Evidence map›Paper›PMID 27535131›Full record

Trial reportMaternal and child health journal2017

Outcomes of a Randomized Trial of a Cognitive Behavioral Enhancement to Address Maternal Distress in Home Visited Mothers.

Elizabeth McFarlane, Lori Burrell, Anne Duggan, Darius Tandon

4 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Maternal and child health journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT03420755 nacompletednot on this map

Integrating Text Messages Into the Mothers and Babies Course to Address Depression in Low-Income Women and Their Partners

TypeinterventionalSponsorNorthwestern UniversityRan2017 to 2019Enrolled63ConditionsPerinatal Depression, Postpartum DepressionArmsMothers and Babies 1-on-1, Mothers and Babies Plus Text
NCT03427528 nacompletednot on this mapstarted 2018, after this paper: background citation

Integrating Text Messages Into the Mothers and Babies Course to Address Depression in Low-Income Women and Their Partners

TypeinterventionalSponsorNorthwestern UniversityRan2018 to 2020Enrolled60ConditionsPerinatal Depression, Postpartum Depression, DepressionArmsFathers and Babies (FAB), MB 1-on-1 plus TXT
NCT04914299 nawithdrawnnot on this mapstarted 2021, after this paper: background citation

Positive Intelligence - Prospective Study Evaluating a Novel Mobile App Based Preventive Behavioral Intervention for Perinatal Mood Disorders

TypeinterventionalSponsorMassachusetts General HospitalRan2021 to 2022Enrolled0ConditionsPerinatal Depression, Perinatal AnxietyArmsApp-based "positive intelligence" intervention, Standard of care
NCT05714956 nacompletednot on this mapstarted 2023, after this paper: background citation

Understanding the Needs of Parents and Providers With Mothers and Babies Online (eMB): A User Centered Approach

TypeinterventionalSponsorNorthwestern UniversityRan2023 to 2024Enrolled42ConditionsPerinatal DepressionArmsMothers and Babies Online (eMB)
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  12. Zoom to the Virtual Room: The Shift to Remote Early Childhood Observational Assessments.Prevention science : the official journal of the Society for Prevention Research · 2026
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  14. The family stress model during the coronavirus-19 pandemic: Identifying parental resilience factors.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2025
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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

4 authors.

Elizabeth McFarlaneDepartment of Population, Family and Reproductive Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA. ecmcfarl@JHU.edu.
Lori BurrellDepartment of Population, Family and Reproductive Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Anne DugganDepartment of Population, Family and Reproductive Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Darius TandonNorthwestern University Fienberg School of Medicine, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives To assess the effectiveness of a 6-week, cognitive behavioral therapy (CBT) group-based enhancement to home visiting to address stress and prevent depression as compared with home visiting as usual in low income mothers of young children. Methods We conducted a randomized controlled trial with 95 low-income mothers of young children to assess the effectiveness of a 6-week, cognitive behavioral group-based enhancement to Healthy Families America and Parents as Teachers home visiting (HV/CBT = 49) to address stress and prevent depression as compared with home visiting as usual (HV = 46). Booster sessions for the HV/CBT group were offered at 3 and 6 months. Participants completed measures of coping, stress and depression at three points: baseline prior to randomization, post-intervention, and 6 months post-intervention. Parent child interaction was also measured at 6 months. Results Intent-to-treat analyses found improved coping and reduced stress and depression post-intervention. While impacts on these outcomes were attenuated at 6 months, positive impacts were observed for selected aspects of mothers' interactions with their children. Maternal characteristics at baseline were associated with participation in the intervention and with post-intervention and 6-month outcomes. Mothers with lower levels of stress and those with fewer children were more likely to attend intervention sessions. Mothers with lower levels of stress had more favorable post intervention outcomes. Conclusions CBT group-based enhancement to home visiting improved maternal coping, reduced stress and depression immediately post intervention but not at 6 months, suggesting more work is needed to sustain positive gains in low-income mothers of young children.

Indexed as

Adaptation, PsychologicalHouse CallsAdultCognitive Behavioral TherapyDepressionFemaleHumansInfantMothersParent-Child RelationsPostnatal CarePovertyPsychometricsCBTDepressionHome visitingMaternal stressParent child interactionPrevention

Identifiers

PMID27535131
PMCPMC5357278

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.