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Lambert MC, Puig M, Lyubansky M, Rowan GT, Winfrey T. Adult Perspectives on Behavior and Emotional Problems in African American Children. JOURNAL OF BLACK PSYCHOLOGY 2016. [DOI: 10.1177/0095798401027001004] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Using vignettes describing African American children with internalizing (e.g., withdrawal) versus externalizing (e.g., quarrels) problems, parents, teachers, and clinicians made judgments regarding problem seriousness, prognosis, etiology, referral, and intervention needs. Opinions of parents, teachers, and clinicians differed markedly, especially with regard to judgments about children with externalizing problems. Black raters’ ratings significantly differed from those of Whites, especially for seriousness and prognostic judgments with regard to the problems. The findings suggest that interventionists who address problems that African American youth present should attend to the attitudes and judgments of adults who report on such problems. Clinicians can simultaneously harness appropriate judgments and attitudes and decrease counterproductive beliefs and behavior in their interventions with Black children.
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Waldman-Levi A, Weintraub N. Efficacy of a Crisis Intervention in Improving Mother-Child Interaction and Children's Play Functioning. Am J Occup Ther 2015; 69:6901220020p1-11. [PMID: 25553747 DOI: 10.5014/ajot.2015.013375] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE We examined the efficacy of a crisis-based intervention in improving mother-child interaction and children's play functioning for families who had experienced domestic violence. METHOD Using a pretest-posttest two-group control study design, we assigned the intervention group (n=20 mother-child dyads) to the Family Intervention for Improving Occupational Performance (FI-OP) program and the control group (n=17 dyads) to a playroom program. Both programs consisted of eight 30-min sessions. We videotaped dyads during free play and used standardized tools to assess interactions, play skills, and playfulness. RESULTS After the intervention, mother-child interaction was significantly better in the FI-OP group than in the playroom group. The children in the FI-OP group also demonstrated significantly greater improvement in play skills, but not in playfulness. CONCLUSION FI-OP is a promising program for improving aspects of mother-child interaction and children's play functioning among survivors of domestic violence.
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Affiliation(s)
- Amiya Waldman-Levi
- Amiya Waldman-Levi, PhD, OTR, was Faculty/Lecturer and Researcher, School of Occupational Therapy of Hadassah and the Hebrew University, Jerusalem, Israel, at the time of the study;
| | - Naomi Weintraub
- Naomi Weintraub, PhD, OTR, is Senior Lecturer and Head, Research and Diagnostic Lab of Writing Functions, School of Occupational Therapy of Hadassah and the Hebrew University, Jerusalem, Israel
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Waldman-Levi A, Bundy A, Katz N. Playfulness and Interaction: An Exploratory Study of Past and Current Exposure to Domestic Violence. OTJR-OCCUPATION PARTICIPATION AND HEALTH 2015; 35:89-94. [PMID: 26460471 DOI: 10.1177/1539449214561762] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Violence against women affects mother-child interactions, which may in turn affect their children's playfulness. We examined the effect of a history of violence against mothers on mother-child interactions and children's playfulness. This cross-sectional pilot study consisted of 36 mother-child dyads residing in family crisis shelters due to serious violence from an intimate partner. One subgroup had experienced violence during childhood, another had posttraumatic stress disorder (PTSD). Instruments included Posttraumatic Diagnostic Scale, Test of Playfulness, and Coding Interactive Behavior System. Mann-Whitney test and Spearman's rank correlation coefficients were calculated. Results indicated that children of mothers without PTSD were more playful than children of mothers with PTSD. Mothers who had not reported of childhood exposure to violence and who did not have PTSD had better interactions with more playful children.
