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Intervention with Adolescent Mother–Child Dyads and Cognitive Development in Early Childhood: a Meta-Analysis

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Abstract

The cognitive development of children of adolescent mothers has often been considered to be at risk. The purpose of this meta-analysis is to examine whether early intervention could help foster more positive cognitive development in the 0- to 4-year-old children of adolescent mothers. Twenty-two studies were reviewed, involving 29 different intervention strategies and 3577 participants. An overall effect size (corrected for publication bias) of d = .24 was found (95% CI .11, .36). Intervention strategies that focused specifically on the quality of parent–child interaction (d = .89; 95% CI .36, 1.43) or that included parent–child interaction as an important target of intervention (d = .53; 95% CI .34, .73) yielded greater effect sizes than those that emphasized maternal support and education (d = .23; 95% CI .12, .34). Intervention that was delivered in groups (d = .56; 95% CI .36, .74) yielded greater effectiveness than dyadic intervention (d = .27; 95% CI .14, .39). Intervention delivered by trained professionals (d = .39; 95% CI .22, .56) was more effective than that delivered by paraprofessionals (d = .20; 95% CI −.02, .61). Older studies (slope = −.015) and those that involved smaller numbers of participants (slope = −.0008) also yielded greater effect sizes. There was also a marginal tendency for shorter intervention strategies (slope = −.002), and those that involved younger children (slope = −.005) and mothers (slope = −.074) to show greater effects. Discussion focuses on the developmental and practical implications of these results.

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References

References marked with an asterisk indicate studies included in this meta-analytic study

  • Angley, M., Divney, A., Magriples, U., & Kershaw, T. (2015). Social support, family fonctionning and parenting competence in adolescent parents. Maternal and Child Health Journal, 19, 67–73.

    Article  PubMed  PubMed Central  Google Scholar 

  • *Aracena, M., Krause, M., Pérez, C., Méndez, M. J., Salvatierra, L., Soto, M., Pantoja, T., Navarro, S., Salinas, A., Farah, C., & Altimir, C. (2009). A cost-effectiveness evaluation of a home visit program for adolescent mothers. Journal of Health Psychology, 14, 878–887.

  • *Aracena, M., Leiva, L., Undurraga, C., Krause, M., Pérez, C., Cuadra, V., Campos, M. S., & Bedregal, P. (2011). Evaluación de la efectividad de programas de visitas domiciliarias para madres adolescentes y sus hijos/as. Revista Médica de Chile, 139, 60–65.

  • Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., & Juffer, F. (2003). Less is more: Meta-analysis of sensitivity and attachment intervention in early childhood. Psychological Bulletin, 129, 195–215.

    Article  PubMed  Google Scholar 

  • Bar-Haim, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2007). Threat-related attentional bias in anxious and nonanxious individuals: A meta-analytic study. Psychological Bulletin, 133, 1–24.

    Article  PubMed  Google Scholar 

  • Bayley, N. (1969; 1993; 2004). The Bayley Scales of lnfant Development. New York: Psychological Corporation.

  • Beijers, R., Buitelaar, J. K., & De Weerth, C. (2014). Mechanisms underlying the effects of prenatal psychosocial stress on child outcomes: Beyond the HPA axis. European Child & Adolescent Psychiatry, 23, 943–956.

    Article  Google Scholar 

  • Belsky, J., Melhuish, E., Barnes, J., Leyland, A. H., Romaniuk, H., & the National Evaluation of Sure Start Research Team. (2006). Effects of sure start local programmes on children and families: Early findings from a quasi-experimental, cross sectional study. British Medical Journal, 332, 1476–1481.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bohr, Y., & BinNoon, N. (2014). Enhancing sensitivity in adolescent mothers: Does a standardised, popular parenting intervention work with teens? Child Care in Practice, 20, 286–300.

    Article  Google Scholar 

  • Borenstein, M., Hedges, L., Higgins, J. P. T., & Rothstein, H. R. (2005). Comprehensive meta-analysis version 2: A computer program for research synthesis (computer software). Englewood: Biostat.

