Cited by 140Intimate Partner and Family ViolenceMaternal Mental Health During Pregnancy and PostpartumSubstance Abuse Treatment and Outcomes

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Mothers' AdvocateS In the Community (MOSAIC)-non-professional mentor support to reduce intimate partner violence and depression in mothers: a cluster randomised trial in primary care

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Taft, Angela J, Small, Rhonda, Hegarty, Kelsey L, Watson, Lyndsey F, Gold, Lisa, Lumley, Judith A·2011·BMC Public Health

DOI 10.1186/1471-2458-11-178PMC PMC3074545

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Abstract

BACKGROUND: Effective interventions to increase safety and wellbeing of mothers experiencing intimate partner violence (IPV) are scarce. As much attention is focussed on professional intervention, this study aimed to determine the effectiveness of non-professional mentor support in reducing IPV and depression among pregnant and recent mothers experiencing, or at risk of IPV. METHODS: MOSAIC was a cluster randomised trial in 106 primary care (maternal and child health nurse and general practitioner) clinics in Melbourne, Australia. 63/106 clinics referred 215 eligible culturally and linguistically diverse women between January 2006 and December 2007. 167 in the intervention (I) arm, and 91 in the comparison (C) arm. 174 (80.9%) were recruited. 133 (76.4%) women (90 I and 43 C) completed follow-up at 12 months. INTERVENTION: 12 months of weekly home visiting from trained and supervised local mothers, (English & Vietnamese speaking) offering non-professional befriending, advocacy, parenting support and referrals. MAIN OUTCOME MEASURES: Primary outcomes; IPV (Composite Abuse Scale CAS) and depression (Edinburgh Postnatal Depression Scale EPDS); secondary measures included wellbeing (SF-36), parenting stress (PSI-SF) and social support (MOS-SF) at baseline and follow-up. ANALYSIS: Intention-to-treat using multivariable logistic regression and propensity scoring. RESULTS: There was evidence of a true difference in mean abuse scores at follow-up in the intervention compared with the comparison arm (15.9 vs 21.8, AdjDiff -8.67, CI -16.2 to -1.15). There was weak evidence for other outcomes, but a trend was evident favouring the intervention: proportions of women with CAS scores ≥ 7, 51/88 (58.4%) vs 27/42 (64.3%) AdjOR 0.47, CI 0.21 to 1.05); depression (EPDS score ≥ 13) (19/85, 22% (I) vs 14/43, 33% (C); AdjOR 0.42, CI 0.17 to 1.06); physical wellbeing mean scores (PCS-SF36: AdjDiff 2.79; CI -0.40 to 5.99); mental wellbeing mean scores (MCS-SF36: AdjDiff 2.26; CI -1.48 to 6.00). There was no observed effect on parenting stress. 82% of women mentored would recommend mentors to friends in similar situations. CONCLUSION: Non-professional mentor mother support appears promising for improving safety and enhancing physical and mental wellbeing among mothers experiencing intimate partner violence referred from primary care. TRIAL REGISTRATION: ACTRN12607000010493http://www.anzctr.org.au.

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Figure 1 MOSAIC implementation and timelines.CC BY · PubMed Central

Figure 2 Trial flow chart.CC BY · PubMed Central

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Authors: Taft, A. J., Small, R., Hegarty, K. L., Watson, L. F., Gold, L., & Lumley, J. A.
Affiliations: La Trobe University (AU)
The University of Melbourne (AU)
Deakin University (AU)
Corresponding author: Taft, Angela J
ORCID: Taft, Angela J
Small, Rhonda
Hegarty, Kelsey L
Gold, Lisa
Venue: BMC Public Health
Publisher: Springer Science and Business Media LLC
Published: 2011-03-23
Volume: 11
Issue: 1
Pages: 178-178
ISSN: 1471-2458 (ISSN-L)
DOI: 10.1186/1471-2458-11-178
PMC: PMC3074545
OpenAlex: W2098860901
Cited by: 140
References: 39
Citations by year: 2026: 4 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 6 · 2021: 6 · 2020: 10 · 2019: 10 · 2018: 7 · 2017: 11 · 2016: 14 · 2015: 14 · 2014: 21 · 2013: 12 · 2012: 9
FWCI: 15.23
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/2.0 (tdm)
Locations: BMC Public Health (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Minerva Access (University of Melbourne) (submittedVersion, cc-by)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders: State Government of Victoria
Medical Research Council
National Health and Medical Research Council
Topics: Social Sciences › Health › Intimate Partner and Family Violence
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords: intimate partner violence, maternal depression, peer mentoring, home visiting, pregnant women, postpartum women, culturally and linguistically diverse women, primary care, maternal and child nursing, parental stress, social support, well-being, Composite Abuse Scale, Edinburgh Postnatal Depression Scale, mosaics, intervention effectiveness
MeSH terms: Adult, Australia, Depression, Female, Follow-Up Studies, Humans, Maternal Health Services, Mentors, Mothers, Pregnancy, Primary Health Care, Social Support, Spouse Abuse, Cluster Analysis, Outcome Assessment, Health Care, Pregnant People, Lost to Follow-Up

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Mothers' AdvocateS In the Community (MOSAIC)-non-professional mentor support to reduce intimate partner violence and depression in mothers: a cluster randomised trial in primary care

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