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Baby-Net Depression

Full project title: Your Strength, Your Baby: Web-Based Remote Coaching to Reduce Maternal Depression and Promote Infant Social-Emotional Health and Development

Funding Agency: National Institutes of Health

 

Project Objectives

For infants facing early adversity, intervening early and targeting specific nurturing parent behaviors has
proven to be effective in promoting healthy infant social-emotional trajectories. Sadly, maternal depression
skyrockets during early infancy, especially for low-income women and interferes with maternal
engagement in interventions shown to be effective generally in improving infant social-emotional outcomes. Maternal depression in the first year postpartum constitutes an enormous and costly public health
concern with extensive and well-documented detrimental effects on infant parenting and infant life course
trajectories. Maternal depression treatments operate in silos, separate from infant parent interventions
that target specific parent behaviors shown to promote infant competencies. There is an absence of integrated
interventions with demonstrated effectiveness in reducing both maternal depression and promoting infant
parenting behavior that builds infant social-emotional competencies. To address the life course needs
of depressed mothers and their infants, we need brief, accessible, and integrated interventions that
target both maternal depression and specific nurturing parent behaviors shown to improve infant
social-emotional trajectories. In our prior programmatic research, we have developed two separate webbased,
remote coaching interventions for: (a) parent nurturing behaviors that improve infant outcomes (Baby-
Net R34; R01) , and (b) maternal depression (Mom-Net R34; R01). Compared to controls, the Baby-
Net program demonstrated medium to large effects on observed nurturing parent behavior and on infant socialemotional competencies in the context of play and in the context of book activities. Mom-Net
demonstrated low attrition and high levels of feasibility, program use, and satisfaction. Compared to
controls, Mom-Net participants demonstrated significant reductions in depression and improved preschool
parenting behavior. A substantial advantage of the web-based, remote coaching approach is that it
overcomes multiple logistical barriers that often prevent low-income mothers from participating in
community/home-visiting treatment programs. While Mom-Net exists for depressed mothers of
preschoolers, it is not designed for infant parenting. Moreover, in Baby-Net studies, we found that maternal
depression significantly impeded program progress and positive intervention effects. Thus, our prior research
on web-based maternal depression and specific nurturing parenting behavior in infancy, provides a
strong empirical basis to integrate salient Mom-Net depression content into the Baby-Net program to
target depression and specific infant parenting behaviors that promote infant social-emotional
competencies and trajectories. We will rigorously test the merged Your Strength-Your Baby (YSYB)
intervention effects with 180 low-income mothers with depression and their infants via a 2-arm, intent-to-treat, randomized controlled trial.

 

Oregon Research Institute • 1776 Millrace Drive • Eugene, OR 97403-2536 • 541-484-2123