    Google Scholar 

  • Borenstein, M., Hedges, L., Higgins, J. P. T., & Rothstein, H. R. (2009). Introduction to meta-analysis. Chichester: Wiley.

    Book  Google Scholar 

  • Bornstein, M. H., Putnick, D. L., Suwalsky, J. T. D., & Gini, M. (2006). Maternal chronological age, prenatal history, social support, and parenting of infants. Child Development, 77, 875–892.

    Article  PubMed  Google Scholar 

  • Brown, J. D., Harris, S. K., Woods, E. R., Buman, M. P., & Cox, J. E. (2012). Longitudinal study of depressive symptoms and social support in adolescent mothers. Maternal and Child Health Journal, 16, 894–901.

    Article  PubMed  Google Scholar 

  • Bussières, E.-L., Tarabulsy, G. M., Pearson, J., Tessier, R., Forest, J.-C., & Giguère, Y. (2015). Maternal prenatal stress and infant birth weight and gestational age: A meta-analysis of prospective studies. Developmental Review, 36, 179–199.

    Article  Google Scholar 

  • *Cappleman, M. W., Thompson, R. J., DeRemer-Sullivan, P. A., King, A. A., & Sturm, J. M. (1982). Effectiveness of a home based early intervention programm with infants of adolescent mothers. Child Psychiatry and Human Development, 13, 55–65.

  • Coyne, C. A., Langstrom, N., Rickert, M. E., Lichtenstein, P., & D’Onofrio, B. M. (2013). Maternal age at first birth and offspring criminality: Using the children of twins design to test causal hypotheses. Development and Psychopathology, 25, 17–35.

    Article  PubMed  PubMed Central  Google Scholar 

  • *Deutscher, B., Fewell, R. R., & Gross, M. (2006). Enhancing the interactions of teenage mothers and their at-risk children. Topics in Early Childhood Special Education, 26, 194–205.

  • Duncan, G. J., Dowsett, C. J., Claessens, A., Magnuson, K., Huston, A. C., Klebanov, P., et al. (2007). School readiness and later achievement. Developmental Psychology, 43, 1428–1446.

    Article  PubMed  Google Scholar 

  • Dunn, L. M. (1965). Expanded manual, Peabody Picture Vocabulary Test. Minneapolis: American Guidance Services.

    Google Scholar 

  • Duval, S., & Tweedie, R. (2000). Trim and fill: A simple funnel-plot-based method of testing and ajusting for publication bias in meta-analysis. Biometrics, 56, 455–463.

    Article  CAS  PubMed  Google Scholar 

  • Fagan, J., & Lee, Y. (2013). Explaining the association between adolescent parenting and preschoolers’ school readiness: A risk perspective. Journal of Community Psychology, 41, 692–708.

    Article  Google Scholar 

  • *Fewell, R. R. & Wheeden, C. A. (1998). A pilot study of intervention with adolescent mothers and their children: A preliminary examination of child outcomes. Topics in Early Childhood Special Education, 18, 18–25.

  • *Field, T. M., Widmayer, S. M., Stringer, S., & Ignatoff, E. (1980). Teenage, lower-class, black mothers and their preterm infants: An intervention and developmental follow-up. Child Development, 51, 426–436.

  • *Field, T. M., Widmayer, S.M., Greenberg, R., & Stoller, S. (1982). Effects of parent training on teenage mothers and their infants. Pediatrics, 69, 703–707.

  • *Field, T. M., Scafidi, F., Pikens, J., Prodromidis, M., Pelaez-Nogueras, M., Torquati, J., et al. (1998). Polydrug-using adolescent mothers and their infants receiving early intervention. Adolescence, 33, 117–127.

  • *Field, T. M., Pickens, J., Prodromidis, M., Malphurs, J., Fox, N., Bendell, D., et al. (2000). Targeting adolescent mothers with depressive symptoms for early intervention. Adolescence, 35, 381–414.

