dc.contributor.author
Klapp, Christine
dc.contributor.author
Fisch, Silvia
dc.contributor.author
Keller, Theresa
dc.contributor.author
Stasun, Ulrike
dc.contributor.author
Nazmy, Nurina
dc.contributor.author
Hohmann, Cynthia
dc.contributor.author
Hinkson, Larry
dc.contributor.author
Henrich, Wolfgang
dc.contributor.author
Bergmann, Karl E.
dc.contributor.author
Bermann, Renate L.
dc.contributor.author
Keil, Thomas
dc.date.accessioned
2019-12-20T14:13:24Z
dc.date.available
2019-12-20T14:13:24Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/26301
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-26060
dc.description.abstract
Objectives:
Our aim was to examine the effects of an early perinatal prevention program offered to mothers and families suffering from significant psychosocial burden.
Methods:
All mothers giving birth in a Berlin university hospital during Jan-Aug 2013 were screened with a standardized 27-item questionnaire by trained staff. Mothers with a screening-score ≥ 3, who were not enrolled in other public support programs, were defined as psychosocially burdened. They received a detailed needs assessment and were followed up with counseling. When necessary, affected mothers were voluntarily guided through to specialized 'early support' institutions during the 12-month-intervention period. The historical control group (care-as-usual) consisted of children born at the same hospital the year before.At 12 months postnatally, we interviewed mothers in both groups to assess their stress burden and coping skills by Parenting Stress Index and assessed the current childcare condition. Differences between the groups were compared by multivariable logistic regression analyses adjusting for potential confounders.
Results:
The intervention group and the control group included 225 and 157 families, respectively. After 12-months, mothers in the 'early support' intervention group had significantly less often depression (adjusted odds ratio 0.25, 95%-confidence interval 0.07-0.94), less often a disturbed relationship with the parenting partner (0.34, 0.10-1.14) and reported reduced stress due to the child's demands (0.40, 0.15-1.10) compared to the control group. Childcare indicators did not differ between the 2 groups.
Conclusions:
In mothers at high psychosocial risk, the 'early support' intervention program Babylotse-Plus seemed to reduce the occurrence of depression and several stress indicators in the first postnatal year.
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dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
child welfare
en
dc.subject
early support
en
dc.subject
intervention study
en
dc.subject
maternal depression
en
dc.subject
postnatal depression
en
dc.subject
psychosocial risk
en
dc.subject
parenting stress index
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
How effective is the early support program Babylotse-Plus for psychosocially burdened mothers and their infants? A comparative intervention study
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.articlenumber
14
dcterms.bibliographicCitation.doi
10.1186/s40748-019-0109-5
dcterms.bibliographicCitation.journaltitle
Maternal Health, Neonatology and Perinatology
dcterms.bibliographicCitation.originalpublishername
BMC
dcterms.bibliographicCitation.volume
5
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
31463069
dcterms.isPartOf.eissn
2054-958X