Associations Between Early Intervention Home Visits, Family Relationships and Competence for Mothers of Children with Developmental Disabilities.

<italic>Objectives</italic> To examine the association between intensity of home visits in early intervention (EI), perceived helpfulness of home visits in EI, and positive family relationships as predictors of maternal competence at age 3, as well as moderating effects of predictors, controlling fo...

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Published in:Maternal & Child Health Journal Vol. 22; no. 4; pp. 599 - 608
Main Authors: Crossman, Morgan K., Warfield, Marji Erickson, Kotelchuck, Milton, Hauser-Cram, Penny, Parish, Susan L.
Format: research tables/charts Journal Article
Published: Springer Nature Apr2018
Online Access:View this record in EBSCOhost
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      dt: Apr2018
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10995-018-2429-x
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        atl: Associations Between Early Intervention Home Visits, Family Relationships and Competence for Mothers of Children with Developmental Disabilities.
      aug:
        au:
          Crossman, Morgan K.
          Warfield, Marji Erickson
          Kotelchuck, Milton
          Hauser-Cram, Penny
          Parish, Susan L.
        affil: General Academic Pediatrics, Massachusetts General Hospital for Children and Harvard Medical School, 125 Nashua St - Suite #860, Boston, MA, USA
      sug:
        subj:
          Early Intervention
          Family Relations
          Competency Assessment
          Intellectual Disability In Infancy and Childhood
          Maternal Behavior
          Home Visits
          Human
          Male
          Female
          Child, Preschool
          Adult
          Questionnaires
          Coefficient alpha
          Summated Rating Scaling
          Checklists
          Reliability
          Descriptive Statistics
          Data Analysis Software
          Funding Source
          Child, Preschool: 2-5 years
          Adult: 19-44 years
          Male
          Female
      ab: <italic>Objectives</italic> To examine the association between intensity of home visits in early intervention (EI), perceived helpfulness of home visits in EI, and positive family relationships as predictors of maternal competence at age 3, as well as moderating effects of predictors, controlling for child characteristics, family demographics, and negative life events. <italic>Methods</italic> Data were drawn from the Early Intervention Collaborative Study (EICS), a 24-year longitudinal investigation of approximately 190 families of children with developmental disabilities who participated in EI programs in Massachusetts and New Hampshire. The primary analytic strategy was multivariable regression modeling. Each independent predictor was tested individually and then all together to build the final model. Interactions between independent predictors were also examined. <italic>Results</italic> After controlling for child and family characteristics and negative life events, the intensity of home visits was not significantly associated with maternal competence at age 3. However, the helpfulness of home visits (β = 2.94, S.E. = 1.12, p < .01) and positive family relationships (β = 5.11, S.E. = 1.08, p < .001) were associated with higher maternal competence when the child was 3 years old. <italic>Conclusions for Practice</italic> Recommendations for programs and policy include collecting life course data on families, particularly on their family relationships and experiences in EI and home visiting, assessing family relationships at the beginning of EI using a strengths-based perspective, and closely monitoring the quality of services.
      pubtype: Academic Journal
      doctype:
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        Journal Article
      ougenre: Article
    language: English
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