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Free-play and caregiving activity: analyze and intervention in mother-infant interaction

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Author(s):
Luiza Machado dos Santos
Total Authors: 1
Document type: Master's Dissertation
Press: Bauru. 2020-12-21.
Institution: Universidade Estadual Paulista (Unesp). Faculdade de Ciências. Bauru
Defense date:
Advisor: Olga Maria Piazentin Rolim Rodrigues
Abstract

In different contexts, like free play and care settings, mothers are interacting with their babies. This work aimed to investigate if there is difference between playful and care settings and, if an intervention implemented based on data from a ludic interaction situation, via video feedback would enhance the frequency of interactive behaviors in this situation and in changing diapers and was structured in two studies: 1. Interactive mother-infant behaviors in a free setting and when changing diapers; 2. Intervention in the context of playful mother-infant interaction and the influence of the interaction on the dyad diapering interaction. In both studies, data were collected in CPA and SORRI, in Bauru – SP. The Intera Díade protocol was used for mother-infant behaviors codification. Were done statistical analysis of comparison and correlation about mother and child interactive behaviors in both situations. The first study aimed to a) describe and compare maternal and infant interactive behaviors at the age of three month and correlate maternal and infant behaviors in both conditions: ludic and care b) Correlate maternal and infant behavior in two conditions: playful and care. Participated 27 mother-infant dyads and results showed that comparing both settings, from eight positive interactive parameters observed, six of them had higher averages in the ludic than in diaper change. When changing diapers, maternal behavior of interactive care prevailed, followed by non-interactive care, specific to the situation. About infant, prevailed positive interactive behavior in ludic situation and negative and non-interactive behavior in diaper change. The second study aimed to investigate whether an intervention implemented based on data from a ludic setting, would increase the frequency of interactive behavior in this setting and diapering settings, a) describe and compare interactive mother-infant behaviors in a playful situation using video feedback , b) compare duration and frequency of interactive sequences, before and after an intervention in a playful situation using video feedback, c) describe and compare interactive mother-infant behaviors, in a diaper change situation before and after an intervention in a playful situation, using video feedback. Seventeen mother-infant dyads with three months-old infant participated in a video feedback program and were filmed in free play and care settings (pretest). Afterwards, the mothers participated in an intervention session from the video feedback. Finally, pairs were filmed again in both settings (posttest). The results showed that they were differences in both situations, mainly when related to non-interactive care behavior, more frequent in diaper changes and stimulations by objects and the most frequent in free play situations. About babies behavior it was observed more positive interactive behavior related to stimulation in free play setting and more visual contact in diapering. Comparison analyses of maternal sequences duration in playful situation showed a significant increase in the positive sequence RE-EST and a significant reduction in the positive sequence NEB-EST and NEB-RES. Total duration and frequency of negative baby sequences significantly reduced. There was significant increase in mother’s behavior of presenting toy and a significant reduction in attracting attention. Babies positive behaviors of interacting with toy and responding positively increased significantly and there was a significant reduction in negative behaviors of crying. Furthermore, a generalization of positive maternal interactive behaviors, from the ludic and diapering settings, were observed. The results, although obtained with relatively small sample size, were promising, pointing to video feedbacks as an important tool. The data pointed to the importance of interventions to improve mother-infant interactions as early as possible as a protective factor for healthy development. (AU)

FAPESP's process: 18/09825-6 - Free-play and caregiving activity: analyze and intervention in mother-infant interaction
Grantee:Luiza Machado dos Santos
Support Opportunities: Scholarships in Brazil - Master