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Fathers and Late Preterm Babies Study

Fathers and Late Preterm Babies Study: Effects of an Educational Intervention on Fathers' Interactions With Infants Born Between 34 and 36 Weeks Gestation

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01056653
Acronym
FLPTB
Enrollment
113
Registered
2010-01-26
Start date
2008-12-31
Completion date
2013-01-31
Last updated
2017-03-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Premature Birth

Keywords

father-child relations, paternal behaviour, early intervention, child-rearing

Brief summary

The purpose of this study is to test an educational intervention for first-time fathers of late preterm (34 to 36 weeks gestation) infants.

Detailed description

Background: Preterm birth (PTB) is associated with 75% of morbidity in neonates. Although mortality and morbidity is higher for children with early PTB (\< 32 weeks' gestation), late PTB (between 34 to 36 weeks gestation) is more common and creates a serious impact on public health. Indeed, late PTBs constitute 74% of all PTBs, and even modest increases in the rate of late PTB have dramatic effects on health care costs. PTB rates are rising across Canada and in Alberta at an even faster rate: between 1996 and 2005, the rate of PTB in Alberta increased by 23%. Late PTBs accounted for the majority of this increase. While it is clear that early PTB and being small for gestational age (GA) are risk factors for later developmental challenges even into adulthood, the risks and the negative effects of late PTB on child development are emerging. In spite of evidence that heavier weight (and usually older gestation) infants benefit more from early interventions than their lighter weight counterparts, late preterm infants are ineligible for early intervention programs unless they have other health problems. Most programs are designed for mothers, yet fathers contribute to their child's development by providing interactions that are more vigorous, stimulating, and state-disruptive than mothers. Given their increased risk for delays, it is important that both mothers and fathers of late preterm infants are skilled in parent-child interactions to support development. A new intervention for fathers using positive individualized feedback on parent-child interactions has shown promise in improving interactions with healthy infants. However, it is unknown whether this intervention will be effective for fathers of late preterm infants. The purpose of this study is to test an educational intervention for first-time fathers of late preterm (34 to 36 weeks gestation) infants. Hypothesis: Compared to a comparison group, first-time fathers of late preterm infants who receive an educational intervention will have more positive father-infant interactions when the infant is 8 months old (adjusted age to account for prematurity) as measured during structured play using the Parent Child Interaction Teaching Scale (PCITS) (also known as the Nursing Child Assessment Teaching Scale \[NCATS\]) scored by raters who are blind to group assignment. Secondary Research Question: What is the effect of the intervention on fathers' perceptions of parenting stress as measured by the Parenting Stress Index (PSI) at 4 and 8 months adjusted age? Method: In this pilot randomized controlled trial, data will be collected from 148 English speaking, first time fathers of healthy, late preterm, singleton infants. Fathers in the intervention group will receive two home visits when their infant is 4 and 6 months old (adjusted age) and one web-based booster session. Fathers in the comparison group will receive a home visit and discuss a list of age appropriate toys. For all fathers, baseline interactions and parenting stress will be measured at 4 months with outcomes at 8 months. Measures: The PCITS is an observational measure used to measure changes in father-child interaction after intervention and includes a Parent Domain score composed of sensitivity to cues, response to distress, cognitive growth fostering, and socio-emotional growth fostering. The PSI is a self-report instrument that provides a Parent Domain score reflecting a parent's experience of stress as a parent. The Child Domain score reflects the parental perceptions of the child's temperament and behaviour. All measures have established reliability and validity and inter-rater reliability will be assessed. Analyses: The socio-demographic and baseline variables will be compared between study groups using descriptive statistics (mean or median when appropriate, standard deviation or interquartile range when appropriate, and proportions). Correlations will be used to determine relationship between the dependent variable (interaction) and any known confounders that may need to be used as covariates. To test our primary hypothesis that differences will exist between groups on father-infant interaction a linear model adjusting for covariates will be used. The same approach will be used to test overall treatment effect on parenting stress in the Parent and Child Domains. We will include subgroup analyses to test for interaction effects between baseline variables and group, and between fathers who did and did not use the web-based booster. Significance: The results will help in the design of educational interventions to mitigate risks, and optimize developmental outcomes for late preterm infants through enhancing fathers' interactions with their children, and complementing the effects of mothers' contributions to their children's development.

