Gray Sarah A O, Moberg Stephanie A, Obus Elsia A, Parker Victoria, Rosenblum Katherine L, Muzik Maria, Zeanah Charles H, Drury Stacy S
Department of Psychology, Tulane School of Science & Engineering, 2007 Percival Stern Hall, 6400 Freret St., New Orleans, LA 70118, USA.
Psychiatry and Behavioral Sciences, Tulane University School of Medicine, 1440 Canal St., New Orleans, LA 70112, USA.
J Infant Child Adolesc Psychother. 2022;21(1):6-18. doi: 10.1080/15289168.2022.2045464. Epub 2022 Mar 14.
The COVID-19 pandemic and mitigation strategies amplified racial and income-based health disparities, profoundly shifted family life, and altered delivery systems for support services. We report pilot data from a telehealth adaptation of Mom Power, an evidence-based, attachment-informed multifamily preventive intervention (clinicaltrials.gov: ).
Virtual Mom Power (VMP), adapted for economically marginalized, predominantly Black mothers and their young children ( = 9) was implemented in New Orleans, an early COVID-19 hotspot with an entrenched history of structural racism and trauma. We outline our approach to adaptation of curriculum and service delivery, using a trauma-informed lens.
Maternal reports of maternal and child functioning from pre to post were consistent with improvements in maternal depressive and posttraumatic stress symptoms and child competence, comparable to outcomes from in-person trials. Feasibility and acceptability data were strong.
Preliminary results and reflections on process suggest that telehealth service delivery of a multifamily preventive intervention, with attention to decreasing barriers to online access and consideration of culture and context, facilitated engagement while maintaining fidelity and effects on intervention targets. Future research using larger samples, randomized controlled design, and multi-method assessment should continue to guide dissemination of reflective, group-based telehealth parenting programs.
新冠疫情及其缓解策略加剧了基于种族和收入的健康差异，深刻改变了家庭生活，并改变了支持服务的提供系统。我们报告了对“妈妈力量”进行远程医疗改编的试点数据，“妈妈力量”是一种基于证据、注重依恋关系的多家庭预防性干预措施（clinicaltrials.gov： ）。
在新奥尔良实施了针对经济边缘化、主要为黑人的母亲及其幼儿（n = 9）的虚拟“妈妈力量”（VMP），新奥尔良是新冠疫情早期的热点地区，有着根深蒂固的结构性种族主义和创伤历史。我们概述了使用创伤知情视角对课程和服务提供进行改编的方法。
从产前到产后，母亲对母婴功能的报告与母亲抑郁和创伤后应激症状的改善以及儿童能力的提高相一致，与面对面试验的结果相当。可行性和可接受性数据良好。
初步结果和对过程的反思表明，远程医疗提供的多家庭预防性干预措施，在关注减少在线访问障碍以及考虑文化和背景的情况下，促进了参与度，同时保持了对干预目标的忠诚度和效果。未来使用更大样本、随机对照设计和多方法评估的研究应继续指导基于群体的反思性远程医疗育儿项目的推广。
