This study will examine the efficacy of Enhanced First Connections, which is a short-term perinatal home visiting program that includes infant and early childhood mental health consultation. Mothers with a history of adversity or trauma will be the focus of this research. Hypothesized outcomes of Enhanced First Connections include the prevention of child maltreatment (child abuse and neglect), prevention of child exposure to adult intimate partner violence, increases in family engagement in longer-term evidence based home visiting programs, increases in family engagement in specialized support services to address maternal adversity and trauma, reductions in maternal risk factors, and the promotion of positive parenting and the parent-child relationship.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
200
Enhanced First Connections is a short-term home visiting program that includes prenatal identification and engagement of women with an adversity or trauma history, and infant and early childhood mental health consultation.
E.P. Bradley Hospital
East Providence, Rhode Island, United States
Child Maltreatment Status
Child protection record review
Time frame: 6-months postpartum
Child Exposure to Intimate Partner Violence
Child protection record review
Time frame: 6-months postpartum
Maternal Report of Intimate Partner Violence
Maternal report: Conflict Tactics Scales
Time frame: 6-months postpartum
Family engagement in evidence based home visiting programs
Home visiting record review
Time frame: 6-months postpartum
Contextual stress exposure
Maternal report: Contextual Stress Interview
Time frame: 6-months postpartum
Maternal depressive symptoms
Maternal report: Patient Health Questionnaire-9
Time frame: 6-months postpartum
Maternal anxiety symptoms
Maternal report: Generalized Anxiety Disorder 7-item scale
Time frame: 6-months postpartum
Maternal PTSD symptoms
Maternal report: Short Post-Traumatic Stress Disorder Rating Interview
Time frame: 6-months postpartum
Maternal alcohol use
Maternal report: Alcohol Use Disorders Test
Time frame: 6-months postpartum
Maternal substance use
Maternal report: Drug Abuse Screening Test
Time frame: 6-months postpartum
Maternal parenting stress
Maternal report: Parenting Stress Index
Time frame: 6-months postpartum
Maternal sensitivity
Observation of free play interaction coded using Parent Caregiver Involvement Scales and Emotional Availability Scales
Time frame: 6-months postpartum
Maternal hostility
Observation of free play interaction coded using Emotional Availability Scales
Time frame: 6-months postpartum
Maternal non-responsiveness
Maternal report: Maternal Responsiveness Questionnaire
Time frame: 6-months postpartum
Home environment
Home Observation for Measurement of the Environment
Time frame: 6-months postpartum
Mother-infant relationship
Maternal report: Postpartum Bonding Questionnaire
Time frame: 6-months postpartum
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