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    Fathers’ Involvement: Mothers’ Perceived Benefits of Promoting Paternal Involvement Through a WhatsApp-Based Preventive Intervention for Postpartum Depression
    (University of Toronto Press Inc. (UTPress), 2024-12-04)
    Olga Fernández
    ;
    ALDONEY RAMIREZ, DANIELA  
    ;
    Sofia Fernández
    ;
    Francisca Pérez  
    ;
    María Ignacia García
    <jats:sec><jats:title>Introduction:</jats:title><jats:p> Despite the social and cultural changes of the recent decades, the tasks associated with childcare continue to be assumed mainly by women, increasing stress and, in some cases, negatively affecting maternal mental health. The “m-What were we thinking” (m-WWWT) intervention seeks to reduce the risk of developing postpartum depression and anxiety symptoms in women by increasing self-efficacy in caring for a newborn and perceived social support, with a special focus on the partner's role. The objective of this study was to describe the mothers’ perception of how this intervention facilitated the father's parenting involvement. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> Sixty-four text messages from 25 first-time mothers participating in the m-WWWT program were analyzed using the Grounded Theory open and axial coding criteria. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> There are four subjective themes linked to fathers and parenthood. The first refers to the loss of the previous balance and increased stress with the arrival of the first child; the second, to the importance of watching the intervention videos together; the third, to the possibility of communicating regarding what is happening; and the fourth, to the shared conceptualization of parenting among the couples. </jats:p></jats:sec><jats:sec><jats:title>Conclusion:</jats:title><jats:p> These findings suggest that m-WWWT positively influences paternal involvement in the postpartum period, which is a relevant factor to promote maternal and infant well-being. </jats:p></jats:sec>
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    Scopus© Citations 3  3
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    Early parenting interventions to prevent internalising problems in children and adolescents: a global systematic review and network meta-analysis
    (2023)
    Ilaria Costantini
    ;
    José A López‐López
    ;
    Deborah Caldwell
    ;
    Amy Campbell
    ;
    Veronica Hadjipanayi
    <jats:sec><jats:title>Question</jats:title><jats:p>We compared the effectiveness of different types of parenting interventions based on an a priori taxonomy, and the impact of waitlists versus treatment as usual (TAU), in reducing child internalising problems.</jats:p></jats:sec><jats:sec><jats:title>Study selection and analysis</jats:title><jats:p>We conducted a systematic review and network meta-analysis of published and unpublished randomised controlled trials (RCTs) until 1 October 2022 that investigated parenting interventions with children younger than 4 years. Exclusion criteria: studies with children born preterm, with intellectual disabilities, or families receiving support for current abuse, neglect, and substance misuse. We assessed the certainty of evidence using the Confidence in Network Meta-Analysis framework. We used random-effects network meta-analysis to estimate standardised mean differences (SMDs) with 95% credible intervals (CrIs).</jats:p></jats:sec><jats:sec><jats:title>Findings</jats:title><jats:p>Of 20 520 citations identified, 59 RCTs (18 349 participants) were eligible for the network meta-analysis. Parenting interventions focusing on the dyadic relationship (SMD: −0.26, 95% CrI: −0.43 to −0.08) and those with mixed focus (−0.09, –0.17 to −0.02) were more effective in reducing internalising problems than TAU at the first time point available. All interventions were more effective than waitlist, which increased the risk of internalising problems compared with TAU (0.36, 0.19 to 0.52). All effects attenuated at later follow-ups. Most studies were rated as with ‘high risk’ or ‘some concerns’ using the Risk of Bias Assessment Tool V.2. There was no strong evidence of effect modification by theoretically informed components or modifiers.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>We found preliminary evidence that relationship-focused and mixed parenting interventions were effective in reducing child internalising problems, and the waitlist comparator increased internalising problems with implications for waiting times between referral and support. Considering the high risk of bias of most studies included, the findings from this meta-analysis should be interpreted with caution.</jats:p><jats:p><jats:bold>PROSPERO registration number</jats:bold>CRD42020172251.</jats:p></jats:sec>
      4Scopus© Citations 8
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    Trajectories of Parental Daily Stress: An Ecological Momentary Assessment Study during the COVID-19 Lockdown
    (2023)
    ALDONEY RAMIREZ, DANIELA  
    ;
    Andrés Muñoz-Najar
    ;
    COO CALCAGNI, SOLEDAD  
    ;
    PÉREZ EWERT, JANET CAROLA  
    ;
    Manuel Montemurro
    <jats:p>The COVID-19 pandemic was a source of significant stress due to health and safety concerns and measures to control the virus’ spread, such as mobility restrictions. This measure was especially demanding for parents with school aged children, who had to find new work–family balance as their children participate in online education while attempting to work remotely. To evaluate parents’ stress trajectories during the pandemic, we conducted Ecological Momentary Assessments (EMAs) during lockdown for 29 days in 68 families in Santiago, Chile. In addition, we evaluated the role of educational level and income, co-parenting, and number of children in parents’ stress trajectories. Our results showed that during the first weeks of lockdown expected protective factors (i.e., income and co-parental support) were not able to influence parents’ daily stress management. Moreover, parents with higher educational levels reported worse stress adaptation than less educated parents. On the other hand, co-parental conflict was significantly associated with parent’s stress. Our study captured an acute response to COVID-19 related challenges. This study contributes to understanding how parents adjust to stress during adverse circumstances such as the COVID-19 pandemic.</jats:p>
      18  1Scopus© Citations 2
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      1Scopus© Citations 10  1
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      1Scopus© Citations 4  5
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    Food Parenting Practices and Feeding Styles and Their Relations with Weight Status in Children in Latin America and the Caribbean
    (2022)
    Luisa Pérez
    ;
    Marcela Vizcarra
    ;
    Sheryl O. Hughes
    ;
    Maria A. Papaioannou
    <jats:p>While a growing body of literature looks at the associations between food parenting practices, and feeding styles, and child’s weight status in developed countries, little is known for less developed countries, in general, and the Latin America and the Caribbean (LAC) region, in particular. This study systemically reviews and synthesizes existing evidence on the associations between child caregivers’ food parenting practices and feeding styles and 2 to 12-year-old child weight status. Keywords were used to search in PubMed, Web of Science, PsycINFO, and Cumulative Index to Nursing and Allied Health Literature. Among the ten eligible articles, all of them reported significant associations between food parenting practices and feeding styles and child weight status. Existing studies have limitations, mainly related to cross-sectional convenience samples, which limit the generalization of the results. Additionally, small sample, heterogeneous feeding measures and weight related outcomes were other limitations. Future research is needed to understand caregiver–child interactions in the food situation and its link to child weight status in 2 to 12-year-old children in areas of LAC with diverse forms of malnutrition and contextual factors of countries.</jats:p>
      10Scopus© Citations 12
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      10  1Scopus© Citations 55
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      15  1Scopus© Citations 22
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      1Scopus© Citations 3