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Randomized Controlled Trial
. 2010 Feb;33(1):60-76.
doi: 10.1002/nur.20363.

Short-term in-home intervention reduces depressive symptoms in Early Head Start Latina mothers of infants and toddlers

Linda S Beeber  1 , Diane Holditch-Davis, Krista Perreira, Todd A Schwartz, Virginia Lewis, Hjordis Blanchard, Regina Canuso, Barbara Davis Goldman
Affiliations
Randomized Controlled Trial

Short-term in-home intervention reduces depressive symptoms in Early Head Start Latina mothers of infants and toddlers

Linda S Beeber et al. Res Nurs Health. 2010 Feb.

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.

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Figures

FIGURE 1
FIGURE 1
CONSORT diagram of participant flow.
FIGURE 2
FIGURE 2
Within group changes in CES-D at each timepoint.
FIGURE 3
FIGURE 3
Plot of intervention group GSE and CES-D change at each timepoint.
FIGURE 4
FIGURE 4
Analysis of mediation effect of GSE in the intervention group.
See this image and copyright information in PMC

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