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Short‐term in‐home intervention reduces depressive symptoms in Early Head Start Latina mothers of infants and toddlers
Author(s) -
Beeber Linda S.,
HolditchDavis Diane,
Perreira Krista,
A. Schwartz Todd,
Lewis Virginia,
Blanchard Hjordis,
Canuso Regina,
Goldman Barbara Davis
Publication year - 2010
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.20363
Subject(s) - intervention (counseling) , medicine , early head start , head start , population , aggression , randomized controlled trial , depressive symptoms , clinical psychology , psychology , psychiatry , developmental psychology , anxiety , surgery , environmental health
Abstract Depressive symptoms may compromise the ability of low‐income Latina mothers with limited English language proficiency to parent their infants or toddlers. Eighty Early Head Start Latina mothers with limited English language proficiency were randomized to an advanced practice nurse‐delivered, culturally tailored, in‐home psychotherapy intervention, or to usual care. Repeated measures regression analysis showed a significantly greater decrease in depressive symptoms for intervention mothers compared to the usual care group at 22 and 26 weeks (4 weeks post intervention). Intervention mothers' reports of their child's aggression diminished significantly from T1 to T4 compared to usual care mothers ( p = .03). Self‐efficacy appeared to only partially mediate the intervention effect, and maternal health moderated the intervention impact. Results indicate that the intervention reduced depressive symptoms and, compared to previous studies in this population, retention of mothers in both intervention and control conditions was improved. © 2009 Wiley Periodicals, Inc. Res Nurs Health 33:60–76, 2010