In this article, we describe the results of the second phase of a randomized controlled trial of Minding the Baby (MTB), an interdisciplinary reflective parenting intervention for infants and their families. Young first-Time mothers living in underserved, poor, urban communities received intensive home visiting services from a nurse and social worker team for 27 months, from pregnancy to the child's second birthday. Results indicate that MTB mothers' levels of reflective functioning was more likely to increase over the course of the intervention than were those of control group mothers. Likewise, infants in the MTB group were significantly more likely to be securely attached, and significantly less likely to be disorganized, than infants in the control group. We discuss our findings in terms of their contribution to understanding the impacts and import of intensive intervention with vulnerable families during the earliest stages of parenthood in preventing the intergenerational transmission of disrupted relationships and insecure attachment.
Bibliographical noteFunding Information:
Financial support. This research was supported by NIH/NICHD (RO1HD057947) and NIH/NCRR (UL1 RR024139), and through the generous support of the FAR Fund, the Irving B. Harris Foundation, the Patrick and Catherine Weldon Donaghue Foundation, the Stavros Niarchos Foundation, the Child Welfare Fund, the New York Community Trust, the Edlow Family Foundation, and the Schneider Family.
- home visiting
- reflective functioning