Jennifer Burke Lefever

Fathers' influence in the lives of children with adolescent mothers.

Little is known about the extent, nature, and impact of fathers of children with adolescent mothers. The current study measured father involvement with 134 children of adolescent mothers over the first 10 years of life. Overall, 59% had consistent father contact across the first 8 years. This contact was associated with better socioemotional and academic functioning at 8 and 10 years of age, particularly in school related areas. Children with greater levels of father contact had fewer behavioral problems and had higher scores on reading achievement; these results held after controlling for maternal risk. The findings showed the important role that fathers play in the lives of at-risk children, even if the father does not reside with the child.

Txt u ltr: using cellular phone technology to enhance a parenting intervention for families at risk for neglect.

One of the biggest challenges facing home visiting programs aimed at high-risk families is keeping families involved in the intervention. Cellular phones afford the opportunity for home visitors to maintain regular communication with parents between intervention visits and thus retain high-risk families in parenting interventions. The use of cellular phones may also increase the dosage of intervention provided to families and the fidelity with which parents implement the intervention, thus resulting in improved outcomes for parents and children. This brief report describes the development and initial testing of a parenting program, Planned Activities Training (PAT), which was enhanced through the use of cellular phones to promote the active engagement of parents. PAT is a five-session intervention aimed at improving parent-child interactions, increasing child engagement in daily activities, and reducing challenging child behaviors. To date, 19 parents have completed PAT and cell phone—enhanced PAT, and all have met the 90% correct mastery criterion and demonstrated improvements in their parenting behaviors. Parents have rated PAT and the text messaging and cellular phone call enhancements very positively.

Randomized trial of a cellular phone-enhanced home visitation parenting intervention

BACKGROUND AND OBJECTIVES: Although home visiting programs have been documented to improve parenting in high-risk families, their effectiveness is diminished when parents disengage from programs. Cellular phones offer an approach to promoting parent engagement and enhancing parenting outcomes. Our objective was to examine whether mothers in a parenting intervention, Planned Activities Training (PAT), or cellular phone-enhanced version (CPAT) of the intervention would demonstrate greater use of parenting strategies after treatment and at 6 months post-treatment compared with a wait-list control (WLC). METHODS: A sample of 371 low-income mothers and their 3.5- to 5.5-year-old children were randomly assigned to condition and assessed at pre-test, post-intervention, and 6 months post-intervention. Treatment efficacy was evaluated through observations of mother-child interactions as well as maternal interviews about depression, parenting stress, and child behaviors. RESULTS: Mothers receiving PAT and CPAT demonstrated more frequent use of parenting strategies and engaged in more responsive parenting than mothers in the WLC. Mothers receiving CPAT used more PAT parenting strategies than mothers in the other 2 groups and experienced greater reductions in depression and stress. Children of mothers receiving PAT and CPAT demonstrated higher rates of positive engagement, and children of CPAT mothers demonstrated higher levels of adaptive behaviors than children in the WLC. Importantly, changes in parenting, depression, and stress predicted positive child behaviors. CONCLUSIONS: PAT and CPAT conditions improved parenting strategies and child engagement and reduced children’s challenging behaviors. The addition of cellular phones to a home visiting program enhanced maternal responsivity and reduced depression and stress.

The evolved developmental niche and child sociomoral outcomes in Chinese 3-year-olds

Responsive parenting is known to lead to multiple positive child outcomes, including sociomoral development. We examined the extent to which additional caregiving practices are also critical for positive sociomoral outcomes in early childhood. We looked specifically at what we call the evolved developmental niche (EDN), as described for young children by anthropologists, which includes frequent touch, breastfeeding, caregiver responsiveness, multiple adult caregivers, play, and natural childbirth. We collected behaviour and attitude data on these practices from 383 mothers of 3-year-olds in China using a self-report maternal survey. Mothers also completed standardized measures of their childs behaviour regulation, empathy, and conscience. We found significant effects for most caregiving practices and attitudes on child outcomes after controlling for maternal income and education, and most effects remained significant after controlling for responsivity. These findings suggest that practices representative of the evolved developmental niche may be important, above and beyond responsivity alone, for fostering sociomoral development.

Psychosocial pathways to childhood obesity: A pilot study involving a high risk preschool sample

This pilot study adopts a systems theory perspective to explore associations between parent and child factors and childrens body mass index (BMI). Forty mothers and their preschool-aged children (3-6years) who were eligible for Head Start were recruited. Measures included demographic risk, maternal depression, negative parenting, childrens impulsivity, childrens approach to eating, and BMI. Structural Equation Modeling supported a mediating model such that mothers who reported greater demographic risk and more depressive symptoms showed higher rates of negative parenting. In turn, more negative parenting predicted higher child impulsivity ratings, which were related to higher food approach scores. Finally, children who scored higher in food approach had higher BMIs. Tests of sub-models excluding any of the mediating variables indicated a significantly worse fit to the data in each case. Results have implications for family-wide intervention strategies to help lower the risk for early-onset obesity in high-risk children.

