Mother-child Interaction Research Articles

Maternal insecure attachment representation as a long-term risk factor for disrupted mother–child-interaction and child mental health

Maternal childhood maltreatment (CM) represents an important factor in the transmission of trauma that may lead to impaired child mental health. Apart from childhood maltreatment insecure attachment has been identified as a risk factor for insensitive caregiving behavior, which may affect child's mental health. The aim of this study is to identify the working mechanisms in the relationship between maternal CM and child mental health, considering maternal attachment representation, mother–child-interaction und maternal helplessness and fear. N = 103 mother–child-dyads from a longitudinal cohort study were examined at four different measuring points. Data was assessed using self and external report questionnaires as well as the AMBIANCE scales during the Strange Situation Procedure and the Adult Attachment Projective Picture System (AAP). Maternal CM experience did not predict an insecure attachment representation (OR = 2.46 [0.98, 6.53], p = .060). Maternal insecure attachment was associated with higher AMBIANCE scores (F(8, 94) = 11.46, p < .001), which indicates more disrupted communication between mother and child. AMBIANCE scores in turn predicted higher self-perceived helplessness (F(9, 93) = 8.62, p < .001) and fear (F(9, 93) = 7.40, p < .001) in mothers. Helplessness and fear both were associated with higher SDQ-scores, indicating more mental health problems in children (F(10, 92) = 3.98, p < .001; F(10, 92) = 3.87, p < .001). The results of this study highlight how even insecure attachment in a low-risk sample has a long-term impact on parenting behavior and child mental health, therefore underlining the need of early intervention programs in affected and at-risk families.

The role of lexical and prosodic characteristics of mothers' child-directed speech for the early vocabulary development of Italian children with cochlear implants.

Variability in the vocabulary outcomes of children with cochlear implants (CIs) is partially explained by child-directed speech (CDS) characteristics. Yet, relatively little is known about whether and how mothers adapt their lexical and prosodic characteristics to the child's hearing status (before and after implantation, and compared with groups with normal hearing (NH)) and how important they are in affecting vocabulary development in the first 12 months of hearing experience. To investigate whether mothers of children with CIs produce CDS with similar lexical and prosodic characteristics compared with mothers of age-matched children with NH, and whether they modify these characteristics after implantation. In addition, to investigate whether mothers' CDS characteristics predict children's early vocabulary skills before and after implantation. A total of 34 dyads (17 with NH, 17 with children with CIs; ages = 9-32 months), all acquiring Italian, were involved in the study. Mothers' and children's lexical quantity (tokens) and variety (types), mothers' prosodic characteristics (pitch range and variability), and children's vocabulary skills were assessed at two time points, corresponding to before and 1 year post-CI activation for children with CIs. Children's vocabulary skills were assessed using parent reports; lexical and prosodic characteristics were observed in semi-structured mother-child interactions. Results showed that mothers of children with CIs produced speech with similar lexical quantity but lower lexical variety, and with increased pitch range and variability, than mothers of children with NH. Mothers generally increased their lexical quantity and variety and their pitch range between sessions. Children with CIs showed reduced expressive vocabulary and lower lexical quantity and variety than their peers 12 months post-CI activation. Mothers' prosodic characteristics did not explain variance in children's vocabulary skills; their lexical characteristics predicted children's early vocabulary and lexical outcomes, especially in the NH group, but were not related to later language development. Our findings confirm previous studies on other languages and support the idea that the lexical characteristics of mothers' CDS have a positive effect on children's early measures of vocabulary development across hearing groups, whereas prosodic cues play a minor role. Greater input quantity and quality may assist children in the building of basic language model representations, whereas pitch cues may mainly serve attentional and emotional processes. Results emphasize the need for additional longitudinal studies investigating the input received from other figures surrounding the child and its role for children's language development. What is already known on the subject Mothers' CDS is thought to facilitate and support language acquisition in children with various language developmental trajectories, including children with CIs. Because children with CIs are at risk for language delays and have acoustic processing limitations, their mothers may have to produce a lexically simpler but prosodically richer input, compared to mothers of children with NH. Yet, the literature reports mixed findings and no study to our knowledge has concurrently addressed the role of mothers' lexical and prosodic characteristics for children's vocabulary development before implantation and in the first 12 months of hearing experience. What this study adds to the existing knowledge The study shows that mothers of children with CIs produce input of similar quantity but reduced variety, and with heightened pitch characteristics, compared to mothers of children with NH. There was also a general increase in mothers' lexical quantity and variety, and in their pitch range, between sessions. Only their lexical characteristics predicted children's early vocabulary skills. Their lexical variety predicted children's expressive vocabulary and lexical variety only in the NH group. What are the practical and clinical implications of this work? These findings expand our knowledge about the effects of maternal input and may contribute to the improvement of early family-centred intervention programmes for supporting language development in children with CIs.

