Parents of premature infants
Conditions
Interventions
Group 1: Watching a video vignette of a rather optimistic prognostic disclosure. Some questions will be asked before and after. Duration about 25 minutes
Group 2: Watching a video vignette of a rather
Sponsors
Universitätsmedizin Mainz
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: - Parents of former premature infants (BW < 1500 g and birth after december 31st, 2009) - Postnatal treatment of the premtaure infant(s) at the University Medical Center oft he Johannes Gutenberg-University Mainz, Mainz, Germany - (Assistant) physicians with at least 6 months of professional experience in a/the NICU
Exclusion criteria
Exclusion criteria: - Absent consent/assent - Insufficient knowledge of German language - Acute, severe psychiatric condition/disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Parental preference with regard to the manner of prognostic disclosure: a. Parental preference for video B or A (dichotomous question with 1 = first video and 2 = second video). b. Rating of the desired level of optimism when an unfavorable prognosis is conveyed (unimodal, fully verbalized 7-point rating scale from 1 = not at all optimistic to 7 = very optimistic). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Parental state-anxiety is assessed using the German short version (5 items) of the state-scale of the State-Trait Anxiety Inventory (STAI-SKD)38. The change in parental state anxiety due to/after watching the first video is determined as the difference in state anxiety at time points t0 and t1. 2. Parental satisfaction with the manner of prognostic disclosure is assessed using a fully verbalized 7-point rating scale (unimodal from 1 = not at all satisfied to 7 = very satisfied). 3. The realism of the parental evaluation of the prognosis is assessed by the degree of concordance/correspondence between subjective evaluation and objective ability to reproduce the prognostic data provided/transmitted: a. Parental subjective evaluation of the prognosis‘ severity is assessed using parent-rated statement via a fully verbalized 7-point rating scale (1 = very severe to 7 = not at all severe). b. The objective ability of reproducing the information conveyed is based on recall of outcome data in numerical values (relative probabilities in %). c. The level of parental preparedness to make a treatment decision is assessed by means of a fully verbalized 7-point rating scale (1= not at all prepared to 7 = completely prepared). Explanatory note: At the end of the study parents are asked to provide a general assessment of the importance of conversations between physician and parents in general as well as of the disclosure of prognosis (i.e. probabilistic data) in particular (see Data Acquisition tend on p.25). 4. The degree of parental optimism with regard to the child's future is determined by the rating of two statements (a) on survival of the complication per se and (b) on survival without impairment via the respective fully verbalized 7-point rating scale (unimodal with 1= not optimistic at all to 7 = very optimistic). It is taken into account in the evaluation/analysis that the degree of optimism may depend on the participants' basic attitude toward life. The basic at | — |
Countries
Germany
Contacts
Public ContactAndré Kidszun
Universitätsmedizin MainzZentrum für Kinder- und Jugendmedizin
Outcome results
None listed