Interventions

BEHAVIORALStandard Dose

Two intevention home visits

BEHAVIORALHigh Dose

Four intervention home visits

One home visit, information only

Sponsors

University of Calgary
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Fathers - first-time father, 18 years or older, speak and read English, live with the child's other parent, live within one hours' drive of the university * Infants - born between 34 weeks and 0 days and 36 weeks and 6 days gestation, singleton

Exclusion criteria

* Fathers - known addictions * Infants - one of a multiple birth, required assisted ventilation, had culture-proven sepsis, major surgical procedure, identified major congenital anomalies, chromosomal anomalies, intracranial hemorrhage, neurologic disorder, or perinatal asphyxia.

Design outcomes

Primary

MeasureTime frameDescription
Parent Child Interaction Teaching Scale (PCITS)When the infant was 8 months old, adjusting for prematurityAssesses parent-infant interaction skills. Used for children from birth to 3 years of age. It is an observational measure of the presence of behaviours in parent-infant interactions. The Parent Total (50 items) is the sum of 4 subscales: Sensitivity to Cues (11 items), Response to Distress (11 items), Social-Emotional Growth Fostering (11 items), and Cognitive Growth Fostering (17 items). Higher scores on all subscales and higher total scores reflect more optimal parent-infant interactions. Possible ranges of scores are as follows: Parent Total (0 - 50), Sensitivity to Cues (0 - 11), Response to Distress (0 - 11), Social-Emotional Growth Fostering (0 - 11), and Cognitive Growth Fostering (0 - 17)

Secondary

MeasureTime frameDescription
Parenting Stress - Parenting Stress Index - Third Edition (PSI-3)When the infant was 8 months old, adjusting for prematurityA 120-item self-report questionnaire of parenting stress with two domains. The Parent Domain (51 items) measures stress related to parental functioning, the Child Domain (50 items) measures child qualities and characteristics that contribute to stress in the parent-child system. The PSI-3 contains an additional Life Stress scale (19 items) which was not used in the study. The range of possible scores in the Parent Domain is 50 - 250 and in the Child Domain is 51 - 255. In both domains, higher scores indicate more stress.
Perceptions of Parenting an Infant - What Being the Parent of a Baby Is Like (WPL-R) ScaleWhen the infant was 8 months old, adjusting for prematurity25-item self-report measure composed of 3 subscales: Evaluation (11 items), Centrality (8 items), and Life Change (6 items). Each item is rated on a 9-point scale and subscale scores are obtained by averaging the scores of all items on a subscale; the range for all subscales is therefore 1 - 9. Higher scores reflect having more of the attribute being measured.

Countries

Canada

Participant flow

Recruitment details

Participants were recruited from two Canadian cities between December 2008 and June 2011. There were 1035 fathers that were contacted during birth admission (102 enrolled), from another study (7 enrolled), or from a neonatal database (4 enrolled).

Pre-assignment details

Potential participants were screened and enlisted at the time of the infant's birth. When the infant was 2.5 months old, additional screening was done and verbal consent secured.

Participants by arm

ArmCount
Group A Teal
Two intervention home visits Standard Dose: Two home visits
46
Group B Purple
Four home visits High Dose: Four home visits
23
Group C Yellow
Comparison Group (information only) Comparison Group: One home visit, information only
42
Total111

