Evidence map›Paper›PMID 26012585›Full record

Trial reportTrials2015

A mother-child intervention program in adolescent mothers and their children to improve maternal sensitivity, child responsiveness and child development (the TeeMo study): study protocol for a randomized controlled trial.

Christine Firk, Brigitte Dahmen, Christin Lehmann, Anke Niessen, Julia Koslowski, Geraldine Rauch, Reinhild Schwarte, Kerstin Stich, Kerstin Konrad, Beate Herpertz-Dahlmann

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Pregnancy complications, substance abuse, and prenatal care predict birthweight in adolescent mothers.Archives of public health = Archives belges de sante publique · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Christine FirkDepartment of Child and Adolescent Psychiatry, University Hospital RWTH Aachen, Neuenhofer Weg 21, 52074, Aachen, Germany. cfirk@ukaachen.de.
Brigitte DahmenDepartment of Child and Adolescent Psychiatry, University Hospital RWTH Aachen, Neuenhofer Weg 21, 52074, Aachen, Germany. bdahmen@ukaachen.de.
Christin LehmannDepartment of Child and Adolescent Psychiatry, University Hospital RWTH Aachen, Neuenhofer Weg 21, 52074, Aachen, Germany. clehmann@ukaachen.de.
Anke NiessenDepartment of Child and Adolescent Psychiatry, University Hospital RWTH Aachen, Neuenhofer Weg 21, 52074, Aachen, Germany. ankniessen@ukaachen.de.
Julia KoslowskiDepartment of Child and Adolescent Psychiatry, University Hospital RWTH Aachen, Neuenhofer Weg 21, 52074, Aachen, Germany. jkoslowski@ukaachen.de.
Geraldine RauchInstitute of Medical Biometry and Informatics, University of Heidelberg, Im Neuenheimer Feld 305, 69120, Heidelberg, Germany. rauch@imbi.uni-heidelberg.de.
Reinhild SchwarteDepartment of Child and Adolescent Psychiatry, University Hospital RWTH Aachen, Neuenhofer Weg 21, 52074, Aachen, Germany. rschwarte@ukaachen.de.
Kerstin StichDepartment of Child and Adolescent Psychiatry, University Hospital RWTH Aachen, Neuenhofer Weg 21, 52074, Aachen, Germany. kstich@ukaachen.de.
Kerstin KonradDepartment of Child and Adolescent Psychiatry, University Hospital RWTH Aachen, Neuenhofer Weg 21, 52074, Aachen, Germany. kkonrad@ukaachen.de.
Beate Herpertz-DahlmannDepartment of Child and Adolescent Psychiatry, University Hospital RWTH Aachen, Neuenhofer Weg 21, 52074, Aachen, Germany. bherpertz@ukaachen.de.
RWTH Aachen University · DEForschungszentrum Jülich · DEHeidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildren of adolescent mothers present a high-risk group for child neglect and maltreatment. Previous findings suggest that early interventions can reduce maltreatment by improving the quality of mother-child interaction, particularly maternal sensitivity. The aim of the current study is to evaluate the effects of a mother-child intervention program using home visits and video-feedback regarding mother-child interaction (STEEP-b) plus psychiatric treatment of the mother in cases where mental illness is present compared with TAU (treatment as usual, that is, standardized support by the child welfare system) on enhancing maternal sensitivity and child responsiveness in adolescent, high-risk mothers. The second aim of the current project is to investigate behavioral and neural differences between adolescent and adult mothers at baseline and postintervention. METHODS/

designThis is a randomized controlled trial (RCT) with 120 high-risk adolescent mothers (<21 years old) and their 3- to 6-month-old children. Half of the participants will be randomized to receive STEEP-b in addition to their standard treatment for up to 12 to 18 sessions over 9 months. The other half will continue with treatment as usual. For further comparisons, 40 adult mothers with positive and negative rearing experiences (>25 years) will additionally be recruited to investigate behavioral and neural differences between the adolescent and adult group. Blind assessments will take place at T1 (pre-intervention), at the end of the 9-month intervention (T2, postintervention) and 6 months postintervention (T3, follow-up). Moderators of treatment outcomes and sociodemographic data will be assessed at T1. The primary outcome hypothesis is that STEEP-b added to treatment as usual will improve maternal sensitivity and child responsiveness compared with treatment as usual alone in high-risk adolescent mothers. The primary hypothesis will be evaluated at the end of the 9-month follow-up assessment based on the intention-to-treat principle. The trial is funded by the German Ministry for Research and Education (BMBF). Data collection started in October 2012. DISCUSSION: This is a randomized controlled trial that evaluates the effects of an early intervention program (STEEP-b) on the quality of mother-child interaction and child development in adolescent, high-risk mothers.

trial registrationDRKS00004409 (27 September 2012).

Indexed as

Adolescent BehaviorChild DevelopmentMaternal BehaviorMother-Child RelationsPregnancy in AdolescenceAdolescentAge FactorsChild AbuseEducation, NonprofessionalFeedback, PsychologicalFemaleGermanyHouse CallsHumansInfantInfant Behavior

Identifiers

PMID26012585
PMCPMC4446828
OpenAlexW2108551398

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.