  • Furstenberg, F. F., Brooks-Gunn, J., & Morgan, S. P. (1987). Adolescent mothers and their children in later life. Cambridge, UK: Cambridge University Press.

  • Garcia Coll, C., Vohr, B. R., Hoffman, J., & Oh, W. (1986). Maternal and environmental factors affecting developmental outcome of infants of adolescent mothers. Developmental and Behavioral Pediatrics, 7, 230–235.

    Article  CAS  Google Scholar 

  • Geoffroy, M.-C., Côté, S. M., Giguère, C., Dionne, G., Zelazo, P. D., Tremblay, R. E., Boivin, M., & Séguin, J. (2010). Closing the gap in academic readiness and achievement: The role of early childcare. Journal of Child Psychology and Psychiatry, 51, 1359–1367.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gunnar, M. R., & Fisher, P. A. (2006). Bringing basic research on early experience and stress neurobiology to bear on preventive interventions for neglected and maltreated children. Development and Psychopathology, 18, 651–677.

    Article  PubMed  Google Scholar 

  • *Gutelius, M. F., Kirsch, A. D., MacDonald, S., Brooks, M. R., McErlearn, T., & Newcomb, C. (1972). Promising results from a cognitive stimulation program in infancy. Clinical Pediatrics, 11, 585–593.

  • Guttentag, C. L., Landry, S. H., Williams, J. M., Baggett, K. M., Noria, C. W., Borkowsli, J. G., et al. (2014). “My baby and me”: Effects of an early, comprehensive parenting intervention on at-risk mothers and their children. Developmental Psychology, 50, 1482–1496.

    Article  PubMed  Google Scholar 

  • Jaffee, S., Caspi, A., Moffitt, T. E., Belsky, J., & Silva, P. (2001). Why are children born to teen mothers at risk for adverse outcomes in young adulthood? Results for a 20-year longitudinal study. Development and Psychopathology, 13, 377–397.

    Article  CAS  PubMed  Google Scholar 

  • Jahromi, L. B., Guimond, A. B., Umana-Taylor, A. J., Updegraff, K. A., & Toomey, R. B. (2014). Family context, Mexican-origin adolescent mothers’ parenting knowledge, and children’s subsequent developmental outcomes. Child Development, 85, 593–609.

    Article  PubMed  Google Scholar 

  • Keenan, K., Sheffield, R., & Boeldt, D. (2007). Are prenatal psychological or physical stressors associated with suboptimal outcomes in neonates born to adolescent mothers? Early Human Development, 83, 623–627.

    Article  PubMed  PubMed Central  Google Scholar 

  • Keown, L. J., Woodward, L. J., & Field, J. (2001). Language development of pre-school children born to teenage mothers. Infant and Child Development, 10, 129–145.

    Article  Google Scholar 

  • *Kitzman, H., Olds, D. L., Henderson, C. R., Hanks, C., Cole, R., Tabelbaum, R., et al. (1997). Effect of prenatal and infancy home visitation by nurses on pregnancy outcomes, childhood injuries, and repeated childbearing. Journal of the American Medical Association, 278, 645–652.

  • Knerr, W., Gardner, F., & Cluver, L. (2013). Improving positive parenting skills and reducing harsh and abusive parenting in low-and middle-income countries: A systematic review. Prevention Science, 14, 352–363.

    Article  PubMed  Google Scholar 

  • *Landy, S., Schubert, J., Cleland, J. F., & Montgomery, J. S. (1984). The effect of research with teenage mothers on the development of their infants. Journal of Applied Social Psychology, 14, 461–468.

  • Leadbeater, B. J., Bishop, S. J., & Raver, C. C. (1996). Quality of mother-toddler interactions, maternal depressive symptoms, and behaviour problems in preeschoolers of adolescent mothers. Developmental Psychology, 32, 280–288.

    Article  Google Scholar 

  • Lee, M. C., Suhng, L. A., Lu, T. H., & Chou, M. C. (1998). Association of parental characteristics with adverse outcomes of adolescent pregnancy. Family Practice, 15, 336–342.