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Fabiyi C, Rankin K, Norr K, Yoder JC, Vasa R, White-Traut R. The Association of Low Social Support with Breast Milk Expression in Low-Income Mother-Preterm Infant Dyads. J Hum Lact 2015; 31:490-7. [PMID: 25975943 DOI: 10.1177/0890334415586199] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2014] [Accepted: 04/18/2015] [Indexed: 11/17/2022]
Abstract
BACKGROUND Premature infants benefit from receiving expressed breast milk (BM), but expressing breast milk is difficult for new mothers. Little is known about mothers' social support and BM expression during the premature infant's hospital stay. OBJECTIVE We examined whether low maternal social support was associated with breast milk expression initiation and low breast milk expression among low-income mothers of premature infants. METHODS Maternal intake interview data and daily infant data on proportion of nutrition from BM during hospitalization were analyzed from a larger randomized trial testing a developmental intervention on 181 mother-premature infant dyads with at least 2 of 10 social-environmental risks. Multivariable modified Poisson regression was used to examine the relationship between social support (Personal Resources Questionnaire 2000; dichotomized as low for lowest quartile), initiation (any breast milk expressed vs none), and low breast milk expression (if BM was < 30% of infant total milk/formula intake during hospitalization). RESULTS Breast milk expression was initiated by 70.2% of mothers, and 32.3% of those mothers had low breast milk expression. In adjusted multivariable analyses, social support did not relate to the initiation of breast milk expression but was significantly associated with low breast milk expression among mothers who initiated (adjusted relative risk = 1.57; 95% confidence interval, 1.00-2.47). CONCLUSION Low social support was not associated with initiation but was associated with low breast milk expression during hospitalization. Interventions to enhance social support for mothers of premature infants, especially those reporting low social support from family and friends, may increase in-hospital expression and long-term breastfeeding.
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Affiliation(s)
- Camille Fabiyi
- Section of Family Planning and Contraception Research, Department of Obstetrics and Gynecology, University of Chicago, Chicago, IL, USA Women, Children and Family Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA
| | - Kristin Rankin
- Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA
| | - Kathleen Norr
- Women, Children and Family Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA
| | - Joseph C Yoder
- Women, Children and Family Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA
| | - Rohitkumar Vasa
- Mercy Hospital and Medical Center, Chicago, IL, USA Department of Pediatrics, University of Chicago, Chicago, IL, USA
| | - Rosemary White-Traut
- Women, Children and Family Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA Children's Hospital of Wisconsin, Children's Research Institute, Milwaukee, WI, USA
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Holditch-Davis D, White-Traut RC, Levy JA, O'Shea TM, Geraldo V, David RJ. Maternally administered interventions for preterm infants in the NICU: effects on maternal psychological distress and mother-infant relationship. Infant Behav Dev 2014; 37:695-710. [PMID: 25247740 DOI: 10.1016/j.infbeh.2014.08.005] [Citation(s) in RCA: 82] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2014] [Revised: 08/21/2014] [Accepted: 08/26/2014] [Indexed: 11/26/2022]
Abstract
Although studies have examined the effects of interventions focused on preterm infants, few studies have examined the effects on maternal distress (anxiety, depressive symptoms, post-traumatic stress symptoms, parenting stress) or parenting. This study examined the effects of the auditory-tactile-visual-vestibular (ATVV) intervention and kangaroo care (KC) on maternal distress and the mother-infant relationship compared to an attention control group. 240 mothers from four hospitals were randomly assigned to the three groups. Maternal characteristics in the three groups were similar: 64.1% of ATVV mothers, 64.2% of KC mothers, and 76.5% of control mothers were African American; maternal age averaged 26.3 years for ATVV mothers, 28.1 for KC mothers, and 26.6 for control mothers; and years of education averaged 13.6 for ATVV and KC mothers, and 13.1 for control mothers. Mothers only differed on parity: 68.4% of ATVV and 54.7% of KC mothers were first-time mothers as compared to 43.6% of control mothers. Their infants had a similar mean gestational ages (27.0 weeks for ATVV, 27.2 for KC, and 27.4 for control) and mean birthweights (993 g for ATVV, 1022 for KC, and 1023 for control). Mothers completed questionnaires during hospitalization, and at 2, 6 and 12 months corrected age on demographic characteristics, depressive symptoms, state anxiety, post-traumatic stress symptoms, parenting stress, worry about child health, and child vulnerability (only at 12 months). At 2 and 6 months, 45-min videotapes of mother-infant interactions were made, and the HOME Inventory was scored. Behaviors coded from the videotapes and a HOME subscale were combined into five interactive dimensions: maternal positive involvement and developmental stimulation and child social behaviors, developmental maturity, and irritability. Intervention effects were examined using general linear mixed models controlling for parity and recruitment site. The groups did not differ on any maternal distress variable. Kangaroo care mothers showed a more rapid decline in worry than the other mothers. The only interactive dimensions that differed between the groups were child social behaviors and developmental maturity, which were both higher for kangaroo care infants. Change over time in several individual infant behaviors was affected by the interventions. When mothers reported on the interventions they performed, regardless of group assignment, massage (any form including ATVV) was associated with a more rapid decline in depressive symptoms and higher HOME scores. Performing either intervention was associated with lower parenting stress. These findings suggest that as short-term interventions, KC and ATVV have important effects on mothers and their preterm infants, especially in the first half of the first year.