Analysis the Role of Mother-child Interaction in Developing Children’s Positive Character and Mother’s Happiness

Interactions between mothers and children have an important role in developing children's positive character and maternal happiness. This study aims to analyze the characteristics of mothers and children, the role of mother-child interactions in shaping children's positive character, and maternal happiness. This research use a qualitative method describe the reality of the events under study so that it is easier to get objective data. The sample was selected through a convenience sampling technique. Three mothers with children aged 2-6 years and are daily involved in parenting. The data collection techniques used in this study used method triangulation using (semi-structured interview, observation, and Focus Group Discussion). Three themes emerged elaborating parents' understanding of mother-child interactions: forms of interaction, ways of interaction, and the role of mother-child interactions. Three themes emerged from the research objectives further describing the involvement of the role of mother-child interactions in shaping children's positive character, namely: positive parenting, parental example and synergy, and parental strategies. From the last research objective, describing the involvement of the role of mother-child interaction in maternal happiness, three themes were obtained, namely: emotional bonding and support, religiosity, and children's achievement. Specifically, the results proved that all mothers viewed mother-child interactions as playing a significant role in shaping children's positive character and increasing maternal happiness.

Mothers' Mental State Talk and 3- to 5-Year-Old Children's Theory of Mind: Their Reciprocal Dynamic Impact.

The development of children's social function is influenced by the social environment, and children also play an active role in shaping and nurturing this environment. The present study investigated the potential reciprocal dynamic impact of mothers' mental state talk (MST) and the development of theory of mind (ToM) in children. Using a cross-sectional design, we explored the development of ToM in 3- to 5-year-old children using an unexpected location task, an unexpected content task, an appearance-reality task, and mothers' MST during mother-child reading. The results showed the following: (1) the mothers' MST exhibited a shift from a predilection for subjective terms (such as desires) to a preference for objective terms (such as cognitions) as their children matured; (2) the development of the children's ToM was closely related to their mothers' MST. The overall MST scores, as well as the different categories and referents used in MST, were closely associated with the children's ToM development. Notably, at the age of four, a critical period emerged where the correlation between maternal MST and ToM became significantly pronounced. These findings highlight the reciprocal nature of mother-child interactions as a two-way adaptive process.

Responsive Complementary Feeding Practices in Rural Muhanga District of Rwanda: A Mixed Methods Study