    Article  CAS  PubMed  Google Scholar 

  • Lemelin, J.-P., Tarabulsy, G. M., & Provost, M. A. (2006). Predicting preschool cognitive development from infant temperament, maternal sensitivity, and psychosocial risk. Merrill Palmer Quarterly, 52, 779–806.

    Article  Google Scholar 

  • *Letourneau, N. (2001). Improving adolescent parent-infant interactions: A pilot study. Journal of Pediatrics Nursing, 16, 53–62.

  • Letourneau, N. L., Stewart, M., & Barnfather, A. K. (2004). Adolescent mothers: Support needs, resources and support-education interventions. Journal of Adolescent Health, 35, 509–525.

    Article  PubMed  Google Scholar 

  • Luster, T., & Vandenbelt, M. (1999). Caregiving by low-income adolescent mothers and the language abilities of their 30-month-old children. Infant Mental Health Journal, 20, 148–165.

    Article  Google Scholar 

  • Madigan, S., Moran, G., & Pederson, D. R. (2006). Unresolved states of mind, disorganized attachment relationships, and disrupted interactions of adolescent mothers and their infants. Developmental Psychology, 42, 293–304.

    Article  PubMed  Google Scholar 

  • Madigan, S., Wade, M., Tarabulsy, G. M., Jenkins, J. M., & Shouldice, M. (2014). Association between maltreatment history and adolescent pregnancy: A meta-analysis. Journal of Adolescent Health, 55, 151–159.

    Article  PubMed  Google Scholar 

  • Madigan, S., Vaillancourt, K., McKibbon, A., & Benoit, D. (2015). Trauma and traumatic loss in pregnant adolescents: The impact of Trauma-Focused Cognitive Behavior Therapy on maternal unresolved states of mind and posttraumatic stress disorder. Attachment and Human Development, 17, 175–198.

    Article  PubMed  Google Scholar 

  • Mayers, H. A., Hager-Budny, M., & Buckner, E. B. (2008). The chances for Children Teen Parent-Infant Project: Results of a pilot intervention for teen mothers and their infants in inner city high schools. Infant Mental Health Journal, 29, 320–342.

    Article  Google Scholar 

  • McDonald, L., Conrad, T., Fairtlough, A., Fletcher, J., Green, L., Moore, L., & Lepps, B. (2009). An evaluation of a groupwork intervention for teenage mothers and their families. Child and Family Social Work, 14, 45–57.

    Article  Google Scholar 

  • *McGowan, M. W., Smith, L. E., Noria, C. W., Culpepper, C., Langhinrichsen-Rolhing, J., Borkowski, J. G., & Turner, L. A. (2008). Intervening with at-risk mothers: Supporting infant language development. Child & Adolescent Social Work Journal, 2, 245–254.

  • *McQueen, A. B. & Washington, V. (1988). Effect of intervention on the language facility of poor, black adolescent mothers and their preschool children. Early Child Development and Care, 33, 137–152.

  • Miller, C. L., Micelli, P. J., Withman, T. L., & Borkowski, J. G. (1996). Cognitive readiness to parent and intellectual-emotional development in children of adolescent mothers. Developmental Psychology, 32, 533–541.

    Article  Google Scholar 

  • Moffitt, T. E., & the E-Risk Study Team. (2002). Teen-aged mothers in contemporary Britain. Journal of Child Psychology and Psychiatry, 43, 727–742.

    Article  PubMed  Google Scholar 

  • *Olds, D. L., Henderson, C. R., Chamberlin, R., & Tatelbaum, R. (1986). Preventing child abuse and neglect: A randomized trial of nurse home visitation. Pediatrics, 78, 65–78.

  • *Olds, D. L., Robinson, J. A., O’Brien, R., Luckey, D. W., Pettitt, L. M., Henderson, C. R., et al. (2002). Home visiting by paraprofessionals and by nurses: A randomized, controlled trial. Pediatrics, 110, 486–496.

