Randomized controlled trial of telephone-based cognitive-behavioral therapy on parenting self-efficacy and satisfaction

Fei Wan Ngai, Paul Wai Ching Wong, Ka Fai Chung, Kwok Yin Leung, Marie Tarrant

Research output: Journal article publicationJournal articleAcademic researchpeer-review

Abstract

Developing a sense of parenting self-efficacy and satisfaction is essential for positive parenting and healthy development of the child. The present study evaluated the efficacy of a telephone-based cognitive-behavioral therapy (T-CBT) on parenting self-efficacy and satisfaction at 6 weeks and 6 months postpartum. A multi-site randomized controlled trial was conducted between July 2012 and March 2014. A total of 397 Chinese mothers at risk of postnatal depression were recruited through the postnatal units at three regional public hospitals in Hong Kong and were randomized to receive T-CBT (n = 197) or standard care (n = 200). The T-CBT consisted of five weekly 30-min sessions focusing on changing dysfunctional cognitions and developing problem-solving skills. Parenting self-efficacy and satisfaction were measured by the efficacy and satisfaction subscales of the Parenting Sense of Competence Scale (PSOC-E/S), respectively, at baseline, 6 weeks, and 6 months postpartum. When compared with standard care, T-CBT was associated with a significant improvement in parenting self-efficacy and satisfaction at 6 weeks postpartum (mean difference in PSOC-E: 2.85 [95% CI: 1.72-3.98], p <. 001; mean difference in PSOC-S score: 1.61 [95% CI: 0.52-2.71], p =. 004), and 6 months (mean difference in PSOC-E score: 3.37 [95% CI: 1.89-4.85], p <. 001; mean difference in PSOC-S score: 2.39 [95% CI: 0.96-3.82], p =. 001). T-CBT produced significantly greater improvement in parenting self-efficacy and satisfaction than standard care. The results highlight the potential of T-CBT as a promising treatment modality to facilitate maternal adaptation and promote a sense of parenting self-efficacy and satisfaction during the transition to new motherhood.

Original languageEnglish
Pages (from-to)1163-1168
Number of pages6
JournalTranslational Behavioral Medicine
Volume9
Issue number6
DOIs
Publication statusPublished - 11 Oct 2019

Keywords

  • Cognitive-behavioral therapy
  • Parenting self-efficacy and satisfaction
  • Postpartum
  • Randomized controlled trial

ASJC Scopus subject areas

  • Applied Psychology
  • Behavioral Neuroscience

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