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dc.contributor.authorWang, Yan
dc.contributor.authorZhu, Eric
dc.contributor.authorHager, Erin R
dc.contributor.authorBlack, Maureen M
dc.date.accessioned2022-01-20T18:10:17Z
dc.date.available2022-01-20T18:10:17Z
dc.date.issued2022-01-19
dc.identifier.urihttp://hdl.handle.net/10713/17698
dc.description.abstractObjective Little is known about the association between maternal depressive symptoms and attendance at safety promotion interventions. This study used latent class analysis (LCA) to identify the profile of attendance within a toddler safety intervention and assessed its relation with maternal depressive symptoms at baseline and reduction of home safety problems over time, separately. Methods The analytic sample included 91 mothers of toddlers (mean maternal age 28.16 years) who were assigned to the safety promotion intervention group as part of a randomized trial and assessed at baseline, 6-month and 12-month follow-ups. Using LCA, we classified mothers into low and high attendance classes based on their attendance at 8 intervention sessions. We assessed maternal depressive symptoms with the Beck Depression Inventory (BDI) and home safety problems with a 9-item home safety problem observation. Results The mothers were classified into low attendance (45%) and high attendance classes (55%). The posterior probability of attending each session ranged from 0–0.29 for the low attendance class and 0.68–0.92 for the high attendance class. Each one unit increase of BDI sum score at baseline was associated with an 8% reduced odds of being in the high attendance class (aOR = 0.92, 95% CI: 0.86, 1.00, p = 0.037). The home safety problem score reduction was greater among high attendance class participants than low attendance class participants at the 6-month follow-up (b = -1.15, 95% CI:-2.09, -0.20, p = 0.018). Conclusion Maternal depressive symptoms were associated with the reduced probability of maternal attendance at toddler safety promotion sessions; high session attendance was related to greater reduction of toddler home safety problems. Identifying risk factors for maternal low attendance to interventions and developing strategies to promote attendance should lead to reductions in home safety problems and reductions in unintentional injuries among young children.en_US
dc.description.urihttps://doi.org/10.1371/journal.pone.0261934en_US
dc.language.isoenen_US
dc.publisherPublic Library of Scienceen_US
dc.relation.ispartofPLoS ONEen_US
dc.titleMaternal depressive symptoms, attendance of sessions and reduction of home safety problems in a randomized toddler safety promotion intervention trial: A latent class analysis.en_US
dc.typeArticleen_US
dc.identifier.doi10.1371/journal.pone.0261934
dc.identifier.pmid35045101
dc.source.journaltitlePloS one
dc.source.volume17
dc.source.issue1
dc.source.beginpagee0261934
dc.source.endpage
dc.source.countryUnited States


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