Maternal depressive symptoms, attendance of sessions and reduction of home safety problems in a randomized toddler safety promotion intervention trial: A latent class analysis

• Published in: PloS one Vol. 17; no. 1; p. e0261934
• Main Authors: Wang, Yan, Zhu, Eric, Hager, Erin R, Black, Maureen M
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 19.01.2022; Public Library of Science (PLoS)
• Subjects: Adult; Age; Care and treatment; Child, Preschool; Children; Children's accidents; Conditional probability; Demographic aspects; Depression - epidemiology; Depression - therapy; Depression, Mental; Engineering and Technology; Epidemiology; Families & family life; Family income; Female; Fire prevention; Health aspects; Health risks; Households; Humans; Infant; Injury prevention; Intervention; Latent class analysis; Low income groups; Male; Management; Medicine; Medicine and Health Sciences; Mental depression; Mother-Child Relations; Mothers; Overweight; Patient Compliance; Pediatrics; People and Places; Poisons; Poverty; Prevention; Psychological aspects; Public health; Risk analysis; Risk factors; Safety; Safety education; Social aspects; Sociodemographics; Teachers; Toddlers; United States; United States > US; Maryland; Baltimore Maryland
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0261934

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. 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. 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). 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.