ABSTRACTBackgroundResponsive feeding among infants and young children (IYC) determines their food acceptance and adequate dietary intake, which enhances growth and developmental opportunities. However, little is known about responsive feeding practices among IYC in Rwanda. This study explored the status and barriers of responsive feeding practices among mothers from rural areas of Muhanga District in Rwanda.MethodThis descriptive longitudinal and exploratory mixed methods study was conducted among 29 mothers from 2 rural health centers in Muhanga District. Mothers were interviewed, and their interactions with children during lunch meals at 6, 9, and 12 months were observed. The interviews were recorded, transcribed, and thematically analyzed using Atlas.ti software.ResultsThe study shows that the number of mothers who reported to verbally encourage their children to eat during feeding increased with the child's age. Less than half of mothers, at all three time points of data collection (at 6, 9, and 12 months), reported and were observed allowing their children to self‐feed, smiling and talking to them during feeding. The perceived major barriers to mother–child interaction during feeding were lack of time due to the burden of other responsibilities, and poverty. In addition, fear of messing up and food waste were barriers to child self‐feeding opportunities.ConclusionFindings indicate that responsive feeding was less practiced among study mothers due to lack of time, poverty, and fear of food waste during child self‐feeding. Nutrition interventions in this community should consider raising awareness of responsive feeding practices through education and encouraging mothers to devote sufficient time to interact with their children during feeding episodes.

어머니-유아 문해상호작용과 유아의 비판적 사고 간의 관계에서 유아 읽기흥미와 공감능력의 순차 매개효과

This study examines the relationship of mother-child literacy interaction and children’s critical thinking through the sequentially mediating effect of children’s reading interest and empathy ability. Using the questionnaire survey method, 158 5-year-old children and 150 teachers working at kindergarten in Daejeon Province participated for the study. The children’s reading interest and empathy ability sequentially mediated the relationship between mother-child literacy interaction and children’s critical thinking. Specifically, it was found that the mother-child literacy interaction indirectly affects children’s critical thinking through the sequentially mediating effect of children’s reading interest and empathy ability. The results of this study provide the basic data to explore ways to improve the children’s critical thinking.

Characteristics of Joint Attention and Maternal Cues in Mother-Child Interactions for Toddlers with Cochlear Implants

Objectives: This study aimed to identify the differences in the establishment of joint attention between the cochlear implant (CI) group and the typical hearing (TH) group during mother-child interactions and to explore the relationship between the joint attention variables and language development abilities in young children with CIs. Methods: Thirteen pairs of hearing mothers and children with CIs and seventeen pairs of mothers and children with TH participated in this study. Their interactions during a 20-minute free-play task were recorded using digital cameras. Results: The frequency of joint attention attempts in the CI group was significantly higher than in the TH group. There was no significant difference between the two groups in the success rate of joint attention; however, there was a considerable difference in the time ratio of joint attention and joint attention span. Children’s language scores were significantly correlated with the success rate of joint attention, the time ratio of joint attention, and joint attention span in the CI group. Conclusion: We observed the mothers’ efforts to establish joint attention with their children with CIs. These results suggest that children with CIs are more likely to have less time for joint attention during parent-child interactions. These findings can inform the development of parent-coaching programs in early auditory intervention for children with CIs.

어머니와 유아의 상호작용과 학습준비도의 관계에서 언어·문해 능력과 수리적 사고의 매개효과

Objectives This study aims to find alternatives that can increase children's learning readiness by confirming the mediating effects of language, literacy skills, and mathematical thinking in the relationship between mother and infant interaction and learning readiness. Methods The subjects of this study includes 796 boys and 754 girls(a total of 1,550 children) from the 7th data of the Korean Children's Panel before the age of 5-year-olds. Research tools that this study has used are belows; Fisrt, the parent-child interaction scale based on ‘Early Childhood Longitude Study Kindergarten Cohort’ (ECLS-K, 2013), Second, language, literacy ability and mathematical thinking are used as learning ability scales, Third, learning readiness measures developed by Murphy and Burns (2002), all of which were modified and supplemented by Korean Children's Panel researchers. Reliability analysis, frequency analysis, descriptive statistics analysis, and correlation analysis of the scale were performed using SPSS 25ver and PROCESS Macro for SPSS programs to verify the research model, and mediating were analyzed to verify the research model. Results As a result of the research model analysis, it was confirmed that the level of interaction between mothers and children had a positive significant effect on learning readiness, and the mediating effects of language, literacy, and mathematical thinking were also statistically significant in the relationship. Conclusions Based on the findings, this study emphasized the interaction between mothers and children in order to increase children's learning readiness, and suggested the importance of a play-child-centered curriculum that can increase academic ability such as language, literacy, and mathematical thinking. This study is significant in that it provided basic data for improving learning readiness by verifying the effect of mother-child interaction as a way to increase children's learning readiness and the mediating effect of language, literacy, and mathematical thinking on learning ability.

