METHODS: Using a mixed-methods approach that included a pilot randomized clinical trial and post-intervention qualitative interviews, 137 mothers were randomly assigned to receive IBH-P or usual care. Self-report measures of parenting, child behavior, and stress were obtained at pre- and/or post-intervention. Direct observation of mother-infant interactions was conducted at post-intervention.
RESULTS: No differences between groups were found on maternal attunement, knowledge of child development, nurturing parenting, or infant behavior. A secondary analysis on a subsample with no prior exposure to IBH-P with older siblings found that mothers in IBH-P reported increased self-efficacy relative to controls. In the qualitative interviews, mothers stated that they valued IBH-P, learning about their baby, liked the integration in primary care, and felt respected and comfortable with their provider.
CONCLUSIONS: Findings are discussed in terms of the next steps in refining IBH-P approaches to prevention in primary care.
方法:使用混合方法方法,包括试点随机临床试验和干预后定性访谈,137名母亲被随机分配接受IBH-P或常规护理。自我报告养育子女的措施,儿童行为,在干预前和/或干预后获得压力。干预后直接观察母婴互动。
结果:在产妇调节方面,组间没有发现差异,儿童发展的知识,养育父母,或婴儿行为。对先前未与年长兄弟姐妹接触IBH-P的子样本进行的二次分析发现,IBH-P中的母亲报告的自我效能感相对于对照组增加。在定性采访中,母亲们表示,他们重视IBH-P,了解他们的宝宝,喜欢初级保健的整合,并对他们的提供者感到尊重和舒适。
结论:研究结果将根据在初级保健中改进IBH-P预防方法的后续步骤进行讨论。