Parenting, Preterm Infants, Training Support
Conditions
Keywords
Parenting Self-efficacy, Parent training program, Perceived self-efficacy tool
Brief summary
In a hospital environment, initial parenting of a family with a preterm neonate will be very different than expected. This unusual and stressful situation may determine the self-confidence perceived by mothers and fathers in caring their baby and therefore could shape future interaction with him/her as well as neurodevelopmental and behavioral development of preterm infants. 24/7 neonatal units allow parents stay with their baby whenever they want but this free access nor guarantee neither encourage parenting self-efficacy if it isn't hand in hand with a specific training program for parents.
Detailed description
Longitudinal, prospective, analytic cohort study of parents of preterm newborns who will receive a specific training program for caring their preterm newborns during hospitalization. Families will be recruited during the first 10 days of hospitalization. The PMP S-E (Perceived Maternal Parenting Self- Efficacy) tool developed by Barnes and Adamson-Macedo, will be used to measure self-efficacy in providing infant care by mother or both mother and father. The training program will be developed at bed side by nurses and neonatologist covering theoretical and practical sessions during the first 25 days of hospitalization. Hypothesis principal: Parents of hospitalized preterm neonates will get better score after application of a specific training program (CAP-PREM). Secondary hypothesis: * There is a correlation between the level of stress and anxiety in parents at admission and discharge and the results of PMP S-E score after the CAP-PREM program * To assess those selected demographic variables that can predict a better result in PMP S-E score after the CAP-PREM program
Interventions
BEHAVIORALTraining program CAP-PREM
1ºAfter recruitment parents will fill the PMP S-E tool and the psychological tests evaluating their stress and depression . 2º parents will receive the training program during 4 weeks. 3º: before hospital discharge parents will fill again the PMP S-E tool and the psychological test evaluating their depression and anxiety
Sponsors
Hospital General Universitario Gregorio Marañon
Study design
Observational model
FAMILY_BASED
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
10 Days to 15 Days
Healthy volunteers
No
Inclusion criteria
* Preterm infants between 25 and 32 weeks of gestation, * parents stay at the unit for at least 8 hours/day during training program * fluent Spanish. * parents age \> 18 years * No clinical instability, invasive mechanical ventilation, intraventricular hemorrhage \>II or necrotizing enterocolitis . * no congenital malformation nor chromosomal abnormalities
Exclusion criteria
: * No possibility of survival beyond the first week of life * Admission less than 4 weeks * No collaboration / lack of parental compliance * wish of parents to leave the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Perceive parental self-efficacy before and after CAP-PREM program | 4 weeks | Training parents for caring their preterm newborn from the first days of hospitalization will give them the opportunity to be active parents and improve their perceive parenting |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Influence of parents' psychological state in acquiring self-efficacy | 4 weeks | The emotional situation of parents during their preterm neonate hospitalization may interfere with their perceived parenting sel-efficacy |
| Explore which demographic data may predict the PMP S-E score | 4 weeks | Gestational age, weeks of gestation,parity, first time of kangaroo care, |
Countries
Spain
Contacts
Primary ContactSylvia Caballero, PhD
Backup ContactSylvia Caballero, PhD
Outcome results
None listed