The importance of mother-child interaction on smart device usage and behavior outcomes among toddlers: a longitudinal study

BackgroundIn recent years, smart devices have become an integral part of daily life. However, longitudinal studies, particularly those regarding the relationship between toddlers’ smart device usage and behavioral outcomes, are limited. Understanding the impact of parent–child interactions on this relationship is crucial for enhancing toddlers’ developmental outcomes. Accordingly, this study examined the influence of early screen time and media content exposure on toddlers’ behaviors, as well as the positive effects of mother–child interactions on this influence.MethodsWe used relevant data related to 277 children born between November 2016 and July 2020 and who were part of an ongoing prospective follow-up study conducted across five hospitals in Taipei City, Taiwan. We analyzed (1) data from maternal reports regarding children’s behavior by using the Child Behavior Checklist (for ages 11/2–5 years), (2) assessments of mother–child interactions by using the Brigance Parent–Child Interactions Scale, and (3) self-reported parental data covering the first 3 postpartum years. Statistical analyses involved group-based trajectory modeling and multiple linear regression.ResultsA considerable increase in screen time between the ages of 1 and 3 years was associated with less favorable behavioral outcomes at age 3. These outcomes included somatic complaints [adjusted beta coefficient (aβ) = 2.17, 95% confidence interval (CI) = 0.39–3.95, p-value = 0.01], withdrawal (aβ = 2.42, 95% CI = 0.15–4.69, p-value = 0.04), and aggressive behavior (aβ = 6.53, 95% CI = 0.25–12.81, p-value = 0.04). This association was particularly evident among children with lower levels of mother–child interaction. Nevertheless, positive mother–child interactions mitigated most of the adverse effects. Additionally, increased exposure to games and cartoons was associated with poorer behavioral outcomes in all children except for those experiencing positive mother–child interactions.ConclusionEarly mother–child interactions play a crucial role in mitigating the risk of behavioral problems in toddlers who spend prolonged periods looking at screens and who are frequently exposed to game and cartoon content.

Early Life Surgency, but not Effortful Control or Negative Affectivity, Is a Mediating Variable Between Maternal Pre-Pregnancy Body Mass Index and Childhood Obesity Risk.

Maternal gestational obesity is related to risk of obesity in the child. This risk may be in part mediated by altered child temperament, which can affect mother-child interactions, including feeding and soothing behaviors that affect obesity risk. Our objective was to examine the association between maternal pre-pregnancy BMI and child zBMI and determine if child temperament, specifically positive Affectivity/Surgency, mediates this association. Using conditional process modeling, we analyzed data from 408 mother-child dyads enrolled in the Alberta Pregnancy Outcomes and Nutrition (APrON) study. Child temperament was assessed at 3 years of age via a parent report measure, the Child Behavior Questionnaire (CBQ), and child zBMI was calculated from in-person measurements of child height and weight at 4-5 years of age. Bivariate correlations showed that there was a significant positive correlation between zBMI and Surgency (r=0.11, p=0.03), and zBMI was also correlated with maternal pre-pregnancy BMI (r=0.12, p=0.02). Multivariable regression revealed that maternal pre-pregnancy BMI (adjusted β=0.15, 95% confidence interval [CI]; 0.00-0.05, p=0.02) and Surgency scores (adjusted β=0.14, 95% CI; 0.02-0.28, p=0.03) were associated with higher child zBMI at 4-5 years of age. Mediation analysis showed that Surgency mediated the association between pre-pregnancy BMI and child zBMI. Our models controlled for maternal gestational weight gain, gestational diabetes, socioeconomic status, maternal anxiety and depression, and gestational age at birth. Overall, maternal pre-pregnancy BMI was positively associated with child zBMI, and this association was mediated by higher child Surgency scores.