Cell Phones and the Measurement of Child Neglect The Validity of the Parent-Child Activities Interview

Two multisite studies were conducted to assess the feasibility of using cell phone interviews (the Parent-Child Activities Interview) to learn more about the quality of daily parenting among high-risk mothers, including child neglect. In Study 1, 45 primiparous teenage mothers with 3- to 9-month-old infants were recruited and randomly assigned to two groups: one received frequent cell phone interviews and the other group less frequent interviews over their home telephone. Relationships among paper-and-pencil surveys of parenting (gathered in person) and a Parenting Essentials score (coded from the phone interviews) were significantly correlated. In Study 2, adolescent and adult mothers and their first-born children ( n = 544) completed 2 observations of parenting in their home as well as a series of 3 PCA calls at ages 4 and 8 months. Parenting Essentials coded from the interviews were significantly related to observed measures of parenting at both time points. The Parent-Child Activities Interview shows promise as a reliable and valid measure of parenting, capturing frequent and detailed information about daily parenting practices. Cell phones may prove useful in intervening with mothers at risk of suboptimal parenting and child neglect.

Cell Phone Methodology for Research and Service with High Risk Mothers and Children.

Cell phones afford a set of distinctive advantages for gathering information on daily patterns of behavior, establishing relationships, maintaining contact, and providing professional expertise to participants in a wide array of programs, including intervention, treatment, and service. This paper presents new findings about innovative applications of cell phone technology in research on daily patterns of behavior with adolescent mothers, findings relative to feasibility and utility, and presents recommendations for the applicability of its use in early care and education.

Precursors of Mild Mental Retardation in Children with Adolescent Mothers

Publisher Summary This chapter presents data that focuses on development during middle childhood for children born to adolescent mothers in the late 1980s and early 1990s. A prospective analysis of childrens development enabled to understand the effects of early parenting, in combination with other maternal personal, social, and emotional factors, on the emergence of mental retardation and other developmental delays. The chapter briefly describes the Notre Dame Adolescent Parenting Project and then summarizes major developmental patterns through age 5. It presents maternal and child data related to the emergence of “early signs” of mild mental retardation and learning disabilities, tracing childrens developmental trajectories for intelligence, language, adaptive behaviors, and adjustment for the entire sample as well as for children who at age 10 showed delays in intelligence and adaptation. The chapter also presents data on the role of parenting in helping to explain developmental delays, emphasizing new findings on the interrelationships between maternal and child developmental trajectories. In the concluding part of the chapter, three interrelated explanations are offered regarding factors that might influence childrens developmental delays: disorganized attachment, failures to teach and model self-regulation skills, and neglectful-abusive parenting.

Maternal history of parentification and warm responsiveness: The mediating role of knowledge of infant development.

Maternal history of parentification in the family of origin poses subsequent risk to parenting quality during the transition to parenthood. The present study builds on prior work by evaluating whether the association between maternal parentification history and warm responsiveness is mediated by maternal knowledge of infant development in first time mothers. Using data from a prospective longitudinal study on the transition to motherhood, maternal knowledge of infant development and observational codings of warm responsiveness were examined across the first 18 months of parenthood for 374 mothers who also provided retrospective reports of their childhood parentification experiences. Results indicated that maternal retrospective reports of higher engagement in parentified roles in family of origin were associated with poorer knowledge of infant development across the first 18 months of parenthood and, in turn, less warm responsiveness with 18-month-old children. However, maternal parentification history did not significantly influence changes in maternal warm responsiveness across the transition to parenthood. These findings suggest that preventive interventions targeting maternal knowledge of infant development as early as the prenatal period may be useful for preventing poor warm responsiveness.

Long-Term Impact of a Cell Phone–Enhanced Parenting Intervention:

Home visiting programs support positive parenting in populations at-risk of child maltreatment, but their impact is often limited by poor retention and engagement. The current study assessed whether a cellular phone–supported version (PCI-C) of the Parent-Child Interactions (PCI) intervention improved long-term parenting practices, maternal depression, and children’s aggression. Low-income mothers (n = 371) of preschool-aged children were assigned to one of the three groups: PCI-C, PCI, and a wait-list control (WLC) group. Parenting improved in both intervention groups between baseline and 12-month follow-up compared to the WLC. Children in the PCI-C group were rated to be more cooperative and less aggressive than children in the WLC. The results offer evidence of the long-term effectiveness of PCI and the additional benefits of cellular phone supports for promoting intervention retention and improving children’s behavior.