J Korean Acad Nurs.  2012 Oct;42(5):671-679. 10.4040/jkan.2012.42.5.671.

Effects of an Infant/Toddler Health Program on Parenting Knowledge, Behavior, Confidence, and Home Environment in Low-income Mothers

• Lee G
• Yang S
• Jang MH
• Yeom M

• KMID: 1499494
• DOI: http://doi.org/10.4040/jkan.2012.42.5.671

Abstract

PURPOSE
This study was conducted to evaluate the effectiveness of a mother/infant-toddler health program developed to enhance parenting knowledge, behavior and confidence in low income mothers and home environment.
METHODS
A one-group pretest-posttest quasi-experimental design was used. Sixty-nine dyads of mothers and infant-toddlers (aged 0-36 months) were provided with weekly intervention for seven session. Each session consisted of three parts; first, educating to increase integrated knowledge related to the development of the infant/toddler including nutrition, first aid and home environment; second, counseling to share parenting experience among the mothers and to increase their nurturing confidence; third, playing with the infant/toddler to facilitate attachment-based parenting behavior for the mothers.
RESULTS
Following the programs, there were significant increases in parenting knowledge on nutrition and first aid. A significant improvement was found in attachment-based parenting behavior, but not in home safety practice. Nurturing confidence was not significantly increased. The program led to more positive home environment for infant/toddler's health and development.
CONCLUSION
The findings provide evidence for mother-infant/toddler health program to improve parenting knowledge, attachment-based parenting behavior and better home environment in low income mothers. Study of the long term effectiveness of this program is recommended for future research.

Keyword

Infant; Health; Parenting; Home; Poverty

MeSH Terms

Adult
Behavior
Child, Preschool
Female
First Aid
Health Promotion
Humans
Infant
Infant Welfare
Infant, Newborn
Interviews as Topic
Male
Mothers/*psychology
Nutrition Assessment
Parenting/*psychology
Poverty
Program Development
Program Evaluation
Self Efficacy

Reference

1. Anderson LM, Shinn C, Fullilove MT, Scrimshaw SC, Fielding JE, Normand J, et al. The effectiveness of early childhood development programs: A systematic review. Am J Prev Med. 2003. 24(3 Suppl):32–46.

2. Bang KS. Effects of an early nursing intervention program for infants' development and mother's child rearing in poverty. J Korean Acad Nurs. 2009. 39(6):796–804. http://dx.doi.org/10.4040/jkan.2009.39.6.796.

3. Bang K, Yang S, Hyun H, Kim J. Health and child rearing status of infants and preschool children in poverty: For the WeStart Program in Kyunggi Province. J Korean Soc Matern Child Health. 2008. 12(1):104–115.

4. Bowlby J. A secure base: Parent child attachment and healthy human development. 1988. New York: Basic Books.

5. Butterfield PM, Martin CA, Prairie AP. Emotional connections: How relationships guide early learning. 2003. Washington DC: Zero to Three Press.

6. Caldwell BM, Corwyn RH. Home observation for measurement of the environment. 1984. Little Rock, AR: Center for Child Development and Education.

7. Cerezo MA, Pons-Salvador G, Trenado RM. Mother-infant interaction and children's socio-emotional development with high- and low-risk mothers. Infant Behav Dev. 2008. 31(4):578–589. http://dx.doi.org/10.1016/j.infbeh.2008.07.010.

8. Chae SM. Development and evaluation of transitional care program for low birth weight infants and mothers. 2001. Seoul: Yonsei University;Unpublished doctoral dissertation.

9. Cho KM. An analysis survey on physical development and health status of elementary children in poverty in Incheon area. Korean Parent Child Health J. 2009. 12(2):147–159.

10. Choi MS, Choi TS, An JY. The relationship among social physical and psychological home environment variables on adolescents' internet game addiction disposition. Korean J Fam Welf. 2007. 12(2):5–27.

11. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G^*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009. 41(4):1149–1160. http://dx.doi.org/10.3758/BRM.41.4.1149.

12. Im SB. An effect of the mother-child attachment promotion program for the child with pervasive developmental disorder. J Korean Acad Nurs. 2000. 30(5):1133–1144.

13. Kim HS, Sim MK, Kim TI, Kathleen NF, Rosemary WTC, Carole KA. Factors influencing parenting confidence in first-time mothers of infants in their first year. J Korean Acad Child Health Nurs. 2007. 13(2):119–127.

14. Korea Consumer Agency. Children's safety accidents. 2012. Retrieved March 19, 2012. from http://isafe.go.kr/jsp/info/childSafeAccAcc.jsp.

15. Kwon JS. The effects of education on child accident prevention at home and first aid treatment. 2011. Gimhae: Inje university;Unpublished master's thesis.

16. Lee HZ. A study of the attachment-oriented caretaking behaviors with breast-feeding infant's mother. J Korean Soc Matern Child Health. 2003. 7(2):145–153.

17. Lee JY. The relationship between parenting knowledge and parenting style of mothers with infants: The mediating effect of parenting efficacy. J Korean Home Econ Assoc. 2009. 47(5):35–48.

18. Montigny F, Lacharité C. Perceived parental efficacy: Concept analysis. J Adv Nurs. 2005. 49(4):387–396. http://dx.doi.org/10.1111/j.1365-2648.2004.03302.x.

19. Parker S, Zahr L. The maternal confidence questionnaire. 1985. Boston: Boston City Hospital.

20. Seasaw and Swing. 2009 Seasaw and Swing Incheon Yeonsu's report on community survey. 2009. Seoul: Author.

21. Shin IS. Risk or protective factor for the physical health of children in poverty. Soc Welf Rev. 2010. 15:5–33.

22. Shin IS. Risk factors or protective factors for the overweight of children in poverty. Cheongsonyeonmunhwaporeom. 2011. 27:62–92.

23. Song JS. Anaylsis survey on health status of disadvantaged children. 2007. Iksan: Wonkwang University;Unpublished master's thesis.

24. Suh SJ, Kim TR, Lee KS, Shin YJ. Effect of preventive parenting program for mother-infant secure attachment. Korean J Woman Psychol. 2007. 12(1):21–42.

25. Yang HY. The effects of mother-child group therapy to enhance parenting behavior of their mothers and adjustment behavior of child with atopic dermatitis. Korean J Play Ther. 2009. 12(4):43–59.

26. Yang S, Bang KS, Byun KW, Lee G, Lee AR, Lee YR, et al. Infant first aids. 2005a. Gyeonggi-Do: Gyeonggi-Do WeStart.

27. Yang S, Bang KS, Byun KW, Lee G, Lee AR, Lee YR, et al. Infant safety. 2005b. Gyeonggi-Do: Gyeonggi-Do WeStart.

28. Yang S, Bang KS, Byun KW, Lee G, Lee AR, Lee YR, et al. Love between mom and infant. 2005c. Gyeonggi-Do: Gyeonggi-Do WeStart.

29. Yang S, Bang KS, Byun KW, Lee G, Lee AR, Lee YR, et al. Nutrition of mom and infant. 2005d. Gyeonggi-Do: Gyeonggi-Do WeStart.

30. Yoo HI, Kim BN, Shin MS, Cho SC, Hong KE. Parental attachment and its impact on the development of psychiatric manifestations in school-aged children. Psychopathology. 2006. 39(4):165–174. http://dx.doi.org/10.1159/000092677.