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Effect of the INSIGHT Responsive Parenting Intervention on Parenting and Child Behavior at Ages 3 and 6 Years - 19/04/23

Doi : 10.1016/j.jpeds.2022.10.025 
Sara Tauriello, MS 1, Jennifer S. Savage, PhD 2, 3, Juliana Goldsmith, BS 1, Elizabeth Kubiniec, BA 1, Ian M. Paul, MD, MSc 4, Stephanie Anzman-Frasca, PhD 1, 5,
1 Department of Pediatrics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY 
2 Department of Nutritional Sciences, Pennsylvania State University, University Park, PA 
3 Center for Childhood Obesity Research, Pennsylvania State University, University Park, PA 
4 Departments of Pediatrics & Public Health Sciences, Penn State College of Medicine, Hershey, PA 
5 Center for Ingestive Behavior Research, University at Buffalo, Buffalo, NY 

Reprint requests: Stephanie Anzman-Frasca, PhD, University at Buffalo, G56 Farber Hall, South Campus, Buffalo, NY 14214University at BuffaloG56 Farber HallSouth CampusBuffaloNY14214

Abstract

Objectives

To examine effects of the INSIGHT study responsive parenting (RP) intervention on reported and observed general parenting and child behavior during early and middle childhood.

Study design

Primiparous mother-newborn dyads (n = 279) were randomized to RP intervention or a safety control, with intervention content delivered at research nurse home visits at infant ages 3-4, 16, 28, and 40 weeks and research center visits at 1 and 2 years. At age 3 (n = 220) and 6 years (n = 171) parenting and child behavior were observed during dyadic interactions and coded using the Iowa Family Interaction Rating Scales. Mothers also reported on child behavior (age 3) and aspects of general parenting (age 6) via the Child Behavior Checklist and The Comprehensive General Parenting Questionnaire, respectively.

Results

RP group children had fewer mother-reported externalizing (F = 8.69, P = .004) and problem behaviors at age 3 (F = 4.53, P = .03), and higher observed prosocial (F = 4.73, P = .03) and lower antisocial (ie, externalizing; F = 4.79, P = .03) behavior at age 6 vs controls. There were no study group differences in observed maternal sensitivity at age 3 or 6 years. At age 6, RP group mothers reported higher use of structure defined by establishing consistent rules and routines (F = 5.45, P = .02) and organization of their child's environment (F = 7.12, P = .008) compared with controls.

Conclusions

The INSIGHT RP intervention increased parental organization of the child's environment to facilitate competence, and had beneficial impacts on child behavior at 3 and 6 years. No impacts were found on maternal sensitivity in childhood.

Trial registration

ClinicalTrials.gov: NCT01167270.

Il testo completo di questo articolo è disponibile in PDF.

Keywords : positive parenting, parenting style, childhood obesity, children

Abbreviations : IFIRS, INSIGHT, RP


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 This work was previosuly presented at the virtual TOS Annual Meeting (November 1-5, 2021).
 Supported by grant R01DK088244. Additional support was received from the Children's Miracle Network at Penn State Children's Hospital. The authors declare no conflicts of interest.


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Vol 255

P. 72-79 - aprile 2023 Ritorno al numero
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