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Affiliation(s)
| | - Rosemary C White-Traut
- Children's Hospital of Wisconsin and the College of Nursing, University of Illinois at Chicago, Chicago, IL 60607, United States
| | - Janet A Levy
- School of Nursing, Duke University, Durham, NC 27710, United States
| | - T Michael O'Shea
- Wake Forest School of Medicine, Winston Salem, NC 27157, United States
| | - Victoria Geraldo
- Mount Sinai Children's Hospital, Chicago, IL 60608, United States
| | - Richard J David
- College of Medicine, University of Illinois at Chicago, Chicago, IL 60607, United States; Stroger Hospital, Chicago, IL 60612, United States
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White-Traut R, Norr KF, Fabiyi C, Rankin KM, Li Z, Liu L. Mother-infant interaction improves with a developmental intervention for mother-preterm infant dyads. Infant Behav Dev 2013; 36:694-706. [PMID: 23962543 PMCID: PMC3858517 DOI: 10.1016/j.infbeh.2013.07.004] [Citation(s) in RCA: 70] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2013] [Revised: 07/16/2013] [Accepted: 07/17/2013] [Indexed: 11/30/2022]
Abstract
While premature infants have a high need for positive interactions, both infants and their mothers are challenged by the infant's biological immaturity. This randomized clinical trial of 198 premature infants born at 29-34 weeks gestation and their mothers examined the impact of the H-HOPE (Hospital to Home: Optimizing the Infant's Environment) intervention on mother-premature infant interaction patterns at 6-weeks corrected age (CA). Mothers had at least 2 social environmental risk factors such as minority status or less than high school education. Mother-infant dyads were randomly assigned to the H-HOPE intervention group or an attention control group. H-HOPE is an integrated intervention that included (1) twice-daily infant stimulation using the ATVV (auditory, tactile, visual, and vestibular-rocking stimulation) and (2) four maternal participatory guidance sessions plus two telephone calls by a nurse-community advocate team. Mother-infant interaction was assessed at 6-weeks CA using the Nursing Child Assessment Satellite Training-Feeding Scale (NCAST, 76 items) and the Dyadic Mutuality Code (DMC, 6-item contingency scale during a 5-min play session). NCAST and DMC scores for the Control and H-HOPE groups were compared using t-tests, chi-square tests and multivariable analysis. Compared with the Control group (n = 76), the H-HOPE group (n = 66) had higher overall NCAST scores and higher maternal Social-Emotional Growth Fostering Subscale scores. The H-HOPE group also had significantly higher scores for the overall infant subscale and the Infant Clarity of Cues Subscale (p < 0.05). H-HOPE dyads were also more likely to have high responsiveness during play as measured by the DMC (67.6% versus 58.1% of controls). After adjustment for significant maternal and infant characteristics, H-HOPE dyads had marginally higher scores during feeding on overall mother-infant interaction (β = 2.03, p = 0.06) and significantly higher scores on the infant subscale (β = 0.75, p = 0.05) when compared to controls. In the adjusted analysis, H-HOPE dyads had increased odds of high versus low mutual responsiveness during play (OR = 2.37, 95% CI = 0.97, 5.80). Intervening with both mother and infant is a promising approach to help premature infants achieve the social interaction patterns essential for optimal development.
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Affiliation(s)
- Rosemary White-Traut
- Women, Children and Family Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, United States.
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Brooks JL, Holditch-Davis D, Landerman LR. Interactive behaviors of American Indian mothers and their premature infants. Res Nurs Health 2013; 36:591-602. [PMID: 24105857 PMCID: PMC5701652 DOI: 10.1002/nur.21561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/02/2013] [Indexed: 11/11/2022]
Abstract
The interactive behaviors of 17 American Indian mothers and their premature infants and selected maternal and infant factors affecting those behaviors were measured using naturalistic observation and the Home Observation for Measurement of the Environment (HOME) Inventory at 3, 6, and 12 months corrected infant age. The frequency of some maternal behaviors changed over the first 12 months. Mothers spent less time holding, looking at, touching, and interacting with their premature infants and more time uninvolved as the infant aged. Maternal education and infant illness severity were associated with mother-infant interactive behaviors and HOME Inventory scores. These findings emphasize the importance of maternal and infant factors affecting the interactions between American Indian premature infants and their mothers.
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Affiliation(s)
- Jada L Brooks
- School of Nursing, University of North Carolina at Chapel Hill, Carrington Hall, Campus Box 7460, Chapel Hill, NC, 27599-7460
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Brooks JL, Holditch-Davis D, Landerman LR. Interactive behaviors of ethnic minority mothers and their premature infants. J Obstet Gynecol Neonatal Nurs 2013; 42:357-68. [PMID: 23682698 PMCID: PMC3662482 DOI: 10.1111/1552-6909.12037] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE To compare the interactive behaviors of American Indian mothers and their premature infants with those of African American mothers and their premature infants. DESIGN Descriptive, comparative study. SETTING Three neonatal intensive care units and two pediatric clinics in the southeast. PARTICIPANTS Seventy-seven mother/infant dyads: 17 American Indian mother/infant dyads and 60 African American mother/infant dyads. METHODS Videotapes of mother/infant interactions and the Home Observation for Measurement of the Environment (HOME) were used to assess the interactions of the mothers and their premature infants at 6 months corrected age. RESULTS American Indian mothers looked more, gestured more, and were more often the primary caregivers to their infants than the African American mothers. American Indian infants expressed more positive affect and gestured more to their mothers, whereas African American infants engaged in more non-negative vocalization toward their mothers. African American mothers scored higher on the HOME subscales of provision of appropriate play materials and parental involvement with the infant. American Indian mothers scored higher on the opportunities for variety in daily living subscale. CONCLUSION Although many of the interactive behaviors of American Indian and African American mother/infant dyads were similar, some differences did occur. Clinicians need to be aware of the cultural differences in mother/infant interactions. To optimize child developmental outcomes, nurses need to support mothers in their continuation or adoption of positive interactive behaviors.
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Affiliation(s)
- Jada L Brooks
- School of Nursing, University of North Carolina, Carrington Hall, Campus Box 7460, Chapel Hill, North Carolina 27759-7460, USA.
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White-Traut R, Wink T, Minehart T, Holditch-Davis D. Frequency of Premature Infant Engagement and Disengagement Behaviors During Two Maternally Administered Interventions. ACTA ACUST UNITED AC 2012; 12:124-131. [PMID: 22984346 DOI: 10.1053/j.nainr.2012.06.005] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Although sensitive maternal behaviors improve later quality of mother-infant interaction and subsequently infant development, little is known regarding how an intervention might promote early premature infant social interactive behavior. This study compared the frequency of premature infant engagement and disengagement behaviors during two maternally administered interventions, the multi-sensory auditory, tactile, visual and vestibular intervention (ATVV) and kangaroo care (KC) for 26 infants between 31 and 46 weeks PMA. The ATVV intervention elicited more disengagement (M = 24 vs. 12, p = .0003), trended toward more engagement (M = 21 vs. 15.7, p = .06) and more potent engagement (M = 24 vs. 12, p = .0003), subtle disengagement (M = 25 vs. 11.9, p < .0001), and potent disengagement (M = 22.9 vs. 14, p = . 006) behaviors than did KC. The ATVV intervention may be an intervention to promote the infant's learning how to regulate engagement and disengagement behaviors.
