- Child Abuse and Trauma
- Maternal Mental Health During Pregnancy and Postpartum
- Child and Adolescent Psychosocial and Emotional Development
- Intimate Partner and Family Violence
- Attachment and Relationship Dynamics
- Early Childhood Education and Development
- Homicide, Infanticide, and Child Abuse
- Family and Disability Support Research
- Intergenerational Family Dynamics and Caregiving
- Maternal and Perinatal Health Interventions
- Adolescent Sexual and Reproductive Health
- Prenatal Substance Exposure Effects
- Urban Transport and Accessibility
- Family Dynamics and Relationships
- Evacuation and Crowd Dynamics
- Geriatric Care and Nursing Homes
- Child Welfare and Adoption
- Educational and Psychological Assessments
- Family Support in Illness
- Mental Health Treatment and Access
- Injury Epidemiology and Prevention
- Grief, Bereavement, and Mental Health
- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Language Development and Disorders
Johns Hopkins University
2011-2023
Johns Hopkins Medicine
2004-2013
University of Hawaiʻi at Mānoa
2010
Hawaii Department of Health
2009
United States Department of State
2009
Previous research suggests that experiencing intimate partner violence (IPV) may negatively affect employment outcomes. This study explores the relationship between IPV and stability both concurrently longitudinally among a sample of 512 predominantly Asian American Pacific Islander young women living in Hawaii. Women this were identified as being at risk child maltreatment. About half indicated their current status was married or together. More than two-thirds had graduated from high school...
<h3>Objectives</h3> To estimate whether home visitation beginning after childbirth was associated with changes in average rates of mothers' intimate partner violence (IPV) victimization and perpetration as well specific IPV types (physical assault, verbal abuse, sexual injury) during the 3 years program implementation long-term follow-up. <h3>Design</h3> Randomized controlled trial. <h3>Setting</h3> Oahu, Hawaii. <h3>Participants</h3> Six hundred forty-three families an infant at high risk...
Home visiting programs for at-risk mothers and their infants have proliferated nationally in recent years, yet experimental studies of home yielded mixed findings. One promising strategy explicating the effects early is to examine moderators program impacts. This study assessed roles maternal depression attachment insecurity as impacts Healthy Families Alaska services infants. At-risk families (N = 325) were randomly assigned or community usual (n 162 163, respectively). Maternal (attachment...
Objectives To assess the effectiveness of a 6-week, cognitive behavioral therapy (CBT) group-based enhancement to home visiting address stress and prevent depression as compared with usual in low income mothers young children. Methods We conducted randomized controlled trial 95 low-income children Healthy Families America Parents Teachers (HV/CBT = 49) (HV 46). Booster sessions for HV/CBT group were offered at 3 6 months. Participants completed measures coping, three points: baseline prior...
This study sought to describe fathers’ participation in a statewide home-visiting program prevent child abuse and assess impact on their parenting. randomized trial followed 643 at-risk families for 3 years. Data were collected through record review, staff surveys, annual maternal interviews. Participation visits varied by the parents’ relationship paternal employment, violence, heavy drinking at baseline. Overall, had no apparent accessibility child, engagement parenting activities, sharing...
<h3>Background</h3> Children of adolescent mothers may suffer because parenting inadequacies. The use volunteer home visitors to enhance skills has not been well studied. <h3>Objective</h3> To evaluate the effect a model visitation program on outcomes. <h3>Design</h3> Randomized trial with assignment or control group. <h3>Setting</h3> Urban, African American community. <h3>Participants</h3> Adolescents aged 12 18 years at 28 more weeks' gestation who had delivered baby in past 6 months were...
Intimate partner violence has been linked to poor child health. A continuous relationship with a primary care pediatric provider can help detect intimate and connect families needed services. The objectives of this study were determine the between (1) maternal report regular site for well-child care, (2) provider, (3) visits in first year life, (4) up-to-date immunizations at 2 years age, (5) medical neglect, (6) provider-caregiver relationship.This retrospective cohort evaluated data from...
Objectives Family engagement in home visiting (HV), as indicated by length of enrollment, is a major challenge most families do not stay enrolled for the intended duration prescribed HV models. This study examined maternal and visitor emotional well-being factors satisfaction with program addressing reasons enrolling role their working alliance mediator this. Methods Longitudinal data were collected from 148 mothers 54 visitors 21 programs. Mothers completed surveys shortly after 6 months...
Abstract Family engagement in home visiting (HV) is challenging. This study related attachment security of visitors ( n =48) and mothers =328) to family an HV program prevent child maltreatment. Attachment was assessed by using the Style Questionnaire measure anxiety avoidance. defined as receipt a high dose visits visitor response intimate partner violence (IPV) poor maternal mental health measured via record review report trust visitor. Home had lower avoidance than mothers. Families were...
Home visiting is widely used to improve outcomes in families at risk for poor parenting. Impact modest and variable, owing part fidelity. Attachment theory suggests that home visitors' relationship security influences fidelity because establishing a trusting with parents central service delivery. This study describes paraprofessional relates it demographics, psychological attributes, work perceptions intentions. visitors (n = 62) varied on the two major domains of security: anxiety...
Abstract Father involvement may be an important support for children born to adolescent mothers. This study examines patterns and predictors of father involvement, as reported by mothers, from their child's infancy through toddlerhood. Data were collected urban, primarily African American, mothers (N = 138) in four interviews, over a 24-month period. The percentage fathers categorized “highly involved” decreased significantly baseline 12-month follow-up was stable 24 months. romantic status...
Among adolescent mothers, pregnancy prevention self-efficacy developed during may predict the use of contraception following delivery. Communication between patients and their primary care providers (PCPs) is important for adherence to physician recommendations be associated with self-efficacy. Depression, which common among has been poor The associations self-efficacy, provider communication, type (PCP vs others), depression are unclear. objectives study were determine association positive...
This study examined the relationship between a teen mother's perceptions of nurturance from her mother and father mental health parenting attitudes. One-hundred thirty-eight urban, primarily African American adolescent mothers were interviewed. Multivariate results indicate that who felt nurtured by their had greater empathy toward own children, those fathers reported satisfaction. These findings support importance interventions include supporting nurturing fathers.
Prior studies evaluating housing programs have found varied results for the impact of improved on maternal mental health. This study evaluated data from 169 families who participated in Hawaii's Healthy Start Program. The study's objective was to determine whether receipt Section 8 rental assistance first year a child's life decreased risk poor Multivariable logistic regression used measure association with Overall, 50% mothers had health at baseline, and 32% reported follow-up. Mothers...