Department of Pediatrics (B Zuckerman, K Edson, C Hatcher), Boston Medical Center, Boston, Mass.
Department of Pediatrics (B Zuckerman, K Edson, C Hatcher), Boston Medical Center, Boston, Mass.
Acad Pediatr. 2022 Nov-Dec;22(8):1437-1442. doi: 10.1016/j.acap.2022.02.010. Epub 2022 Feb 17.
To conduct a pilot trial of Small Moments, Big Impact: a relational health app.
Low-income mothers with 1 or no prior children, a full-term birth, above 18 years old, and without substance abuse were recruited. The control group was recruited prior to the intervention group to avoid contamination. Of the 117 mothers enrolled, 29 intervention and 29 control mothers completed the study. Five questionnaires were administered at baseline and 6-months to measure maternal depression, empathy, beliefs about children's emotions, intelligence mindsets, and app use. At 6 months, questionnaires assessing parenting stress, reflective functioning, and perceived value of app were also administered.
Mothers in the final sample were similar to those who did not complete the study, except more mothers who dropped out were recruited during COVID-19 and had a lower empathetic subscale score. No differences were found between groups at pre- or post-test. However, because of skewed outcome variables which violated normality principles and the small sample size, quantile regression analyses were performed comparing the 25th, 50th, and 75th percentiles for each outcome. Controlling for pretest and potential confounders, subsets of SMBI mothers reported lower parental stress, more growth mindset and increased effort to understand their child's feelings. Ninety percent of mothers reported using SMBI at least once per week. Eighty percent of mothers would recommend the SMBI app to new mothers.
Most mothers used SMBI weekly, rated it highly and reported less stress, more growth mindset, and more positive child rearing beliefs.
开展小型时刻，巨大影响（Small Moments, Big Impact）：关系健康应用程序的试点试验。
招募了低收入、有 1 个或没有先前孩子、足月出生、年龄在 18 岁以上且没有滥用药物的母亲。对照组在干预组之前招募，以避免污染。在 117 名登记的母亲中，有 29 名干预组和 29 名对照组的母亲完成了研究。在基线和 6 个月时，共进行了 5 项问卷调查，以测量母亲的抑郁、同理心、对孩子情绪的信念、智力观念和应用程序使用情况。在 6 个月时，还评估了父母压力、反思功能和对应用程序感知价值的问卷。
最终样本中的母亲与未完成研究的母亲相似，除了更多的退出者是在 COVID-19 期间招募的，并且同理心子量表得分较低。在预测试或后测试中，组间没有差异。然而，由于违反正态性原则的偏态结果变量和小样本量，进行了分位数回归分析，比较了每个结果的第 25、50 和 75 百分位数。控制了前测和潜在混杂因素后，SMBI 母亲的子集报告了较低的父母压力、更多的成长心态和增加了努力理解孩子的感受。90%的母亲报告每周至少使用一次 SMBI。80%的母亲会向新妈妈推荐 SMBI 应用程序。
大多数母亲每周使用 SMBI，评价很高，报告压力较小、更多的成长心态和更积极的育儿信念。