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Affiliation(s)
- Rosemary White-Traut
- Dr. Rosemary White-Traut, University of Illinois at Chicago College of Nursing, Department Head of Women, Children, and Family Health Science, 845 South Damen Avenue (M/C 802), Chicago, IL 60612-7350
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Pritchett R, Kemp J, Wilson P, Minnis H, Bryce G, Gillberg C. Quick, simple measures of family relationships for use in clinical practice and research. A systematic review. Fam Pract 2011; 28:172-87. [PMID: 20978241 DOI: 10.1093/fampra/cmq080] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Family functioning has been implicated in the onset of child and adult psychopathology. Various measures exist for assessing constructs in the areas of parent-child relationships, parental practices and discipline, parental beliefs, marital quality, global family functioning and situation-specific measures. OBJECTIVES To identify systematically all questionnaire measures of family functioning appropriate for use in primary care and research. METHODS A systematic literature review was conducted, following PRISMA guidelines and searching 14 bibliographic databases using pre-determined filters, to identify family functioning measures suitable for use in families with children from 0 to 3 years old. RESULTS One hundred and seven measures of family functioning were reported and tabulated and the most commonly used measures were identified. CONCLUSIONS There are numerous measures available demonstrating characteristics, which make them suitable for continued use. Future research is needed to examine the more holistic measurement of family functioning using integration of multi-informant data.
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Affiliation(s)
- Rachel Pritchett
- Centre for Population and Health Sciences, University of Glasgow, Caledonian House, RHSC Yorkhill, Glasgow G3 8SJ, UK
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Holditch-Davis D, Miles MS, Burchinal MR, Goldman BD. Maternal role attainment with medically fragile infants: Part 2. relationship to the quality of parenting. Res Nurs Health 2010; 34:35-48. [PMID: 21243657 DOI: 10.1002/nur.20418] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/17/2010] [Indexed: 11/08/2022]
Abstract
We examined which components of maternal role attainment (identity, presence, competence) influenced quality of parenting for 72 medically fragile infants, controlling for maternal education and infant illness severity. Maternal competence was related to responsiveness. Maternal presence and technology dependence were inversely related to participation. Greater competence and maternal education were associated with better normal caregiving. Presence was negatively related although competence was positively related to illness-related caregiving. Mothers with lower competence and more technology dependent children perceived their children as more vulnerable and child cues as more difficult to read. Maternal role attainment influenced parenting quality for these infants more than did child illness severity; thus interventions are needed to help mothers develop their maternal role during hospitalization and after discharge. © 2010 Wiley Periodicals, Inc. Res Nurs Health 34:35-48, 2011.
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Collett BR, Leroux B, Speltz ML. Language and early reading among children with orofacial clefts. Cleft Palate Craniofac J 2010; 47:284-92. [PMID: 20426677 PMCID: PMC3397667 DOI: 10.1597/08-172.1] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To test the hypothesis that children with orofacial clefts score lower than controls on measures of language and reading and to examine predictors of these outcomes. DESIGN Longitudinal study tracking the development of children with and without orofacial clefts from infancy through age 7 years. SUBJECTS Children with isolated cleft lip and palate (n = 29) and cleft palate only (n = 28) were recruited from the craniofacial program in an urban medical center. Seventy-seven demographically similar, unaffected controls were recruited via advertisements placed in area pediatric clinics and community centers. MEASURES Infant measures assessed child development and mother-child interactions during feeding and teaching tasks. At ages 5 and 7 years, measures of language functioning and academic achievement were completed along with an interview to collect school placement data and information on speech services received. RESULTS There were no significant group differences in language at ages 5 and 7 years. Children with clefts scored significantly higher than controls on measures of early reading at age 7 years. Outcomes were predicted by demographic factors, the quality of mother-child interactions during teaching and feeding tasks, and cognitive development scores at age 24 months. CONCLUSIONS Findings do not support the hypothesis that children with clefts score lower than controls on neurocognitive and academic achievement measures. Predictive analyses revealed several dimensions that may be used in clinical practice to identify children at risk for learning and developmental concerns.
