Effects of a Parenting Program Among Women Who Began Childbearing as Adolescents and Young Adults
| Autor: | Heather A. Knauer, Lourdes Schnaas, Lia C. H. Fernald, Armando García-Guerra, Rose M. C. Kagawa, Julianna Deardorff, Lynnette M. Neufeld |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Adolescent Mothers law.invention Developmental psychology First birth Treatment and control groups 03 medical and health sciences Child Development 0302 clinical medicine Randomized controlled trial Pregnancy law 030225 pediatrics Intervention (counseling) Cognitive development Humans 030212 general & internal medicine Young adult Mexico Randomized Controlled Trials as Topic Parenting Conditional cash transfer Public Health Environmental and Occupational Health Psychiatry and Mental health Child Preschool Pregnancy in Adolescence Pediatrics Perinatology and Child Health Female Parenting programs Psychology |
| Zdroj: | Journal of Adolescent Health. 61:634-641 |
| ISSN: | 1054-139X |
| DOI: | 10.1016/j.jadohealth.2017.05.023 |
| Popis: | Purpose The purpose of the study was to examine whether access to an at-scale, group-based parenting education program ("Educacion Inicial") had differential effects on parenting behaviors and child cognitive development according to mother's age at the birth of her first child, with a focus on adolescent mothers in rural Mexico. Methods This was a secondary analysis of a cluster-randomized controlled trial (n = 728 households, n = 106 communities). We conducted intent-to-treat analyses and examined the interaction between treatment group and mother's age at first birth. The primary outcomes were parenting behaviors (Family Care Indicators) and children's cognitive development (McCarthy Scales of Children's Abilities) at ages 3–5 years. Results We found that children of mothers who began childbearing in adulthood (20–30 years) scored higher on tests of cognitive development when randomized to weekly parenting support than their counterparts in the comparison group. Whereas, the children of mothers who began childbearing in adolescence (≤16 years) did not have higher scores associated with the parenting program (difference in magnitude of associations: Verbal=−8.19; 95% CI=−15.50 to −.88; p = .03; Memory=−7.22; 95% CI=−14.31 to −.14; p = .05). The higher scores among the children of mothers who began childbearing in adulthood were only significant when Educacion Inical was supported by Prospera, the conditional cash transfer program. Conclusions Our study results suggest that the Educacion Inicial parenting intervention did not adequately address the needs of women who began childbearing in adolescence. One reason may be that adolescent mothers are more socially marginalized and less able to benefit from parenting programs. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect