Effects of an Early Home Visiting Program on Maternal Depression

Maternal depression has been associated with negative parenting behaviors and poor developmental outcomes in children. Home visiting programs have positively impacted parenting behaviors and child outcomes; however, such programs often require specialized, highly trained professionals, resulting in a limited number of home visiting providers. One home visiting parenting program, Attachment and Biobehavioral Catch-up (ABC), does not have requirements regarding experience or background to become an ABC parent coach and deliver the intervention. ABC consists of ten 1-hour weekly sessions for parents of children between 0 and 6 months (ABC-Newborn), 6-24 months (ABC-Infant) or 24-48 months (ABC-Early Childhood). ABC has demonstrated efficacy in improving parental sensitivity and children's developmental outcomes. A randomized clinical trial in one community implementation setting showed that ABC decreased maternal depressive symptoms. The current study aimed to replicate this finding across multiple implementation sites and expand on it by exploring if the effect differed by ABC model. Data included a community sample of 163 families from six countries who completed ABC. Maternal reports of depressive symptoms were collected prior to and after receiving ABC. Results showed a significant decrease in maternal depressive symptoms scores from pre-intervention to post-intervention regardless of ABC model. Findings demonstrate that a home visiting parenting intervention program can successfully leverage non-traditional mental health providers to ensure that mothers and children receive necessary resources and support.