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Vohr B, Pierre LS, Topol D, Jodoin-Krauzyk J, Bloome J, Tucker R. Association of maternal communicative behavior with child vocabulary at 18-24 months for children with congenital hearing loss. Early Hum Dev 2010; 86:255-60. [PMID: 20457497 DOI: 10.1016/j.earlhumdev.2010.04.002] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2009] [Revised: 04/14/2010] [Accepted: 04/16/2010] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To identify important maternal and child factors associated with development of vocabulary in a cohort of children with and without permanent hearing loss (HL). METHODS Children with HL and typical hearing were enrolled after the newborn hearing screen. Mother-child dyads were evaluated at 18-24 months of age. Mothers completed the MacArthur-Bates Communicative Development Inventory (MCDI). Maternal communicative effectiveness was scored using the Parent/Caregiver Involvement Scale (PCIS) from a 10 min play session. Correlations and regression models were run to identify the important predictors of number of child words produced. RESULTS Results from 40 children with typical hearing and 31 children with HL are reported. Words produced (134+/-135 vs. 71+/-112) and words produced percentile (33+/-42 vs. 17+/-23) scores on the MCDI were significantly higher for children with hearing compared to children with HL. Greater maternal stress was associated with decreased verbal involvement, positive regard, availability, and enjoyment. Regression analysis revealed HL, stay in a Neonatal Intensive Care Unit (NICU), and maternal stress were associated with fewer words produced whereas more optimal maternal atmosphere and quality of control and directiveness were associated with more words produced. CONCLUSIONS Maternal communicative behaviors, maternal stress, child HL, and child stay in the NICU were all associated with number of words produced at 18-24 months.
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Affiliation(s)
- Betty Vohr
- Women & Infants' Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, United States.
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Pridham KA, Lutz KF, Anderson LS, Riesch SK, Becker PT. Furthering the understanding of parent-child relationships: a nursing scholarship review series. Part 3: Interaction and the parent-child relationship--assessment and intervention studies. J SPEC PEDIATR NURS 2010; 15:33-61. [PMID: 20074112 PMCID: PMC2835364 DOI: 10.1111/j.1744-6155.2009.00216.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
PURPOSE This integrative review concerns nursing research on parent-child interaction and relationships published from 1980 through 2008 and includes assessment and intervention studies in clinically important settings (e.g., feeding, teaching, play). CONCLUSIONS Directions for research include development of theoretical frameworks, valid observational systems, and multivariate and longitudinal data analytic strategies. PRACTICE IMPLICATIONS Observation of social-emotional as well as task-related interaction qualities in the context of assessing parent-child relationships could generate new questions for nursing research and for family-centered nursing practice.
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Affiliation(s)
- Karen A Pridham
- University of Wisconsin-Madison School of Nursing, Madison, Wisconsin, USA.
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Comfort M, Gordon PR. The Keys to Interactive Parenting Scale (KIPS): A Practical Observational Assessment of Parenting Behavior. ACTA ACUST UNITED AC 2009. [DOI: 10.1207/s19309325nhsa0901_4] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Miller RJ, Sullivan MC, Hawes K, Marks AK. The effects of perinatal morbidity and environmental factors on health status of preterm children at age 12. J Pediatr Nurs 2009; 24:101-14. [PMID: 19268232 PMCID: PMC2742999 DOI: 10.1016/j.pedn.2008.02.031] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2007] [Revised: 02/22/2008] [Accepted: 02/23/2008] [Indexed: 11/20/2022]
Abstract
Children born prematurely have later morbidity, yet little is known about their health in adolescence. This study examined multiple dimensions of health at age 12 and the predictors of biological, behavioral, social, and physical environmental factors. Analysis of variance and logistic regression models were tested. Perinatal morbidity predicted health at age 12. Preterm status increases the risk of later alterations in health. Bronchopulmonary dysplasia, necrotizing enterocolitis, intraventricular hemorrhage, small-for-gestational age, parental perception of child health, and parental psychological distress affect later health. Prematurity and perinatal morbidity continue to impact child health 12 years after birth.
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Bair-Merritt MH, Crowne SS, Burrell L, Caldera D, Cheng TL, Duggan AK. Impact of intimate partner violence on children's well-child care and medical home. Pediatrics 2008; 121:e473-80. [PMID: 18310168 DOI: 10.1542/peds.2007-1671] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVES Intimate partner violence has been linked to poor child health. A continuous relationship with a primary care pediatric provider can help to detect intimate partner violence and connect families with needed services. The objectives of this study were to determine the relationship between intimate partner violence and (1) maternal report of a regular site for well-child care, (2) maternal report of a primary pediatric provider, (3) well-child visits in the first year of life, (4) up-to-date immunizations at 2 years of age, (5) maternal report of medical neglect, and (6) maternal report of the pediatric provider-caregiver relationship. METHODS This retrospective cohort study evaluated data from 209 at-risk families participating in the evaluation of the Healthy Families Alaska program. Research staff interviewed mothers near the time of an index child's birth and again at the child's second birthday. Medical charts were abstracted for information on well-child visits and immunizations. RESULTS Mothers who disclosed intimate partner violence at the initial interview (n = 62) were significantly less likely to report a regular site for well-child care or a primary pediatric provider. In multivariable models, children of mothers who disclosed intimate partner violence tended to be less likely to have the recommended 5 well-child visits within the first year of life and were significantly less likely to be fully immunized at 2 years of age. Differences in medical neglect were not statistically significant. Of mothers who reported a specific primary pediatric provider, those with intimate partner violence histories trusted this provider less and tended to rate less favorably pediatric provider-caregiver communication and the overall quality of the pediatric provider-caregiver relationship. CONCLUSIONS Future research should explore effective ways to link intimate partner violence-exposed children with a medical home and a primary pediatric provider and to improve relationships between pediatric providers and caregivers who face violence at home.
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Affiliation(s)
- Megan H Bair-Merritt
- Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
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Lee TY, Holditch-Davis D, Miles MS. The influence of maternal and child characteristics and paternal support on interactions of mothers and their medically fragile infants. Res Nurs Health 2007; 30:17-30. [PMID: 17243105 DOI: 10.1002/nur.20184] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The influences of maternal characteristics, infant characteristics, and paternal support on maternal positive involvement and developmental stimulation were examined over time in 59 mothers and their medically fragile infants using an ecological framework. Higher maternal education was associated with greater maternal positive involvement. More maternal depressive symptoms, more infant technological dependence, and lower birthweights were associated with less maternal positive involvement at 6 months but greater involvement at 12 months. Higher paternal helpfulness facilitated positive involvement in mothers with low depressive symptoms but not in those with elevated symptoms. Higher maternal education and more depressive symptoms were associated with more developmental stimulation. Thus, maternal interactive behaviors are affected by maternal, infant, and environment factors, and these effects change over time.
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Affiliation(s)
- Tzu-Ying Lee
- Department of Nursing, National Taipei College of Nursing, Taipei, Taiwan
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Holditch-Davis D, Schwartz T, Black B, Scher M. Correlates of mother–premature infant interactions. Res Nurs Health 2007; 30:333-46. [PMID: 17514707 DOI: 10.1002/nur.20190] [Citation(s) in RCA: 92] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
This study's purpose was to examine whether child characteristics, child illness severity, maternal characteristics, maternal psychological well-being, and paternal support influenced interactions between 108 premature infants and their mothers. Mothers with singletons or more infant illness stress showed more positive involvement. Mothers with less infant illness stress, less education, or less participation in caregiving by fathers showed more negative control. First-time mothers and mothers of singletons provided more developmental stimulation. Children of younger and White mothers showed more social behaviors. Less maternal education and shorter period of mechanical ventilation were associated with greater developmental maturity. Greater maternal worry was related to more child irritability. These findings are consistent with the developmental science view that the mother-premature relationship is a complex, reciprocal process.