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyLost to Follow-up002

Baseline characteristics

CharacteristicGroup A TealGroup B PurpleGroup C YellowTotal
Age, Continuous33.7 years
STANDARD_DEVIATION 6.44
34.28 years
STANDARD_DEVIATION 4.24
34.47 years
STANDARD_DEVIATION 6.01
34.13 years
STANDARD_DEVIATION 5.85
Education level
Completed college/technical school
12 participants4 participants8 participants24 participants
Education level
High school or less
5 participants2 participants2 participants9 participants
Education level
Partial university/college/technical school
5 participants4 participants9 participants18 participants
Education level
Postgraduate degree
6 participants5 participants7 participants18 participants
Education level
University degree
18 participants8 participants16 participants42 participants
Employment Status
Caring for family
0 participants1 participants0 participants1 participants
Employment Status
Going to school
0 participants0 participants0 participants0 participants
Employment Status
Looking for work
1 participants1 participants1 participants3 participants
Employment Status
On parental leave
1 participants0 participants1 participants2 participants
Employment Status
Other
0 participants0 participants1 participants1 participants
Employment Status
Working (Full- or part-time)
44 participants21 participants39 participants104 participants
Household income
>=$100,000
31 participants13 participants31 participants75 participants
Household income
<$40,000
3 participants0 participants2 participants5 participants
Household income
$40,000-$59,999
3 participants2 participants3 participants8 participants
Household income
$60,000-$79,999
4 participants5 participants0 participants9 participants
Household income
$80,000-$99,999
5 participants3 participants6 participants14 participants
Infants gestational age250 days
STANDARD_DEVIATION 6.27
248 days
STANDARD_DEVIATION 6.4
249 days
STANDARD_DEVIATION 6.61
249.08 days
STANDARD_DEVIATION 6.41
Main Language Spoken at Home
Chinese
1 participants0 participants0 participants1 participants
Main Language Spoken at Home
English
43 participants22 participants40 participants105 participants
Main Language Spoken at Home
Farsi
1 participants0 participants0 participants1 participants
Main Language Spoken at Home
French
0 participants0 participants1 participants1 participants
Main Language Spoken at Home
Oriya
0 participants1 participants0 participants1 participants
Main Language Spoken at Home
Punjabi
1 participants0 participants0 participants1 participants
Main Language Spoken at Home
Spanish
0 participants0 participants1 participants1 participants
Marital Status
Common law/living with partner/living as married
9 participants3 participants7 participants19 participants
Marital Status
Married
37 participants20 participants35 participants92 participants
Parent Child Interaction Teaching Scale (PCITS)
Parent Total
39.72 Scores on a scale
STANDARD_DEVIATION 4.41
40.70 Scores on a scale
STANDARD_DEVIATION 3.89
40.26 Scores on a scale
STANDARD_DEVIATION 4.13
40.13 Scores on a scale
STANDARD_DEVIATION 4.18
Parent Child Interaction Teaching Scale (PCITS)
Subscale - Cognitive Growth Fostering
11.63 Scores on a scale
STANDARD_DEVIATION 2.2
12.13 Scores on a scale
STANDARD_DEVIATION 1.91
11.52 Scores on a scale
STANDARD_DEVIATION 2.65
11.69 Scores on a scale
STANDARD_DEVIATION 2.32
Parent Child Interaction Teaching Scale (PCITS)
Subscale - Response to Distress
10.15 Scores on a scale
STANDARD_DEVIATION 0.99
10.22 Scores on a scale
