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dc.contributor.authorRayce, Signe Boe
dc.contributor.authorRasmussen, Ida Scheel
dc.contributor.authorKlest, Sihu
dc.contributor.authorPatras, Joshua
dc.contributor.authorPontoppidan, Maiken
dc.date.accessioned2018-02-09T12:23:56Z
dc.date.available2018-02-09T12:23:56Z
dc.date.issued2017-12-27
dc.description.abstractObjectives:<br>Infancy is a critical stage of life, and a secure relationship with caring and responsive caregivers is crucial for healthy infant development. Early parenting interventions aim to support families in which infants are at risk of developmental harm. Our objective is to systematically review the effects of parenting interventions on child development and on parent–child relationship for at-risk families with infants aged 0–12 months.<br>Design:<br>This is a systema tic review and meta-analyses. We extracted publications from 10 databases in June 2013, January 2015 and June 2016, and supplemented with grey literature and hand search. We assessed risk of bias, calculated effect sizes and conducted meta-analyses.<br>Inclusion criteria:<br>(1) Randomised controlled trials of structured psychosocial inter ventions offered to at-risk families with infants aged 0–12 months in Western Organisation for Economic Co-operation and Development (OECD) countries, (2) interventions with a minimum of three sessions and at least half of these delivered postnatally and (3) outcomes reported for child development or parent–child relationship.<br>Results:<br> Sixteen studies were inc luded. Meta-analyses were conducted on seven outcomes represented in 13 studies. Parenting interventions significantly improved child behaviour ( d =0.14; 95% CI 0.03 to 0.26), parent– child relationship ( d =0.44; 95% CI 0.09 to 0.80) and ma ternal sensitivity ( d =0.46; 95% CI 0.26 to 0.65) postinter vention. There were no significant effects on cognitive development ( d= 0.13; 95% CI −0.08 to 0.41), internalising behaviour ( d= 0.16; 95% CI −0.03 to 0.33) or externalising beha viour ( d= 0.16; 95% CI −0.01 to 0.30) post-inter vention. At long-term follow-up we found no significant effect on child behaviour ( d= 0.15; 95% CI −0.03 to 0.31).<br>Conclusions:<br> Inter ventions offered to at-risk families in the first year of the child’s life appear to improve child behaviour, parent–child relationship and maternal sensitivity post-intervention, but not child cognitive development and internalising or externalising behaviour. Future studies should incorporate follow-up assessments to examine long-term effects of early interventions.en_US
dc.identifier.citationRayce, S.B., Rasmussen, I.S., Klest, S.K., Patras, J., Pontoppidan, M. The effects of parenting interventions for at-risk parents with infants: A systematic review and meta-analyses. BMJ Open. 2017;7en_US
dc.identifier.cristinIDFRIDAID 1482719
dc.identifier.doi10.1136/bmjopen-2016-015707
dc.identifier.issn2044-6055
dc.identifier.urihttps://hdl.handle.net/10037/12114
dc.language.isoengen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.journalBMJ Open
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800en_US
dc.titleEffects of parenting interventions for at-risk parents with infants: A systematic review and meta-analysesen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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