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Cho J, Holditch-Davis D, Belyea M. Gender, ethnicity, and the interactions of prematurely born children and their mothers. J Pediatr Nurs 2004; 19:163-75. [PMID: 15185245 DOI: 10.1016/j.pedn.2004.01.005] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
This study examined the relationship of child gender and maternal ethnicity to the interactive behaviors of 53 3-year-old prematurely born children and their mothers. Boys and Non-White children had more developmental sequelae. Although most interactive behaviors did not differ by gender or ethnicity, mothers expressed more positive affect to girls than boys, and girls looked at their mothers more often and expressed more positive affect. White mothers expressed more positive affect, touched more, and had better scores on three Home Observation for Measurement of the Environment (HOME) Inventory subscales and the total HOME score than Non-White mothers. Child behaviors did not differ by ethnicity. Gender and ethnic group differences were affected by maternal education and child illness severity. Thus, although the interactive behaviors of mothers and prematurely born children are related to both child gender and ethnicity, some of these effects are better explained by maternal education and child illness severity. The systems view of the mother-child relationship is used to interpret these findings.
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Affiliation(s)
- June Cho
- School of Nursing, University of North Carolina at Chapel Hill, 27599, USA
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22
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Holditch-Davis D, Cox MF, Miles MS, Belyea M. Mother-infant interactions of medically fragile infants and non-chronically ill premature infants. Res Nurs Health 2003; 26:300-11. [PMID: 12884418 DOI: 10.1002/nur.10095] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
At 6 months corrected for prematurity, 41 medically fragile prematures, 20 medically fragile full-terms, and 28 prematures without chronic illnesses were observed interacting with their mothers for 1 hr. Mothers of non-chronically ill prematures gestured to and touched their infants less, were uninvolved with them for a longer time, and spent less time interacting and looking at their infants than did mothers of medically fragile infants. Medically fragile full-terms slept more than the non-chronically ill prematures. The non-chronically ill premature group played with objects more and exhibited more locomotion. Thus, the non-chronically ill prematures had more mature behaviors but less frequent interactions than did the medically fragile infants. These disparities reflect differences both in the infants' functional maturity and in maternal compensation for infant vulnerability.
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Affiliation(s)
- Diane Holditch-Davis
- School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7460, USA
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23
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Parent-child interactions when young children have disabilities. INTERNATIONAL REVIEW OF RESEARCH IN MENTAL RETARDATION 2002. [DOI: 10.1016/s0074-7750(02)80005-2] [Citation(s) in RCA: 99] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Deater-Deckard K, Bulkley J. Parent concerns in long-term follow-up. SEMINARS IN NEONATOLOGY : SN 2000; 5:171-8. [PMID: 10859711 DOI: 10.1053/siny.1999.0007] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Consideration of the long-term follow-up of at-risk infants must take into account the role of parents and family contexts. Cognitive and social-emotional adaptation for a premature low birthweight infant is a product of complex transactions between biological and environmental risk and ameliorative factors that operate within powerful family and cultural contexts. Parental behaviors, psychosocial functioning, and social cognitions are particularly important in order to understand long-term developmental outcomes for infants as well as other family members. Interventions for high-risk infants have shown that these can be effective in reducing anxiety and concerns among parents and optimizing parent-child relationships.
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Sullivan MC, McGrath MM. Proximal and distal correlates of maternal control style. West J Nurs Res 1999; 21:313-29; discussion 330-4. [PMID: 11512201 DOI: 10.1177/01939459922043901] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Control, as an aspect of maternal interaction, has been found to be an important component to optimal child development. Maternal control style is defined as a mother's tendency to be controlling or supportive of her child's autonomy. The relationship between two types of maternal characteristics, proximal and distal, and maternal control style was investigated in a sample of 184 mothers and their 4-year-old children. Global ratings of videotaped data of two problem-solving tasks were made on a 5-point scale. An optimal maternal control style was associated with higher levels of the distal maternal characteristics of maternal education, age, occupation, and higher levels of the proximal characteristics of maternal responsivity and involvement. A hierarchical regression model explaining 26% of the variance in maternal control style scores supports the importance of both types of maternal characteristics. The results are discussed in relation to the methodology and the theoretical framework of role.
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Affiliation(s)
- M C Sullivan
- University of Rhode Island College of Nursing, Kingston, Rhode Island, USA
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