Tags

Type your tag names separated by a space and hit enter

Mellow Babies and Mellow Toddlers: Effects on maternal mental health of a group-based parenting intervention for at-risk families with young children.
J Affect Disord. 2019 03 01; 246:820-827.JA

Abstract

BACKGROUND

Parental risk factors can have a significant detrimental impact on child development, yet most parenting interventions do not address parental mental health. There is also a dearth of evidence regarding parenting interventions for families with children under two years old. Mellow Parenting (MP) is a suite of parenting interventions targeting at-risk families with complex needs, including those with very young children. Preliminary studies suggest that MP can improve both parent and child outcomes, but no evaluation has been conducted in routine practice.

METHODS

Using a real-world design we analysed routine data from a UK cohort of n = 183 mother-child dyads, collected over a 21-month period. Data were gathered immediately pre- and post-intervention. Outcomes included maternal mental health, parenting confidence, daily parenting stress, and child behaviour. Intention-to-treat and 'completer' analyses were performed. Associations between attendance, participant demographics, and pre-post change in outcomes were modelled.

RESULTS

MP participation was associated with improvements in maternal mental health (d = 0.36), parenting confidence (d = 0.42), and a component of child psychosocial behaviour (conduct problems; d = 0.36), but not overall child difficulties, or daily parenting stress. Mothers with a partner experienced larger benefits in mental health and parenting confidence compared to single mothers. Younger mothers, and those with a history of mental health problems, attended more intervention sessions.

LIMITATIONS

The study used real-world data and was thus uncontrolled, limiting causal interpretations.

CONCLUSIONS

This is the first study to explore MP participation on a multi-site national level and suggests that group-based parenting interventions may be effective for at-risk families. These results should be expanded upon via controlled studies that incorporate follow-up data.

Authors+Show Affiliations

University of Edinburgh, Scotland, UK.Mellow Parenting, Scotland, UK.Mellow Parenting, Scotland, UK.University of Edinburgh, Scotland, UK. Electronic address: angus.macbeth@ed.ac.uk.

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

30795486

Citation

Levi, Dalia, et al. "Mellow Babies and Mellow Toddlers: Effects On Maternal Mental Health of a Group-based Parenting Intervention for At-risk Families With Young Children." Journal of Affective Disorders, vol. 246, 2019, pp. 820-827.
Levi D, Ibrahim R, Malcolm R, et al. Mellow Babies and Mellow Toddlers: Effects on maternal mental health of a group-based parenting intervention for at-risk families with young children. J Affect Disord. 2019;246:820-827.
Levi, D., Ibrahim, R., Malcolm, R., & MacBeth, A. (2019). Mellow Babies and Mellow Toddlers: Effects on maternal mental health of a group-based parenting intervention for at-risk families with young children. Journal of Affective Disorders, 246, 820-827. https://doi.org/10.1016/j.jad.2018.12.120
Levi D, et al. Mellow Babies and Mellow Toddlers: Effects On Maternal Mental Health of a Group-based Parenting Intervention for At-risk Families With Young Children. J Affect Disord. 2019 03 1;246:820-827. PubMed PMID: 30795486.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mellow Babies and Mellow Toddlers: Effects on maternal mental health of a group-based parenting intervention for at-risk families with young children. AU - Levi,Dalia, AU - Ibrahim,Raquib, AU - Malcolm,Ruaridh, AU - MacBeth,Angus, Y1 - 2018/12/26/ PY - 2018/08/24/received PY - 2018/11/15/revised PY - 2018/12/24/accepted PY - 2019/2/24/entrez PY - 2019/2/24/pubmed PY - 2019/4/20/medline KW - At-risk KW - Child conduct problems KW - Infant KW - Maternal Mental Health KW - Mellow Parenting KW - Parenting KW - Parenting Intervention KW - Toddler SP - 820 EP - 827 JF - Journal of affective disorders JO - J Affect Disord VL - 246 N2 - BACKGROUND: Parental risk factors can have a significant detrimental impact on child development, yet most parenting interventions do not address parental mental health. There is also a dearth of evidence regarding parenting interventions for families with children under two years old. Mellow Parenting (MP) is a suite of parenting interventions targeting at-risk families with complex needs, including those with very young children. Preliminary studies suggest that MP can improve both parent and child outcomes, but no evaluation has been conducted in routine practice. METHODS: Using a real-world design we analysed routine data from a UK cohort of n = 183 mother-child dyads, collected over a 21-month period. Data were gathered immediately pre- and post-intervention. Outcomes included maternal mental health, parenting confidence, daily parenting stress, and child behaviour. Intention-to-treat and 'completer' analyses were performed. Associations between attendance, participant demographics, and pre-post change in outcomes were modelled. RESULTS: MP participation was associated with improvements in maternal mental health (d = 0.36), parenting confidence (d = 0.42), and a component of child psychosocial behaviour (conduct problems; d = 0.36), but not overall child difficulties, or daily parenting stress. Mothers with a partner experienced larger benefits in mental health and parenting confidence compared to single mothers. Younger mothers, and those with a history of mental health problems, attended more intervention sessions. LIMITATIONS: The study used real-world data and was thus uncontrolled, limiting causal interpretations. CONCLUSIONS: This is the first study to explore MP participation on a multi-site national level and suggests that group-based parenting interventions may be effective for at-risk families. These results should be expanded upon via controlled studies that incorporate follow-up data. SN - 1573-2517 UR - https://www.unboundmedicine.com/medline/citation/30795486/Mellow_Babies_and_Mellow_Toddlers:_Effects_on_maternal_mental_health_of_a_group_based_parenting_intervention_for_at_risk_families_with_young_children_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(18)31867-6 DB - PRIME DP - Unbound Medicine ER -