Effects of a Responsive Parenting Intervention on Black Mothers’ Depressive Symptoms Postpartum: Secondary Analysis of a Randomized Clinical Trial
Abstract
Objective: This study examined whether a responsive parenting (RP) intervention for first-time Black mothers had secondary benefits for their mental health by reducing their postpartum depressive symptoms. Method: 212 first-time Black mothers participated in the Sleep SAAF (Strong African American Families) randomized control trial. Mothers were randomized to the RP condition or a safety control condition at 1-week postpartum. Participants reported their depressive symptoms at 1-, 8-, and 16-weeks postpartum. Data were analyzed using linear regression and moderation analyses. Results: There was not a significant main effect of intervention condition on mothers’ depressive symptoms at 8- or 16-weeks postpartum. However, at 8-weeks postpartum, the main effect of condition was significantly moderated by mothers’ depressive symptoms at baseline: mothers in the RP condition reported significantly lower levels of 8-week depressive symptoms than mothers in the safety control condition if they initially had clinically significant depressive symptoms, but did not differ from controls if they did not initially have clinically significant depressive symptoms. This interaction effect was not significant at 16-weeks postpartum. Effects remained consistent controlling for demographic variables, which did not significantly moderate condition effects at 8- or 16-weeks postpartum. Conclusion: Participation in the Sleep SAAF responsive parenting intervention led to a more rapid reduction in…
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Evidence Hub reads this as a secondary / pooled analysis, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence.
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