This study will test the effectiveness of a short-term intervention in treating depressed young mothers with young children enrolled in Early Head Start Programs.
Limited resources, poor social support, and complex life problems contribute to the high prevalence and severity of depressive symptoms in low-income mothers. As depressive symptoms persist, they often rob young mothers of the energy they need for school, job training, and positive interaction with their children, which can negatively affect a child's language acquisition, intellectual development, and social conduct. This study will design and implement a home-based treatment to help young mothers manage their depressive symptoms, increase their social support, manage or resolve life issues, and effectively parent their infant or toddler through the use of EHS resources. Mothers will be randomly assigned to receive either home-based interpersonal depression treatment or an attention control/usual care condition for 26 weeks. Assessments will be made at study start and Weeks 14, 22, and 26. Depression scales, interviews, and analyses of videotaped mother-child interactions will be used to assess participants. Stress, social support, and use of EHS services will be assessed.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
226
Psychiatric mental health nurses will meet with participants 10 times, an hour each time, over a period of 14 weeks. The nurses will continue to work with the mothers over the next 8 weeks by phone, conducting 5 fifteen minute phone sessions.
Participants will receive the usual care for depression.
P.E.A.C.E, Inc. Early Head Start
Syracuse, New York, United States
Asheville City Schools Preschool-Early Head Start Program
Asheville, North Carolina, United States
Chapel Hill Training Outreach Project, Inc. Early Head Start
Chapel Hill, North Carolina, United States
University of North Carolina, Chapel Hill
Chapel Hill, North Carolina, United States
Level of depressive symptoms
Time frame: Measured at Week 26
Mother child interactions
Time frame: Measured at Week 26
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W.A.G.E.S., Inc. Early Head Start Program
Goldsboro, North Carolina, United States
United Child Development Services, Inc. Early Head Start
Greensboro, North Carolina, United States