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A mother–child intervention program for adolescent mothers: Results from a randomized controlled trial (the TeeMo study)

Published online by Cambridge University Press:  10 July 2020

Christine Firk Open the ORCID record for Christine Firk [Opens in a new window] ,
Brigitte Dahmen ,
Astrid Dempfle ,
Anke Niessen ,
Christin Baumann ,
Reinhild Schwarte ,
Julia Koslowski ,
Kerstin Kelberlau ,
Kerstin Konrad  and
Beate Herpertz-Dahlmann
Christine Firk*
Affiliation:
Child Neuropsychology Section, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, RWTH Aachen University, Aachen, Germany Catholic University of Applied Sciences, Aachen, Germany
Brigitte Dahmen
Affiliation:
Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, RWTH Aachen University, Aachen, Germany
Astrid Dempfle
Affiliation:
Institute of Medical Informatics and Statistics, Kiel University, Kiel, Germany
Anke Niessen
Affiliation:
Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, RWTH Aachen University, Aachen, Germany
Christin Baumann
Affiliation:
Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, RWTH Aachen University, Aachen, Germany
Reinhild Schwarte
Affiliation:
Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, RWTH Aachen University, Aachen, Germany
Julia Koslowski
Affiliation:
Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, RWTH Aachen University, Aachen, Germany
Kerstin Kelberlau
Affiliation:
Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, RWTH Aachen University, Aachen, Germany
Kerstin Konrad
Affiliation:
Child Neuropsychology Section, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, RWTH Aachen University, Aachen, Germany JARA-Brain Institute II, Molecular Neuroscience and Neuroimaging, RWTH Aachen & Research Centre Juelich, Germany
Beate Herpertz-Dahlmann
Affiliation:
Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, RWTH Aachen University, Aachen, Germany
*
Author for Correspondence: Christine Firk, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, RWTH Aachen University, Neuenhofer Weg 21, 52074Aachen, Germany; E-mail: cfirk@ukaachen.de
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Abstract

Children of adolescent mothers are a high-risk group for negative child development. Previous findings suggest that early interventions may enhance child development by improving mother–child interaction. The purpose of the current study was to evaluate a mother–child intervention (STEEP-b) program in high-risk adolescent mother–infant dyads (N = 56) within a randomized controlled trial (RCT). Mother–child interaction was assessed at baseline (T1), postintervention (T2), and follow-up (T3). The primary outcome was the change in maternal sensitivity and child responsiveness from T1 to T2 that was measured by blinded ratings of videotaped mother–child-interaction with the Emotional Availability Scales. A modified intention-to-treat analysis was performed to examine the data. No intervention effect was found for maternal sensitivity, 95% CI [-0.59–0.60], p = .99, and child responsiveness, 95% CI [-0.51–0.62], p = .84. Maternal sensitivity and child responsiveness did not change over time in both groups (all ps > .05). A statistically nonsignificant, but potentially clinically meaningful difference emerged between rates of serious adverse events, SC: 4 (14.8%), STEEP-b: 1 (3.4%), possibly driven by different intensity of surveillance of dyads in the treatment groups. The current findings question the effectiveness of STEEP-b for high-risk adolescent mothers and do not justify the broad implementation of this approach.

Keywords

adolescent parentingchild developmentchild mental healthearly mother–child interventionmaternal sensitivity
Type
Regular Articles
Information
Development and Psychopathology , Volume 33 , Issue 3 , August 2021 , pp. 992 - 1005
Copyright
Copyright © Cambridge University Press 2020

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Footnotes

*

both authors contributed equally

**

both authors contributed equally

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