STANDARD_DEVIATION 0.8
10.17 Scores on a scale
STANDARD_DEVIATION 0.76
10.17 Scores on a scale
STANDARD_DEVIATION 0.86
Parent Child Interaction Teaching Scale (PCITS)
Subscale - Sensitivity to Cues
9.61 Scores on a scale
STANDARD_DEVIATION 1.37
9.52 Scores on a scale
STANDARD_DEVIATION 1.31
9.88 Scores on a scale
STANDARD_DEVIATION 1.11
9.69 Scores on a scale
STANDARD_DEVIATION 1.26
Parent Child Interaction Teaching Scale (PCITS)
Subscale - Socioemotional Growth Fostering
8.33 Scores on a scale
STANDARD_DEVIATION 1.65
8.83 Scores on a scale
STANDARD_DEVIATION 1.3
8.69 Scores on a scale
STANDARD_DEVIATION 1.7
8.57 Scores on a scale
STANDARD_DEVIATION 1.61
Parenting Stress - Parenting Stress Index - Third Edition (PSI-3)
Child Domain
96.37 Scores on a scale
STANDARD_DEVIATION 16.78
96.57 Scores on a scale
STANDARD_DEVIATION 17
96.71 Scores on a scale
STANDARD_DEVIATION 15.9
96.54 Scores on a scale
STANDARD_DEVIATION 16.35
Parenting Stress - Parenting Stress Index - Third Edition (PSI-3)
Parent Domain
107.46 Scores on a scale
STANDARD_DEVIATION 15.73
107.00 Scores on a scale
STANDARD_DEVIATION 19.73
108.60 Scores on a scale
STANDARD_DEVIATION 19.56
107.79 Scores on a scale
STANDARD_DEVIATION 17.95
Perceptions of Parenting an Infant - What Being the Parent of a Baby Is Like (WPL-R) Scale
Centrality
6.99 Scores on a scale
STANDARD_DEVIATION 0.81
6.47 Scores on a scale
STANDARD_DEVIATION 0.81
6.75 Scores on a scale
STANDARD_DEVIATION 1.04
6.79 Scores on a scale
STANDARD_DEVIATION 0.92
Perceptions of Parenting an Infant - What Being the Parent of a Baby Is Like (WPL-R) Scale
Evaluation
7.58 Scores on a scale
STANDARD_DEVIATION 0.64
7.58 Scores on a scale
STANDARD_DEVIATION 0.72
7.52 Scores on a scale
STANDARD_DEVIATION 0.8
7.56 Scores on a scale
STANDARD_DEVIATION 0.72
Perceptions of Parenting an Infant - What Being the Parent of a Baby Is Like (WPL-R) Scale
Life Change
6.77 Scores on a scale
STANDARD_DEVIATION 1.02
6.03 Scores on a scale
STANDARD_DEVIATION 1.5
6.28 Scores on a scale
STANDARD_DEVIATION 1.39
6.43 Scores on a scale
STANDARD_DEVIATION 1.3
Race/Ethnicity, Customized
Arab/West Asian
1 participants0 participants0 participants1 participants
Race/Ethnicity, Customized
Black
2 participants0 participants1 participants3 participants
Race/Ethnicity, Customized
Chinese
1 participants0 participants1 participants2 participants
Race/Ethnicity, Customized
Did Not Answer
1 participants1 participants0 participants2 participants
Race/Ethnicity, Customized
European
30 participants19 participants35 participants84 participants
Race/Ethnicity, Customized
Filipino
2 participants0 participants0 participants2 participants
Race/Ethnicity, Customized
Latin American
1 participants0 participants1 participants2 participants
Race/Ethnicity, Customized
More than one Option Selected
3 participants0 participants0 participants3 participants
Race/Ethnicity, Customized
North American First Nations
2 participants1 participants1 participants4 participants
Race/Ethnicity, Customized
Other
1 participants0 participants1 participants2 participants
Race/Ethnicity, Customized
South Asian
2 participants2 participants2 participants6 participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Male
46 Participants23 Participants42 Participants111 Participants
Sex of the Infant
Females
20 infants11 infants17 infants48 infants
Sex of the Infant
Males
26 infants12 infants25 infants63 infants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
0 / 460 / 230 / 42
serious
Total, serious adverse events
0 / 460 / 230 / 42

