sciences ; Mental depression ; mental health ; mental health, health promotion/wellness behaviors ; Miscellaneous ; Mood disorders ; Mothers ; Mothers - psychology ; Nursing ; parent-child relationships ; parent-infant health/parenting ; parenting ; parenting, parent‐infant health/parenting ; parent‐child relationships, family health ; Proficiency ; Psychiatric Nursing - methods ; Psychiatric Status Rating Scales ; Psychology. 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Schwartz, Todd</creatorcontrib><creatorcontrib>Lewis, Virginia</creatorcontrib><creatorcontrib>Blanchard, Hjordis</creatorcontrib><creatorcontrib>Canuso, Regina</creatorcontrib><creatorcontrib>Goldman, Barbara Davis</creatorcontrib><title>Short-term in-home intervention reduces depressive symptoms in Early Head Start Latina mothers of infants and toddlers</title><title>Research in nursing & health</title><addtitle>Res. Nurs. Health</addtitle><description>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</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>care of minority groups/patients</subject><subject>child</subject><subject>Comparative analysis</subject><subject>Depression</subject><subject>Depression - prevention & control</subject><subject>Depression - psychology</subject><subject>depression, emotional states/feelings</subject><subject>developmental stages/events</subject><subject>Early Intervention (Education) - methods</subject><subject>emotional states/feelings</subject><subject>family health</subject><subject>Female</subject><subject>General aspects</subject><subject>growth and development</subject><subject>growth and development, child, developmental stages/events</subject><subject>growth and development, infant, developmental stages/events</subject><subject>health promotion/wellness behaviors</subject><subject>Hispanic Americans</subject><subject>Hispanic Americans - psychology</subject><subject>Home Nursing - methods</subject><subject>Humans</subject><subject>Infant</subject><subject>Infants</subject><subject>Intervention</subject><subject>Latin American people</subject><subject>Low income groups</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental depression</subject><subject>mental health</subject><subject>mental health, health promotion/wellness behaviors</subject><subject>Miscellaneous</subject><subject>Mood disorders</subject><subject>Mothers</subject><subject>Mothers - psychology</subject><subject>Nursing</subject><subject>parent-child relationships</subject><subject>parent-infant health/parenting</subject><subject>parenting</subject><subject>parenting, parent‐infant health/parenting</subject><subject>parent‐child relationships, family health</subject><subject>Proficiency</subject><subject>Psychiatric Nursing - methods</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapy</subject><subject>Public health. Hygiene</subject><subject>Public health. 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| ispartof | Research in nursing & health, 2010-02, Vol.33 (1), p.60-76 |
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| subjects | Adult Adult and adolescent clinical studies Biological and medical sciences care of minority groups/patients child Comparative analysis Depression Depression - prevention & control Depression - psychology depression, emotional states/feelings developmental stages/events Early Intervention (Education) - methods emotional states/feelings family health Female General aspects growth and development growth and development, child, developmental stages/events growth and development, infant, developmental stages/events health promotion/wellness behaviors Hispanic Americans Hispanic Americans - psychology Home Nursing - methods Humans Infant Infants Intervention Latin American people Low income groups Male Medical sciences Mental depression mental health mental health, health promotion/wellness behaviors Miscellaneous Mood disorders Mothers Mothers - psychology Nursing parent-child relationships parent-infant health/parenting parenting parenting, parent‐infant health/parenting parent‐child relationships, family health Proficiency Psychiatric Nursing - methods Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapy Public health. Hygiene Public health. Hygiene-occupational medicine Regression Analysis Self Efficacy Young children |
| title | Short-term in-home intervention reduces depressive symptoms in Early Head Start Latina mothers of infants and toddlers |
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