  • *Olds, D. L., Robinson, J. A., Pettitt, L., Luckey, D. W., Holmberg, J., Ng, R. K., et al. (2004). Effects of home visits by paraprofessionals and by nurses: Age-four follow-up of a randomized trial. Pediatrics, 115, 1560–1568.

  • Olds, D. L., Saddler, L., & Kitzman, H. (2007). Programs for parents of infants and toddlers: Recent evidence from randomized trials. Journal of Child Psychology and Psychiatry, 48, 355–391.

    Article  PubMed  Google Scholar 

  • Olds, D. L., Holmberg, C. R., Donelan-McCall, N., Luckey, D. W., Knudtson, M. D., & Robinson, J. A. (2014). Effects of home visits by professionals and by nurses on children, follow-up of a randomized trial at ages 6 and 9 years. Pediatrics, 168, 114–121.

    Google Scholar 

  • *Osofsky, J. D., Culp, A. M., & Ware, L. M. (1988). Intervention challenges with adolescent mothers and their infants. Psychiatry, 51, 236–248.

  • Oxford, M., & Spieker, S. (2006). Preschool language development among children of adolescent mothers. Applied Developmental Psychology, 27, 165–182.

    Article  Google Scholar 

  • Pearson, J., Tarabulsy, G. M., & Bussières, E.-L. (2015). Fœtal programming and cortisol secretion in early childhood: A meta-analysis of different programming variables. Infant Behavior and Development, 40, 204–215.

    Article  PubMed  Google Scholar 

  • Roid, G. H. (2003). Stanford-Binet Intelligence Scale (5th ed.). Itasca: Riverside Publishing.

    Google Scholar 

  • Rutter, M. (2012). Resilience as a dynamic concept. Development and Psychopathology, 24, 335–344.

    Article  PubMed  Google Scholar 

  • Sadler, L. S., Swartz, M. K., Ryan-Krause, P., Seitz, V., Meadows-Oliver, M., Grey, M., & Clemmens, D. A. (2007). Promising Outcomes in Teen Mothers Enrolled in a School-Based Parent Support Program and Child Care Center. Journal of School Health, 77(3), 121–130.

  • SmithBattle, L. (2009). Reframing the risks and losses of teen mothering. American Journal of Maternal/Child Nursing, 34, 122–128.

    Article  Google Scholar 

  • Spieker, S. J., & Bensley, L. (1994). Roles of living arrangements and grandmother social support in adolescent mothering and infant attachment. Developmental Psychology, 30, 102–111.

    Article  Google Scholar 

  • Spieker, S. J., Larson, N. C., Lewis, S. M., White, R. D., & Gilchrist, L. (1997). Children of adolescent mothers: Cognitive and behavioral status at age six. Child and Adolescent Social Work Journal, 14, 335–364.

    Article  Google Scholar 

  • Spieker, S. J., Nelson, D., DeKlyen, M., & Staerkel, F. (2005). Enhancing early attachment in the context of early head start: Can programs emphasizing family support improve rates of secure infant-mother attachments in low-income families? In L. J. Berlin, Y. Ziv, L. Amaya-Jackson, & M. T. Greenberg (Eds.), Enhancing early attachments: Theory, research, intervention and policy (pp. 250–275). New York: Guilford Press.

    Google Scholar 

  • *Stevens-Simon, C., Nelligan, D., & Kelly, L. (2001). Adolescents at risk for mistreating their children part II: A home-and clinic-based prevention program. Child Abuse and Neglect, 25, 753–769.

  • Sweet, M. A., & Appelbaum, M. I. (2004). In home visiting an effective strategy? A meta-analytic review of home visiting programs for families with young children. Child Development, 75, 1435–1456.

    Article  PubMed  Google Scholar 

  • Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Boston: Allyn & Bacon.

