Home‐based family recovery supports

Feasibility, acceptability, and adoption of training home visitors in “Mothering from the Inside Out

Bibliographic Data

ID7802765
AuthorsElizabeth Peacock‐Chamber (0000-0002-8163-6662, Department of Pediatrics Baystate Medical Center Springfield USA, corresponding author), Briana L Jurkowski (Department of Healthcare Delivery and Population Science University of Massachusetts Chan Medical School‐Baystate Springfield USA), Savannah Kanga, Savannah Kangas (University of Massachusetts Amherst Amherst USA), Cindy Decoste (Yale University School of Nursing New Haven USA), Thomas J Mcmahon (0000-0002-2069-8982, Yale University School of Medicine New Haven USA), Jessica L Borelli (0000-0001-8471-6732, Department of Psychological Science University of California Irvine Irvine USA), Emily Feinberg (0000-0002-1424-4087, Department of Pediatrics Boston University Chobanian and Avedisian School of Medicine Boston USA), Nancy Byatt (0000-0002-4010-8919, Department of Psychiatry University of Massachusetts Chan Medical School Worcester USA), Amanda Zayde (0000-0001-6206-7460, Department of Psychiatry and Behavioral Sciences Albert Einstein College of Medicine, Montefiore Medical Center Bronx USA), Anne Lowell (0000-0002-6558-8736, Department of Psychiatry Yale Child Study Center New Haven USA), Peter D Friedmann (0000-0003-3585-3604, Office of Research Baystate Health and University of Massachusetts Chan Medical School‐Baystate Springfield USA)
Year2025
Volume46
Issue5
Pages517-535
Publication date2025-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInfant Mental Health Journal (JOURNAL)
Journal identifiersISSN: 0163-9641 • E-ISSN: 1097-0355
PublisherWiley (PUBLISHER • GB)
DOI10.1002/imhj.70019
PMID40318079
OpenAlexW4410031950
LanguageEN
References cited49

Support for families affected by substance use disorders (SUDs) remains challenging, particularly during the postpartum period. The objective of this study was to assess the introduction of an evidence‐based parenting intervention, Mothering from the Inside Out (MIO), into the early intervention (EI) home visiting setting. We conducted a mixed methods pilot study in the United States to assess the training and delivery of MIO within EI. MIO training involves didactic learning followed by MIO delivery with weekly consultation. Our primary implementation outcomes were feasibility, acceptability, and factors influencing adoption. We assessed feasibility and fidelity via quantitative measures, and acceptability and adoption via qualitative interviews with providers and parents. Two cohorts of EI providers completed the didactic training: 2019 (in‐person) and 2020 (virtually). Ten providers participated in the MIO didactic training and began delivering MIO to 11 mothers; 4 of 10 providers (2 from each cohort) completed the full training. All providers that completed achieved adequate fidelity. Acceptability of MIO and perceived fit within EI was high, though challenges related to complexity limited adoption. Despite encouraging preliminary findings that EI providers achieved adequate adoption and fidelity, further adaptations are needed to address implementation challenges and improve retention of providers and parents

Fidelity · Medical education · Parent training · Qualitative research · Infant Development and Preterm Care · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Nursing · Prenatal Substance Exposure Effects · Psychology

Tools

Open DOIOpen Access