For each at -
risk subgroup of children, analyses yielded:
Not exact matches
Mothers were eligible to participate if they did not require the use
of an interpreter, and reported one or more
of the following
risk factors for poor maternal or
child outcomes in their responses to routine standardised psychosocial and domestic violence screening conducted by midwives for every mother booking in to the local hospital for confinement: maternal age under 19 years; current probable distress (assessed as an Edinburgh Depression Scale (EDS) 17 score
of 10 or more)(as a lower cut - off score was used than the antenatal validated cut - off score for depression, the term «distress» is used rather than «depression»; use
of this cut - off to indicate those distressed approximated the
subgroups labelled in other trials as «psychologically vulnerable» or as having «low psychological resources» 14); lack
of emotional and practical support; late antenatal care (after 20 weeks gestation); major stressors in the past 12 months; current substance misuse; current or history
of mental health problem or disorder; history
of abuse in mother's own childhood; and history
of domestic violence.
Subgroup analyses: We will examine whether there is evidence that the intervention effect is modified for subgroups within the trial participants using tests of interaction between intervention and child and family factors as follows: parity (first - born vs other), antenatal risks (2 vs 3 or more risk factors at screening), maternal mental health at baseline (high vs low score) 18, 62, 63 and self - efficacy at baseline (poor vs normal mastery) 35 using the regression models described above with additional terms for interaction between subgroup and tr
Subgroup analyses: We will examine whether there is evidence that the intervention effect is modified for
subgroups within the trial participants using tests
of interaction between intervention and
child and family factors as follows: parity (first - born vs other), antenatal
risks (2 vs 3 or more
risk factors at screening), maternal mental health at baseline (high vs low score) 18, 62, 63 and self - efficacy at baseline (poor vs normal mastery) 35 using the regression models described above with additional terms for interaction between
subgroup and tr
subgroup and trial arm.
Effects at
child age 2 years were most pronounced for women who were first - time mothers, had more than one antenatal
risk factor or had poorer mental health.18 Intervention mothers who were born overseas (n = 62) also breast fed for longer (d = 0.87, p < 0.001) and reported an improved experience
of being a mother (d = 0.54, p = 0.003) than the equivalent usual care
subgroup.
A
subgroup analysis
of high
risk women who were unmarried and from low SES households (40 %) showed that home visits reduced the number
of subsequent births (mean difference [MD] 0.5, p = 0.02), months that women received welfare (MD 29.9, p = 0.005), reports
of behavioural impairment due to substance abuse (incidence 0.41 v 0.73, p = 0.005), records
of arrests (incidence 0.16 v 0.90, p < 0.001), convictions (incidence 0.13 v 0.69, p < 0.001), and verified reports
of child abuse and neglect involving the mother as perpetrator (incidence 0.11 v 0.53, p < 0.01).
Callous — unemotional (CU) traits mark a
subgroup of children with conduct problems that are most at
risk of developing serious forms
of antisocial behavior.
SRI conducted research to answer important questions about four
subgroups of children participating in Head Start programs with the highest
risk for poor health, developmental, and school readiness outcomes.
The results showed positive impacts
of the PFA program on
children's school readiness skills including for those across income and
risk subgroups.
Children with disabilities or delays, regardless
of the
subgroup criteria used, had higher levels
of many other
risk factors associated with poor developmental and school readiness outcomes.
This work has recently been extended by the adoption
of a public health model for the delivery
of parenting support with parents
of younger
children.9, 11,40 Various epidemiological surveys show that most parents concerned about their
children's behaviour or adjustment do not receive professional assistance for these problems, and when they do, they typically consult family doctors or teachers who rarely have specialized training in parent consultation skills.10 Most
of the family - based programmes targeting adolescents are only available to selective subpopulations
of adolescents (those who have identified
risk factors) and / or indicated
subgroups of youth (those who already possess negative symptoms or detectable problems).
Latent profiles
of problem behavior within learning, peer, and teacher contexts: Identifying
subgroups of children at academic
risk across the preschool year.
Within these trajectories, certain
subgroups of children are more at
risk due to exposure to multiple, cumulative, and prolonged environmental or genetic
risk factors, such as poor attachment, maternal depression, and poverty.