A mother-child intervention program in adolescent mothers and their children to improve maternal sensitivity, child responsiveness and child development (the TeeMo study): study protocol for a randomized controlled trial

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A mother-child intervention program in adolescent mothers and their children to improve maternal sensitivity, child responsiveness and child development (the TeeMo study): study protocol for a randomized controlled trial. / Firk, Christine; Dahmen, Brigitte; Lehmann, Christin; Niessen, Anke; Koslowski, Julia; Rauch, Geraldine; Schwarte, Reinhild; Stich, Kerstin; Konrad, Kerstin; Herpertz-Dahlmann, Beate.

In: TRIALS, Vol. 16, 27.05.2015, p. 230.

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@article{c22b6448aed6428b9b05a4bbaabc8ef9,
title = "A mother-child intervention program in adolescent mothers and their children to improve maternal sensitivity, child responsiveness and child development (the TeeMo study): study protocol for a randomized controlled trial",
abstract = "BACKGROUND: Children of adolescent mothers present a high-risk group for child neglect and maltreatment. Previous findings suggest that early interventions can reduce maltreatment by improving the quality of mother-child interaction, particularly maternal sensitivity. The aim of the current study is to evaluate the effects of a mother-child intervention program using home visits and video-feedback regarding mother-child interaction (STEEP-b) plus psychiatric treatment of the mother in cases where mental illness is present compared with TAU (treatment as usual, that is, standardized support by the child welfare system) on enhancing maternal sensitivity and child responsiveness in adolescent, high-risk mothers. The second aim of the current project is to investigate behavioral and neural differences between adolescent and adult mothers at baseline and postintervention.METHODS/DESIGN: This is a randomized controlled trial (RCT) with 120 high-risk adolescent mothers (<21 years old) and their 3- to 6-month-old children. Half of the participants will be randomized to receive STEEP-b in addition to their standard treatment for up to 12 to 18 sessions over 9 months. The other half will continue with treatment as usual. For further comparisons, 40 adult mothers with positive and negative rearing experiences (>25 years) will additionally be recruited to investigate behavioral and neural differences between the adolescent and adult group. Blind assessments will take place at T1 (pre-intervention), at the end of the 9-month intervention (T2, postintervention) and 6 months postintervention (T3, follow-up). Moderators of treatment outcomes and sociodemographic data will be assessed at T1. The primary outcome hypothesis is that STEEP-b added to treatment as usual will improve maternal sensitivity and child responsiveness compared with treatment as usual alone in high-risk adolescent mothers. The primary hypothesis will be evaluated at the end of the 9-month follow-up assessment based on the intention-to-treat principle. The trial is funded by the German Ministry for Research and Education (BMBF). Data collection started in October 2012.DISCUSSION: This is a randomized controlled trial that evaluates the effects of an early intervention program (STEEP-b) on the quality of mother-child interaction and child development in adolescent, high-risk mothers.TRIAL REGISTRATION: DRKS00004409 (27 September 2012).",
keywords = "Adolescent, Adolescent Behavior, Age Factors, Child Abuse, Child Development, Education, Nonprofessional, Feedback, Psychological, Female, Germany, House Calls, Humans, Infant, Infant Behavior, Maternal Behavior, Mother-Child Relations, Mothers, Parenting, Pregnancy, Pregnancy in Adolescence, Research Design, Risk Factors, Socioeconomic Factors, Time Factors, Video Recording, Young Adult, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't",
author = "Christine Firk and Brigitte Dahmen and Christin Lehmann and Anke Niessen and Julia Koslowski and Geraldine Rauch and Reinhild Schwarte and Kerstin Stich and Kerstin Konrad and Beate Herpertz-Dahlmann",
year = "2015",
month = may,
day = "27",
doi = "10.1186/s13063-015-0747-5",
language = "English",
volume = "16",
pages = "230",
journal = "TRIALS",
issn = "1745-6215",
publisher = "Current Controlled Trials Ltd.",

}

RIS

TY - JOUR

T1 - A mother-child intervention program in adolescent mothers and their children to improve maternal sensitivity, child responsiveness and child development (the TeeMo study): study protocol for a randomized controlled trial

