Child development, maternal health and maternal-child relationships Mental and Behavioural Disorders Child development, maternal health and maternal-child relationships
Conditions
Interventions
Participants are randomised to one of two groups using a central computer randomisation service (TENALEA).
Intervention group: Participants receive a manualised home visiting programme providing enha
Sponsors
Queen's University, Belfast
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. First time pregnant mothers aged over 19 years, or multiparous women of any age presenting with socially complex circumstances, defined as one or more of the following 1.1. Social isolation/low family support/father in prison 1.2. Intimate partner violence 1.3. Substance misuse 1.4. Maternal stress or history of mental ill health 1.5. Current involvement with social services or probation 1.6. History of care or a care leaver 1.7. Abnormal reaction to pregnancy. 2. Capacity to provide informed consent
Exclusion criteria
Exclusion criteria: 1. First time mothers under 19 years 2. Mothers experiencing no socially complex circumstances
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Parent-child relationship is assessed by measuring maternal sensitivity using the CARE-Index and child attachment using the Ainsworth Strange Situation Procedure (SSP) at baseline and 12 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Mother: 1. Parental mental health is measured using the Revised Prenatal Distress Questionnaire (NuPDQ) at 20 weeks gestation (baseline), the Edinburgh Post Natal Depression Scale (EPD) and the State-Trait-Anxiety Inventory (STAI-S-6) at baseline and when infant is aged 2, 6 and 12 months old, and the Parenting Stress Index at baseline and when infant is 2 and 12 months old 2. Smoking and substance use are measured using a series of brief questions at baseline, and when infant is 2, 6 and 12 months of age 3. Maternal quality of life is measured using the EuroQol (EQ-5D-DL) at baseline, and when infant is 2-, 6- and 12 months of age 4. Mother's sense of competence is measured using the Perceived Parenting Competence Scale (PSOC) when infant is 2 months and 12 months 5. Relationships violence is measured using brief questions at baseline and when infant is 12 months old 6. Social support networks are measured using the Medical Outcomes Study (MOS) Social Support Survey - short form 36, at baseline and when the infant is 12 months old Child: 1. Child development is measured using the Mullen Scales of Early Learning when the infant is 2, 6 and 12 months of age 2. Service use will be measured by collecting information when the infant is 2, 6 and 12 months of age | — |
Countries
United Kingdom
Contacts
Public ContactGeraldine Macdonald
Outcome results
None listed