    Google Scholar 

  • Tarabulsy, G. M., Provost, M. A., Deslandes, J., St-Laurent, D., Moss, E., Lemelin, J. P., Bernier, A., & Dassylva, J. F. (2003). Individual differences in infant still-face response at 6 months. Infant Behavior and Development, 26, 421–438.

    Article  Google Scholar 

  • Tarabulsy, G. M., Moran, G., Pederson, D. R., Provost, M., & Larose, S. (2011). Adolescent motherhood, maternal sensitivity and early infant development. In D. W. Davis & C. Logdson (Eds.), Maternal sensitivity: A critical review for practitioners. Haupauge: Nova Publishers.

    Google Scholar 

  • Tarabulsy, G. M., Pearson, J., Vaillancourt-Morel, M.-P., et al. (2014). Meta-analytic findings of the relation between maternal prenatal stress and anxiety and child cognitive outcome. Journal of Developmental and Behavioral Pediatrics, 35, 38–43.

    Article  PubMed  Google Scholar 

  • Terman, L. M., & Merrill, M. A. (1973). Stanford-Binet Intelligence Scale: 1973 norms edition. Boston: Houghton Mifflin.

    Google Scholar 

  • *Thompson, R. J., Cappleman, M. W., Conrad, H. H., & Jordan, W. B. (1982). Early intervention program for adolescent mothers and their infants. Journal of Developmental & Behavioral Pediatrics, 3, 18–21.

  • Thorndike, R. L., Hagen, E. P., & Sattler, J. M. (1986). Stanford-Binet intelligence scale: Fourth edition (Technical manual). Chicago: Riverside.

    Google Scholar 

  • Tremblay, R. E. (1999). When children’s social development fails. In D. P. Keating & C. Hertzman (Eds.), Developmental health and the wealth of nations. New York: Guilford.

    Google Scholar 

  • Tremblay, R. E. (2010). Developmental origins of disruptive behavior problems: The “original sin” hypothesis, epigenetics and their consequences for prevention. Journal of Child Psychology and Psychiatry, 51, 341–367.

    Article  PubMed  Google Scholar 

  • Turner, L. A., McGowan, M. W., Culpepper, C. L., & Langhinrichsen-Rohlong, J. (2007). Social support for adolescent mothers: The role of community mentors. In Adolescent behavior research advances (pp. 65–77). Hauppauge: Nova.

    Google Scholar 

  • Wagner, M. M. & Clayton, S. L. (1999). The Parents as Teachers Program: Results from Two Demonstrations. The Future of Children, 9(1), 91–115.

  • Wen, X., Korfmacher, J., Hans, S. L., & Henson, L. G. (2010). Young mothers’ involvement in a prenatal and postpartum support program. Journal of Community Psychology, 38, 172–190.

    Article  Google Scholar 

  • Whitman, T. L., Borkowski, J. G., Keogh, D. A., & Weed, K. (2001). Interwoven lives: Adolescent mothers and their children. Mahwah: Lawrence Erlbaum Associates.

    Google Scholar 

  • World Health Organization. (2014). World Health Statistics. Geneva: World Health Organization Press.

    Google Scholar 

  • Zimmerman, I. L., Steiner, V. G., & Pond, R. E. (2002). Preschool Language Scale (4th ed.). San Antonio: The Psychological Corporation.

    Google Scholar 

Download references

Acknowledgements

This research was supported in part by the Québec Fund for Social and Cultural Research (FRQ-SC).

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Correspondence to Claire Baudry or George M. Tarabulsy.

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This meta-analytic study received funding from the Quebec Fund for Social and Cultural Research (Fonds de recherche québécois sur la société et la culture) to the second author (Grant number 171323).

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This meta-analytic study involves data collected from previously published reports. As such, no new recruitment of human participants was conducted.

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Baudry, C., Tarabulsy, G.M., Atkinson, L. et al. Intervention with Adolescent Mother–Child Dyads and Cognitive Development in Early Childhood: a Meta-Analysis. Prev Sci 18, 116–130 (2017). https://doi.org/10.1007/s11121-016-0731-7

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