Thompson Lucy, Wilson Philip
Institute of Applied Health Sciences, University of Aberdeen, Aberdeen AB24 3FX, UK.
Section of General Practice, Department of Public Health, University of Copenhagen, 1165 Copenhagen, Denmark.
Children (Basel). 2024 Apr 24;11(5):510. doi: 10.3390/children11050510.
Mellow Babies aims to improve mothers' mental wellbeing and the quality of their interactions with their baby. The feasibility of a definitive trial of Mellow Babies was assessed using a waiting-list randomised pilot trial (Clinicaltrials.gov: NCT02277301). Mothers with substantial health/social care needs and a child aged <13 months were randomly allocated either to a 14-week Mellow Babies programme or to receive usual care whilst on a waiting list for the intervention. Rates of recruitment and retention as well as participants' views of their experience in this study were recorded. Outcomes were parenting behaviour, assessed by the blind-rated Mellow Parenting Observation System (primary) and self-report maternal wellbeing pre- and post-intervention/waiting period. We recruited 38 eligible participants: 36 (95%; 18 intervention, 18 control) completed baseline measures, and 28 (74%; 15 intervention, 13 control) provided post-intervention data. Two practitioners took part in feedback interviews. Intervention participants had significantly more positive interactions with their babies at post-intervention compared to those in the control group ( = 0.019), adjusted for pre-intervention scores. There was no significant improvement in mothers' mental wellbeing on any measure. A definitive trial of Mellow Babies is feasible and should include longer follow up of mothers and the opportunity for fathers to take part.
“温柔宝贝”项目旨在改善母亲的心理健康状况以及她们与宝宝互动的质量。我们通过一项等待名单随机试点试验（Clinicaltrials.gov：NCT02277301）评估了“温柔宝贝”最终试验的可行性。有大量健康/社会护理需求且孩子年龄小于13个月的母亲被随机分配到为期14周的“温柔宝贝”项目组，或者在等待干预期间接受常规护理。记录了招募和留存率以及参与者对其在本研究中经历的看法。结果指标为育儿行为，通过盲评的“温柔育儿观察系统”进行评估（主要指标），以及干预前/等待期和干预后母亲自我报告的幸福感。我们招募了38名符合条件的参与者：36名（95%；18名干预组，18名对照组）完成了基线测量，28名（74%；15名干预组，13名对照组）提供了干预后数据。两名从业者参与了反馈访谈。与对照组相比，干预组参与者在干预后与宝宝的积极互动明显更多（P = 0.019），对干预前分数进行了调整。在任何测量指标上，母亲的心理健康状况均无显著改善。“温柔宝贝”的最终试验是可行的，应该包括对母亲进行更长时间的随访，并让父亲有机会参与。