Mother-child engagement in a categorisation activity: implications for parental pedagogy and early education research

ABSTRACT Maternal support for children's cognitive competence has received considerable attention in the developmental and early childhood education literature. However, little research has examined the link between maternal behaviour and children’s categorisation performance. The current study explored the strategies that mothers and children used as they engaged in a categorisation task. Twenty-seven mother–child dyads from middle-class mothers and their three-to-five-year-old preschool children were videotaped while engaging in a categorisation activity. Total testing time, including video recordings, did not exceed one hour. The mother-child interaction codes were analysed using frequency analyses to extract empirical estimates. Certain maternal strategies (e.g. interrogative strategies) were positively related to children’s verbal responses. However, maternal stylistic (taxonomic and thematic) differences were not associated with children’s strategies. The study found that mothers use a variety of strategies to engage with their children in the categorisation activity. Theoretical perspectives and implications of the current research for parental pedagogy and early childhood education research are discussed.

Forms and functions of self-repetition in Mandarin child-directed speech

The present study aims to investigate how self-repetition is used to serve communicative purposes in Mandarin mother–child interaction, focusing particularly on mothers’ child-directed speech. The participants of this study consisted of 12 Mandarin-speaking children (4 two-year-olds, 4 three-year-olds, and 4 four-year-olds) and their mothers. Natural conversation from each mother–child dyad was collected for a total of 12 h. The occurrences of self-repetition in the data were analyzed in terms of their forms and functions. The results showed that the mothers of younger children tended to use self-repetition more frequently than the mothers of older children. The predominant form of self-repetition was expanded repetition, and the major functions were soliciting responses and emphasis. Detailed analyses showed how the mothers used the different forms of self-repetition to express various functions. It was concluded that self-repetition in child-directed speech plays an important role in facilitating mother–child interaction and that it may also reflect mothers’ sensitivity to the developing linguistic, cognitive, and communicative abilities of their children.

Infants’ cortisol reactivity and infant–mother cortisol synchrony in urban Chinese families: The role of maternal control strategy

Maternal control strategy refers to a mother’s practices used to impel, inhibit, guide, or shape their children’s behaviors during mother-child interaction. The present study examined control strategies used by Chinese urban mothers and how they associated with infants’ cortisol trajectory and infant-mother cortisol synchrony during a separation task. Participants were 115 infant-mother dyads. Maternal control strategy was assessed during mother-infant free-play when the infants were 6 months (T1) and 1 year (T2) old. Salivary cortisol samples were collected from both infants and mothers during a stress-inducing task at T2. The results indicated that mothers most frequently adopted the moderate power control strategy, at both T1 and T2. T1 maternal low control strategy significantly predicted infants’ cortisol response curve, namely infants of mothers who predominantly adopted a low power control strategy had a more dynamic reactivity and recovery in their cortisol response to the separation task. Positive cortisol synchrony was observed between mothers and infants during the separation stress condition. In addition, T2 maternal high power control strategy accounted for inter-individual variations in infant-mother cortisol synchrony, such that mothers who predominantly adopted a high power control strategy exhibited a heightened level of cortisol synchrony with their infants. Our findings suggest that targeted training in maternal control strategies could help mothers calibrate their infants’ adrenocortical regulation.

