Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study will examine the efficacy of Enhanced First Connections, which is a short-term perinatal home visiting program that includes infant and early childhood mental health consultation. Mothers with a history of adversity or trauma will be the focus of this research. Hypothesized outcomes of Enhanced First Connections include the prevention of child maltreatment (child abuse and neglect), prevention of child exposure to adult intimate partner violence, increases in family engagement in longer-term evidence based home visiting programs, increases in family engagement in specialized support services to address maternal adversity and trauma, reductions in maternal risk factors, and the promotion of positive parenting and the parent-child relationship.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Enhanced First Connections | Experimental | Enhanced First Connections is a short-term risk assessment and response home visiting referral program. The goal of Enhanced First Connections is to identify family needs and link families to community resources, including evidence based home visiting models. Enhanced First Connections includes prenatal identification and engagement of women with an adversity or trauma history, and infant and early childhood mental health consultation. Women who enroll in Enhanced First Connections are expected to receive between four and eight home visits before being referred to other community resources. |
|
| Treatment as Usual | No Intervention | Women who receive Treatment as Usual will follow the usual course of clinical care throughout their pregnancy and into the postpartum period, and will be eligible for the typical array of community services that may be offered to them. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Enhanced First Connections | Behavioral | Enhanced First Connections is a short-term home visiting program that includes prenatal identification and engagement of women with an adversity or trauma history, and infant and early childhood mental health consultation. |
| Measure | Description | Time Frame |
|---|---|---|
| Child Maltreatment Status | Child protection record review | 6-months postpartum |
| Child Exposure to Intimate Partner Violence | Child protection record review | 6-months postpartum |
| Maternal Report of Intimate Partner Violence | Maternal report: Conflict Tactics Scales | 6-months postpartum |
| Measure | Description | Time Frame |
|---|---|---|
| Family engagement in evidence based home visiting programs | Home visiting record review | 6-months postpartum |
| Contextual stress exposure | Maternal report: Contextual Stress Interview |
Not provided
Inclusion Criteria:
Exclusion Criteria:
- Does not meet all inclusion criteria above
Pregnant women
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Stephanie H Parade, PhD | E.P. Bradley Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| E.P. Bradley Hospital | East Providence | Rhode Island | 02915 | United States |
Final datasets generated from questionnaire, interview, and observational assessments will be cleaned and merged using SPSS syntax to generate a final dataset for analysis. A public use de-identified dataset that does not include sensitive or potentially identifiable information will be made available. For datasets that include sensitive or potentially identifiable information, data-use agreements will be put in place with appropriate restrictions prior to the provision of data. To ensure that released data have appropriate documentation, a data dictionary will accompany all de-identified datasets that includes data collection methods, measures and variable construction, and potential limitations of use.
A de-identified dataset will be made available within 30 months following completion of the project or at the time of the publication of manuscripts that present the main aims of the study
A public use de-identified dataset that does not include sensitive or potentially identifiable information will be made broadly available. For datasets that include sensitive or potentially identifiable information, data-use agreements will be put in place with appropriate restrictions prior to the provision of data.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| 6-months postpartum |
| Maternal depressive symptoms | Maternal report: Patient Health Questionnaire-9 | 6-months postpartum |
| Maternal anxiety symptoms | Maternal report: Generalized Anxiety Disorder 7-item scale | 6-months postpartum |
| Maternal PTSD symptoms | Maternal report: Short Post-Traumatic Stress Disorder Rating Interview | 6-months postpartum |
| Maternal alcohol use | Maternal report: Alcohol Use Disorders Test | 6-months postpartum |
| Maternal substance use | Maternal report: Drug Abuse Screening Test | 6-months postpartum |
| Maternal parenting stress | Maternal report: Parenting Stress Index | 6-months postpartum |
| Maternal sensitivity | Observation of free play interaction coded using Parent Caregiver Involvement Scales and Emotional Availability Scales | 6-months postpartum |
| Maternal hostility | Observation of free play interaction coded using Emotional Availability Scales | 6-months postpartum |
| Maternal non-responsiveness | Maternal report: Maternal Responsiveness Questionnaire | 6-months postpartum |
| Home environment | Home Observation for Measurement of the Environment | 6-months postpartum |
| Mother-infant relationship | Maternal report: Postpartum Bonding Questionnaire | 6-months postpartum |