Outcome results

Primary

Parent Child Interaction Teaching Scale (PCITS)

Assesses parent-infant interaction skills. Used for children from birth to 3 years of age. It is an observational measure of the presence of behaviours in parent-infant interactions. The Parent Total (50 items) is the sum of 4 subscales: Sensitivity to Cues (11 items), Response to Distress (11 items), Social-Emotional Growth Fostering (11 items), and Cognitive Growth Fostering (17 items). Higher scores on all subscales and higher total scores reflect more optimal parent-infant interactions. Possible ranges of scores are as follows: Parent Total (0 - 50), Sensitivity to Cues (0 - 11), Response to Distress (0 - 11), Social-Emotional Growth Fostering (0 - 11), and Cognitive Growth Fostering (0 - 17)

Time frame: When the infant was 8 months old, adjusting for prematurity

ArmMeasureGroupValue (MEAN)Dispersion
Group A TealParent Child Interaction Teaching Scale (PCITS)Subscale - Cognitive Growth Fostering12.91 Scores on a scaleStandard Deviation 1.98
Group A TealParent Child Interaction Teaching Scale (PCITS)Subscale - Socioemotional Growth Fostering8.07 Scores on a scaleStandard Deviation 1.72
Group A TealParent Child Interaction Teaching Scale (PCITS)Parent Total40.00 Scores on a scaleStandard Deviation 3.77
Group A TealParent Child Interaction Teaching Scale (PCITS)Subscale - Sensitivity to Cues9.26 Scores on a scaleStandard Deviation 0.98
Group A TealParent Child Interaction Teaching Scale (PCITS)Subscale - Response to Distress9.76 Scores on a scaleStandard Deviation 0.87
Group B PurpleParent Child Interaction Teaching Scale (PCITS)Subscale - Socioemotional Growth Fostering9.00 Scores on a scaleStandard Deviation 1.62
Group B PurpleParent Child Interaction Teaching Scale (PCITS)Parent Total41.61 Scores on a scaleStandard Deviation 4.03
Group B PurpleParent Child Interaction Teaching Scale (PCITS)Subscale - Sensitivity to Cues9.17 Scores on a scaleStandard Deviation 0.98
Group B PurpleParent Child Interaction Teaching Scale (PCITS)Subscale - Cognitive Growth Fostering13.52 Scores on a scaleStandard Deviation 2.33
Group B PurpleParent Child Interaction Teaching Scale (PCITS)Subscale - Response to Distress9.91 Scores on a scaleStandard Deviation 0.95
Group C YellowParent Child Interaction Teaching Scale (PCITS)Subscale - Response to Distress9.74 Scores on a scaleStandard Deviation 0.89
Group C YellowParent Child Interaction Teaching Scale (PCITS)Subscale - Cognitive Growth Fostering12.10 Scores on a scaleStandard Deviation 2.37
Group C YellowParent Child Interaction Teaching Scale (PCITS)Parent Total38.83 Scores on a scaleStandard Deviation 4.33
Group C YellowParent Child Interaction Teaching Scale (PCITS)Subscale - Socioemotional Growth Fostering7.93 Scores on a scaleStandard Deviation 1.44
Group C YellowParent Child Interaction Teaching Scale (PCITS)Subscale - Sensitivity to Cues9.07 Scores on a scaleStandard Deviation 1.07
Comparison: ANCOVA - Group Comparison of Parent Total Score on PCITS at 8 months, controlling for scores at baseline (4 months). Group entered as as fixed factor, outcome scores as dependent variable, and baseline scores as covariate.p-value: =0.03ANCOVA
Comparison: Pairwise Group Comparison based on estimated marginal means - Parent Total Scoresp-value: 0.03ANOVA
Comparison: Pairwise Group Comparison based on estimated marginal means - Parent Total Scoresp-value: 0.534ANCOVA
Comparison: ANCOVA - Group Comparison of Cognitive Growth Fostering Subscale scores at 8 months, controlling for scores at baseline (4 months). Group entered as fixed factor, outcome scores as dependent variable, and baseline scores as covariate.p-value: 0.047ANCOVA
Comparison: Pairwise Group Comparison based on estimated marginal means - Cognitive Growth Fostering Subscalep-value: 0.056ANCOVA
Comparison: Pairwise Group Comparison based on estimated marginal means - Cognitive Growth Fostering Subscalep-value: 0.267ANCOVA
Comparison: ANCOVA - Group Comparison of Socio-Emotional Growth Subscale scores at 8 months, controlling for scores at baseline (4 months). Group entered as fixed factor, outcome scores as dependent variable, and baseline scores as covariate.p-value: 0.036ANCOVA
Comparison: Pairwise Group Comparison based on estimated marginal means - Socio-Emotional Growth Fostering Subscalep-value: 0.036ANCOVA
Comparison: Pairwise Group Comparison based on estimated marginal means - Socio-Emotional Growth Fostering Subscalep-value: 1ANCOVA
Comparison: ANCOVA - Group Comparison of Sensitivity to Cues Subscale scores at 8 months, controlling for scores at baseline (4 months). Group entered as fixed factor, outcome scores as dependent variable, and baseline scores as covariate.p-value: 0.665ANCOVA
Comparison: ANCOVA - Group Comparison of Response to Distress Subscale scores at 8 months, controlling for scores at baseline (4 months). Group entered as fixed factor, outcome scores as dependent variable, and baseline scores as covariate.p-value: 0.732ANCOVA
Secondary

Parenting Stress - Parenting Stress Index - Third Edition (PSI-3)

A 120-item self-report questionnaire of parenting stress with two domains. The Parent Domain (51 items) measures stress related to parental functioning, the Child Domain (50 items) measures child qualities and characteristics that contribute to stress in the parent-child system. The PSI-3 contains an additional Life Stress scale (19 items) which was not used in the study. The range of possible scores in the Parent Domain is 50 - 250 and in the Child Domain is 51 - 255. In both domains, higher scores indicate more stress.

