The Impact of a Mother-Infant Intervention on Parenting and Infant Response to Challenge: a pilot RCT with Adolescent Mothers in El Salvador



Valades, Jimena, Cooper, Peter, Murray, Lynne, De Pascalis, Leonardo ORCID: 0000-0002-9150-3468, Bozicevic, Laura ORCID: 0000-0001-8629-1723 and Barindelli, Florencia
(2021) The Impact of a Mother-Infant Intervention on Parenting and Infant Response to Challenge: a pilot RCT with Adolescent Mothers in El Salvador. Infant Mental Health Journal, 42 (3). pp. 400-412.

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Abstract

A pilot randomized controlled trial (RCT) was conducted in El Salvador of an intervention ('Thula Sana') previously shown to enhance maternal sensitivity and infant security of attachment in a South African sample. In El Salvador, trained community workers delivered the intervention from late pregnancy to 6 months postpartum as part of a home-visiting programme. The sample comprised 64 pregnant adolescent women, aged 14-19 years, living in predominantly rural settings. They were randomised to receive either the intervention or normal care. Demographic information was collected at baseline and, immediately post-intervention, blind assessments were made of parental sensitivity and infant emotion regulation. The intervention was found to have a substantial positive impact on maternal sensitivity. Further, compared to control group, infants in the intervention group showed more regulated behaviour: in a social challenge task they showed more attempts to restore communication, and in a non-social challenge task they showed more social and goal-directed behaviour. This replication and extension of the South African findings in a small El Salvador sample shows promise and justifies the conduct of a large-scale RCT in a Central or South American context.

Item Type: Article
Uncontrolled Keywords: infant emotional regulation, maternal sensitivity, parenting intervention
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Population Health
Depositing User: Symplectic Admin
Date Deposited: 31 Mar 2021 15:08
Last Modified: 11 Apr 2023 01:30
DOI: 10.1002/imhj.21917
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3118237