Does broad autism phenotype traits effect mother-child interaction?: a cross-sectional study from Turkey

Objectives Broad Autism Phenotype (BAP) is defined as personality, social, and language features that parallel the defining behavioral characteristics of autism spectrum disorder, including social deficits, communication abnormalities, and stereotyped repetitive behavior. The objective of this study was to assess the impact of maternal BAP characteristics on the dynamic interaction between mothers and their children. Methods Children aged 12–60 months who were referred to the Infant Mental Health Unit of our outpatient clinic were analyzed. Forty-one children who were diagnosed with autism and 35 children who were diagnosed with global developmental delay (GDD) and their mothers were included in the study. The Parent–Infant Relationship Global Assessment Scale (PIR-GAS), Autism-Spectrum Quotient (ASQ), Parental Acceptance–Rejection Questionnaire, and Recognition of Emotional Maltreatment Scale (REMS) were used. Results The PIR-GAS score was significantly lower in the autism group than in the GDD group, and mothers of children with autistic children exhibited higher BAP scores. Conclusions Our study suggests a link between maternal BAP scores and the quality of mother-child relationships. Further studies are needed to examine and improve our ability to evaluate the effects of parental BAP in terms of parental intervention effectiveness.

A meta-analytic examination of sensitive responsiveness as a mediator between depression in mothers and psychopathology in children

ABSTRACT The current meta-analysis examined the mediating role of sensitive-responsive parenting in the relationship between depression in mothers and internalizing and externalizing behavior in children. A systematic review of the path of maternal sensitive responsiveness to child psychopathology identified eligible studies. Meta-analytic structural equation modelling (MASEM) allowed for the systematic examination of the magnitude of the indirect effect across 68 studies (N = 15,579) for internalizing and 92 studies (N = 26,218) for externalizing psychopathology. The synthesized sample included predominantly White, English-speaking children (age range = 1 to 205 months; M age = 66 months; 47% female) from Western, industrialized countries. The indirect pathway was small in magnitude and similar for externalizing (b = .02) and internalizing psychopathology (b = .01). Moderator analyses found that the indirect pathway for externalizing problems was stronger when mother-child interactions were observed during naturalistic and free-play tasks rather than structured tasks. Other tested moderators were not significant.

Relations Between Behavioral Inhibition/Activation Systems and Self-Esteem: Two Multiple Mediation Models With Social Relationships

Personality driven by Behavioral Inhibition/Activation Systems (BIS/BAS) can significantly influence self-esteem. Humans form self-esteem during social interactions; thus, social relationships may be a critical mediator. This study aims to systematically explore the role of social relationships in these relations among emerging adults. The essential social relationships of emerging adults, including mother-child, father-child, and peer relationships, were examined. Participants ( N = 967, M age = 19.16, 420 females) completed self-reported measures for BIS/BAS, social relationships, and self-esteem. The results demonstrate the mediating effect of social relationships: BIS was negatively related to all social relationships, which were further related to lower self-esteem; BAS was positively related to mother-child and peer relationships, which were further related to higher self-esteem. Moreover, the mother-child relationship emerged as a mediator linking BIS/BAS and father-child and peer relationships in the two models, indicating the unique contribution of mother-child interactions in Chinese emerging adults.

Developmental antecedents of adherence to masculinity norms: A 9-year longitudinal study of urban Chinese families.

A growing body of literature shows that adherence to some aspects of Western masculinity norms, including the suppression of emotional vulnerability, avoidance of seeking support from others, and exaggerated physical toughness, is associated with poorer psychological and social outcomes. While existing research suggests that parental gender beliefs and caregiving behaviors might influence the development of children's gendered behaviors, little is known about the developmental origins of individual differences in adherence to masculinity norms. The current study aims to address this gap and presents a longitudinal investigation of how parental gender beliefs and maternal sensitivity during infancy contribute to children's adherence to masculinity norms during middle childhood. Data were drawn from a mixed-method 9-year longitudinal study of 374 urban Chinese families (48.40% with daughters). Parental gender beliefs were assessed at 24 months, maternal sensitivity was assessed with mother-child interaction observations at 14 and 24 months, and children's self-reported adherence to masculinity norms were assessed at age 10 years. Results indicate that while parental gender beliefs had no associations with children's adherence to masculinity norms, maternal sensitivity predicted children's adherence to masculinity norms (β = -.18, p = .008) above and beyond parental gender beliefs and parental education level; moreover, there was a significant interaction of sex on the effect of maternal sensitivity on children's adherence to masculinity (β = -.23, p = .025), and the association was significant only for boys. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Applying the human component model of parenting to other primates: Developmental patterns of mother-child interactions across primate species

