Evidence map›Paper›PMID 34591567›Full record

Trial reportDevelopmental psychology2021

Randomized trial of promoting first relationships for new mothers who received community mental health services in pregnancy.

Monica L Oxford, Jonika B Hash, Mary J Lohr, Maria E Bleil, Charlie B Fleming, Jurgen Unützer, Susan J Spieker

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Developmental psychology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02724774 (Collaborative Perinatal Mental Health and Parenting Support in Primary Care), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% 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.

NCT02724774 nacompletednot on this map

Collaborative Perinatal Mental Health and Parenting Support in Primary Care

TypeinterventionalSponsorUniversity of WashingtonRan2015 to 2020Enrolled252ConditionsParenting, Mother-child RelationsArmsPromoting First Relationships®
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Promoting First RelationshipsPrevention science : the official journal of the Society for Prevention Research · 2023
    Trial
  5. Trial
  6. The Impact of Federally Funded Home Visiting Programs on Parental Mental Health: a Systematic Review.Prevention science : the official journal of the Society for Prevention Research · 2026
    Review
  7. Article
  8. Efficacy ofJournal of family studies · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Trying to Do What's Best: Maternal Perspectives About Toddler Sleep Health Among an Underresourced Sample of Mothers With Diverse Racial and Ethnic Identities.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    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

7 authors at 1 institution in 1 country.

Monica L OxfordDepartment of Child, Family, and Population Health Nursing, University of Washington.ORCID 0000-0002-0506-843X
Jonika B HashDepartment of Child, Family, and Population Health Nursing, University of Washington.ORCID 0000-0001-7710-5220
Mary J LohrDepartment of Child, Family, and Population Health Nursing, University of Washington.ORCID 0000-0001-9826-5389
Maria E BleilDepartment of Child, Family, and Population Health Nursing, University of Washington.
Charlie B FlemingDepartment of Child, Family, and Population Health Nursing, University of Washington.ORCID 0000-0002-1357-5706
Jurgen UnützerDepartment of Psychiatry and Behavioral Sciences, University of Washington.
Susan J SpiekerDepartment of Child, Family, and Population Health Nursing, University of Washington.ORCID 0000-0003-4768-0181
University of Washington · US

Funding

Collaborative Perinatal Mental Health and Parenting Support in Primary CareR01HD080851 · NICHD · UNIVERSITY OF WASHINGTON · PI SPIEKER, SUSAN JOAN · 2015 to 2019
$3.2M
The Role of Parenting in Infant Sleep Regulation and Sleep Problem RiskR01HD052809 · NICHD · PENNSYLVANIA STATE UNIVERSITY, THE · PI TETI, DOUGLAS MICHAEL · 2008 to 2012
$2.7M
National Institute of Health; Eunice Kennedy Shriver National Institute of Child Health and Human DevelopmentNICHD NIH HHS R01 HD052809NICHD NIH HHS R01 HD080851
6 · The paper itself

Abstract

The effectiveness of Promoting First Relationships (PFR), a 10-week home visiting program with video feedback, was tested in a randomized controlled trial involving 252 mothers and their 8- to 12-week-old infants. Mothers were eligible if they initiated treatment after mental health screening (depression, anxiety, posttraumatic stress disorder [PTSD]) at a community or public health primary care center in pregnancy. At baseline, 51% had mild to severe depression symptoms, 54% had mild to severe anxiety, and 35% had PTSD. Their ages ranged from 18 to 42 years. Mothers were 66% White, 18% Black, and 16% other races. Forty-seven percent identified as Hispanic, and 33% preferred to read and speak in Spanish. The median family annual income was less than $20,000. The PFR program or receipt of a resource packet (control condition) followed the baseline assessment and randomization; we assessed outcomes when infants were age 6 and 12 months. Compared to mothers in the control condition, mothers in the PFR condition had significantly (ps < .05) higher observed sensitivity scores at both follow-up time points (d = .25, d = .26), had improved understanding of infant-toddler social-emotional needs at both time points (d = .21, d = .45), and reported less infant externalizing behavior at age 12 months (d = .28). This study is the fourth completed randomized controlled trial of the PFR program, all involving populations experiencing adversity. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Indexed as

Community Mental Health ServicesStress Disorders, Post-TraumaticAdolescentAdultAnxietyFemaleHumansInfantInfant BehaviorMothersPregnancyYoung Adult

Identifiers

PMID34591567
PMCPMC8493794
OpenAlexW3204602378

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.