Time frame: When the infant was 8 months old, adjusting for prematurity

Population: Group A Teal n = 44 due to missing data

ArmMeasureGroupValue (MEAN)Dispersion
Group A TealParenting Stress - Parenting Stress Index - Third Edition (PSI-3)Child Domain93.52 Scores on a scaleStandard Deviation 14.83
Group A TealParenting Stress - Parenting Stress Index - Third Edition (PSI-3)Parent Domain106.48 Scores on a scaleStandard Deviation 15.51
Group B PurpleParenting Stress - Parenting Stress Index - Third Edition (PSI-3)Child Domain89.96 Scores on a scaleStandard Deviation 16.65
Group B PurpleParenting Stress - Parenting Stress Index - Third Edition (PSI-3)Parent Domain103.52 Scores on a scaleStandard Deviation 18.37
Group C YellowParenting Stress - Parenting Stress Index - Third Edition (PSI-3)Child Domain93.26 Scores on a scaleStandard Deviation 13.43
Group C YellowParenting Stress - Parenting Stress Index - Third Edition (PSI-3)Parent Domain107.12 Scores on a scaleStandard Deviation 20.46
Comparison: ANCOVA - Group Comparison of Parent Domain scores at 8 months, controlling for scores at baseline (4 months). Group entered as fixed factor, outcome scores as dependent variable, and baseline scores as covariate.p-value: 0.61ANCOVA
Comparison: ANCOVA - Group Comparison of Child Domain scores at 8 months, controlling for scores at baseline (4 months). Group entered as fixed factor, outcome scores as dependent variable, and baseline scores as covariate.p-value: 0.38ANCOVA
Secondary

Perceptions of Parenting an Infant - What Being the Parent of a Baby Is Like (WPL-R) Scale

25-item self-report measure composed of 3 subscales: Evaluation (11 items), Centrality (8 items), and Life Change (6 items). Each item is rated on a 9-point scale and subscale scores are obtained by averaging the scores of all items on a subscale; the range for all subscales is therefore 1 - 9. Higher scores reflect having more of the attribute being measured.

Time frame: When the infant was 8 months old, adjusting for prematurity

Population: Goup A Teal n = 45 due to missing data

ArmMeasureGroupValue (MEAN)Dispersion
Group A TealPerceptions of Parenting an Infant - What Being the Parent of a Baby Is Like (WPL-R) ScaleCentrality6.85 Scores on a scaleStandard Deviation 0.84
Group A TealPerceptions of Parenting an Infant - What Being the Parent of a Baby Is Like (WPL-R) ScaleEvaluation7.77 Scores on a scaleStandard Deviation 0.54
Group A TealPerceptions of Parenting an Infant - What Being the Parent of a Baby Is Like (WPL-R) ScaleLife Change6.74 Scores on a scaleStandard Deviation 1.12
Group B PurplePerceptions of Parenting an Infant - What Being the Parent of a Baby Is Like (WPL-R) ScaleCentrality6.48 Scores on a scaleStandard Deviation 1.04
Group B PurplePerceptions of Parenting an Infant - What Being the Parent of a Baby Is Like (WPL-R) ScaleEvaluation7.97 Scores on a scaleStandard Deviation 0.48
Group B PurplePerceptions of Parenting an Infant - What Being the Parent of a Baby Is Like (WPL-R) ScaleLife Change5.93 Scores on a scaleStandard Deviation 1.41
Group C YellowPerceptions of Parenting an Infant - What Being the Parent of a Baby Is Like (WPL-R) ScaleEvaluation7.85 Scores on a scaleStandard Deviation 0.52
Group C YellowPerceptions of Parenting an Infant - What Being the Parent of a Baby Is Like (WPL-R) ScaleLife Change6.58 Scores on a scaleStandard Deviation 1.14
Group C YellowPerceptions of Parenting an Infant - What Being the Parent of a Baby Is Like (WPL-R) ScaleCentrality6.58 Scores on a scaleStandard Deviation 0.79
Comparison: ANCOVA - Group Comparison of WPL-R scores - Evaluation Subscale scores at 8 months, controlling for scores at baseline (4 months). Group entered as fixed factor, outcome scores as dependent variable, and baseline scores as covariate.p-value: 0.11ANCOVA
Comparison: ANCOVA - Group Comparison of WPL-R scores - Centrality Subscale scores at 8 months, controlling for scores at baseline (4 months). Group entered as fixed factor, outcome scores as dependent variable, and baseline scores as covariate.p-value: 0.686ANCOVA
Comparison: ANCOVA - Group Comparison of WPL-R scores - Life Change Subscale scores at 8 months, controlling for scores at baseline (4 months). Group entered as fixed factor, outcome scores as dependent variable, and baseline scores as covariate.p-value: 0.121ANCOVA

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026