The component model of human parenting has been extensively used to study parents’ interactions with their offspring and to examine variation across cultural contexts. The current study applies this model to nonhuman primates to investigate which forms of parenting humans share with other primates and how these interactions change over infants’ first year of life. We repeatedly observed 52 mother-infant pairs, including humans (N = 11), chimpanzees and bonobos (N = 21), and several species of small apes (N = 20), during different daily activities when infants were 1, 6, and 12 months of age. Humans differed from apes in their higher probability of face-to-face contact and the use of object stimulation. Moreover, parenting seemed to be characterized by more variability within humans than within and possibly between ape species. Overall, the component model of parenting appears to be an effective tool to study the functional systems of parenting behavior in a comparative developmental perspective, by allowing direct comparisons between human and non-human primate species across development.

Active Direction: A new observational measure of African American parenting

A new observational measure of a culturally salient, supportive African American parenting style, Active Direction, was developed. Ratings were compared to standard qualitative ratings and across two ethnic groups. Active Direction represents the provision of structure to interactions in the form of corrective direction with clear and concise feedback that is assessed for supportiveness rather than simple content or tone. The 7-point rating item was examined in observations of African American (n = 172) and Hispanic American (n = 196) mother-child interactions collected at age 2.5 years in families from low-income households. Ratings were compared and associations to previously reported ratings of the interactions were examined. Active Direction was often observed among the African American mothers (81%) but rarely observed among the Hispanic mothers (16%), with a large effect size difference, supporting the hypothesis that Active Direction may represent a culturally specific approach to parenting for African American parents. Maternal behavior correlations of Active Direction with cognitive stimulation, intrusiveness, scaffolding, and calm authority and with child affiliative obedience and dyadic routines and rituals were significantly higher and detachment significantly lower in the African American compared to the Hispanic sample. The new measure of Active Direction, centered around culturally salient values and differences in both historical and lived experiences, addresses characteristics of parenting in African American families that are supportive of their children’s development and provides a fruitful direction for future research.

Home-visiting Parenting Programs to Improve Mother-Infant Interactions at Early Ages: A Systematic Review.

Objective: To systematically review studies examining the effects of home-visiting preventive parenting programs (HV-PPs) on improving the quality of mother-child interactions in early childhood. Method: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol, we identified 3,586 studies published between 2018 and 2022 by searching the following databases: PubMed, Web of Science, BVS/LILACS, SciELO, and PsycNET/PsycINFO. After applying the eligibility criteria, 17 articles were selected for review. Results: Most studies were conducted in high-income countries (53%) and the remainder were conducted in upper-middle-income countries, predominantly using a randomized controlled trial design and with strong methodological quality. The 17 studies applied 13 different HV-PPs, predominantly using video feedback, based on various dosages and schedules. Most studies (77%) showed significant positive effects on mother-child interactions by improving mainly positive maternal behaviors (e.g., sensitivity and responsiveness). Positive effects occurred independent of the study design, sample characteristics, measures, and constructs assessed. However, the findings suggest that the combination of fewer than six sessions, durations shorter than three months, and a very early start did not impact mother-child interactions, as expected. Few studies have explored negative maternal behaviors, children's behaviors, and dyadic interactions such as mutuality and synchrony. Conclusions: HV-PPs positively impacted mother-child interactions in early childhood despite the large heterogeneity across program designs, outcome measures, and overlapping constructs. Based on the results, we discuss the practical and economic implications of using parenting programs as a preventive approach.