AU - Firk, Christine

AU - Dahmen, Brigitte

AU - Lehmann, Christin

AU - Niessen, Anke

AU - Koslowski, Julia

AU - Rauch, Geraldine

AU - Schwarte, Reinhild

AU - Stich, Kerstin

AU - Konrad, Kerstin

AU - Herpertz-Dahlmann, Beate

PY - 2015/5/27

Y1 - 2015/5/27

N2 - BACKGROUND: Children of adolescent mothers present a high-risk group for child neglect and maltreatment. Previous findings suggest that early interventions can reduce maltreatment by improving the quality of mother-child interaction, particularly maternal sensitivity. The aim of the current study is to evaluate the effects of a mother-child intervention program using home visits and video-feedback regarding mother-child interaction (STEEP-b) plus psychiatric treatment of the mother in cases where mental illness is present compared with TAU (treatment as usual, that is, standardized support by the child welfare system) on enhancing maternal sensitivity and child responsiveness in adolescent, high-risk mothers. The second aim of the current project is to investigate behavioral and neural differences between adolescent and adult mothers at baseline and postintervention.METHODS/DESIGN: This is a randomized controlled trial (RCT) with 120 high-risk adolescent mothers (<21 years old) and their 3- to 6-month-old children. Half of the participants will be randomized to receive STEEP-b in addition to their standard treatment for up to 12 to 18 sessions over 9 months. The other half will continue with treatment as usual. For further comparisons, 40 adult mothers with positive and negative rearing experiences (>25 years) will additionally be recruited to investigate behavioral and neural differences between the adolescent and adult group. Blind assessments will take place at T1 (pre-intervention), at the end of the 9-month intervention (T2, postintervention) and 6 months postintervention (T3, follow-up). Moderators of treatment outcomes and sociodemographic data will be assessed at T1. The primary outcome hypothesis is that STEEP-b added to treatment as usual will improve maternal sensitivity and child responsiveness compared with treatment as usual alone in high-risk adolescent mothers. The primary hypothesis will be evaluated at the end of the 9-month follow-up assessment based on the intention-to-treat principle. The trial is funded by the German Ministry for Research and Education (BMBF). Data collection started in October 2012.DISCUSSION: This is a randomized controlled trial that evaluates the effects of an early intervention program (STEEP-b) on the quality of mother-child interaction and child development in adolescent, high-risk mothers.TRIAL REGISTRATION: DRKS00004409 (27 September 2012).

AB - BACKGROUND: Children of adolescent mothers present a high-risk group for child neglect and maltreatment. Previous findings suggest that early interventions can reduce maltreatment by improving the quality of mother-child interaction, particularly maternal sensitivity. The aim of the current study is to evaluate the effects of a mother-child intervention program using home visits and video-feedback regarding mother-child interaction (STEEP-b) plus psychiatric treatment of the mother in cases where mental illness is present compared with TAU (treatment as usual, that is, standardized support by the child welfare system) on enhancing maternal sensitivity and child responsiveness in adolescent, high-risk mothers. The second aim of the current project is to investigate behavioral and neural differences between adolescent and adult mothers at baseline and postintervention.METHODS/DESIGN: This is a randomized controlled trial (RCT) with 120 high-risk adolescent mothers (<21 years old) and their 3- to 6-month-old children. Half of the participants will be randomized to receive STEEP-b in addition to their standard treatment for up to 12 to 18 sessions over 9 months. The other half will continue with treatment as usual. For further comparisons, 40 adult mothers with positive and negative rearing experiences (>25 years) will additionally be recruited to investigate behavioral and neural differences between the adolescent and adult group. Blind assessments will take place at T1 (pre-intervention), at the end of the 9-month intervention (T2, postintervention) and 6 months postintervention (T3, follow-up). Moderators of treatment outcomes and sociodemographic data will be assessed at T1. The primary outcome hypothesis is that STEEP-b added to treatment as usual will improve maternal sensitivity and child responsiveness compared with treatment as usual alone in high-risk adolescent mothers. The primary hypothesis will be evaluated at the end of the 9-month follow-up assessment based on the intention-to-treat principle. The trial is funded by the German Ministry for Research and Education (BMBF). Data collection started in October 2012.DISCUSSION: This is a randomized controlled trial that evaluates the effects of an early intervention program (STEEP-b) on the quality of mother-child interaction and child development in adolescent, high-risk mothers.TRIAL REGISTRATION: DRKS00004409 (27 September 2012).

KW - Adolescent

KW - Adolescent Behavior

KW - Age Factors

KW - Child Abuse

KW - Child Development

KW - Education, Nonprofessional

KW - Feedback, Psychological

KW - Female

KW - Germany

KW - House Calls

KW - Humans

KW - Infant

KW - Infant Behavior

KW - Maternal Behavior

KW - Mother-Child Relations

KW - Mothers

KW - Parenting

KW - Pregnancy

KW - Pregnancy in Adolescence

KW - Research Design

KW - Risk Factors

KW - Socioeconomic Factors

KW - Time Factors

KW - Video Recording

KW - Young Adult

KW - Journal Article

KW - Randomized Controlled Trial

KW - Research Support, Non-U.S. Gov't

U2 - 10.1186/s13063-015-0747-5

DO - 10.1186/s13063-015-0747-5

M3 - SCORING: Journal article

C2 - 26012585

VL - 16

SP - 230

JO - TRIALS

JF - TRIALS

SN - 1745-6215

ER -