TY - JOUR
T1 - Evaluation of the Pregnancy to Parenthood program
T2 - A dyadic intervention for mothers with perinatal mental disorders and their infants
AU - Matacz, Rochelle
AU - Byrne, Shannon
AU - Nosaka, Kaoru
AU - Priddis, Lynn
AU - Finlay-Jones, Amy
AU - Lim, Izaak
AU - Bloxsome, Dianne
AU - Newman-Morris, Vesna
N1 - Publisher Copyright:
© 2024 Michigan Association for Infant Mental Health.
PY - 2025/1
Y1 - 2025/1
N2 - Dyadic interventions targeting maternal mental health and the mother-infant relationship in the perinatal period are critical due to the potential consequences of perinatal mental illness and relational disturbance for the mother, the infant, and their family. This paper describes the Pregnancy to Parenthood (P2P) model of care, a dyadic mother-infant community-based program designed to support vulnerable families in Western Australia in the context of an identified need to build workforce capacity. A pragmatic service evaluation study was conducted by analyzing routine clinical data collected from 105 dyads who completed pre- and post-intervention measures, including the Edinburgh Postnatal Depression Scale (EPDS), Perinatal Anxiety Screening Scale (PASS), and the Mother Object Relations Scale-Short Form (MORS-SF). Reliable change index and cut-off analyses indicated a clinically reliable pre-post reduction in perinatal depressive and anxiety symptoms for 71% and 68% of the sample, respectively. Significant pre-post improvements with medium effect sizes (r = −.46, r = −.32) were found for caregiving representations on the MORS-SF, suggesting representations became more balanced. These results provide provisional evidence that the P2P model of care may be effective in improving maternal mental health and caregiving representations. Further research is required to evaluate the efficacy of P2P in relation to enhancing family well-being, and to inform policy and mental health service development.
AB - Dyadic interventions targeting maternal mental health and the mother-infant relationship in the perinatal period are critical due to the potential consequences of perinatal mental illness and relational disturbance for the mother, the infant, and their family. This paper describes the Pregnancy to Parenthood (P2P) model of care, a dyadic mother-infant community-based program designed to support vulnerable families in Western Australia in the context of an identified need to build workforce capacity. A pragmatic service evaluation study was conducted by analyzing routine clinical data collected from 105 dyads who completed pre- and post-intervention measures, including the Edinburgh Postnatal Depression Scale (EPDS), Perinatal Anxiety Screening Scale (PASS), and the Mother Object Relations Scale-Short Form (MORS-SF). Reliable change index and cut-off analyses indicated a clinically reliable pre-post reduction in perinatal depressive and anxiety symptoms for 71% and 68% of the sample, respectively. Significant pre-post improvements with medium effect sizes (r = −.46, r = −.32) were found for caregiving representations on the MORS-SF, suggesting representations became more balanced. These results provide provisional evidence that the P2P model of care may be effective in improving maternal mental health and caregiving representations. Further research is required to evaluate the efficacy of P2P in relation to enhancing family well-being, and to inform policy and mental health service development.
KW - caregiving representations
KW - COVID-19-Pandemie
KW - dyadic Intervention
KW - Femmes
KW - Frauen
KW - Geburtshilfe
KW - Gesundheitsversorgung für Schwangere
KW - infant mental health
KW - mother-infant relationship
KW - mujeres
KW - pandemia Covid19
KW - pandémie du COVID19
KW - perinatal mental health
KW - servicios de cuidado de dar a luz
KW - servicios de cuidados de maternidad
KW - soin durant l'accouchement
KW - soins de santé en maternité
UR - http://www.scopus.com/inward/record.url?scp=85208642807&partnerID=8YFLogxK
U2 - 10.1002/imhj.22143
DO - 10.1002/imhj.22143
M3 - Article
C2 - 39526659
AN - SCOPUS:85208642807
SN - 0163-9641
VL - 46
SP - 70
EP - 84
JO - Infant Mental Health Journal
JF - Infant Mental Health Journal
IS - 1
ER -