Prematurity
Conditions
Keywords
parental self-efficacy, social support, preterm infants, parenting skills
Brief summary
The goal of this clinical trial is to evaluate whether a structured parenting skills training intervention can improve maternal parenting self-efficacy, perceived social support, and infant developmental outcomes in mothers of preterm infants aged 6-12 months (corrected age). The main questions it aims to answer are: Does a parenting skills training intervention improve maternal parenting self-efficacy? Does the intervention increase mothers' perceived social support and positively influence infant developmental levels? Researchers will compare mothers who receive the parenting skills training intervention with a control group receiving standard care to determine whether the intervention leads to greater improvements in maternal and infant outcomes. Participants will: Complete baseline, post-intervention, and follow-up assessments of parenting self-efficacy and perceived social support Have their infants assessed using standardized developmental evaluation tools Participate in a structured, home-based parenting skills training program consisting of multiple sessions (intervention group only) Take part in semi-structured interviews before and after the intervention to share their experiences and perceived needs
Detailed description
Mothers of preterm infants frequently face prolonged caregiving demands, heightened stress, and challenges in adapting to parenting roles, which may adversely affect parenting self-efficacy, perceived social support, and early parent-infant interactions. These factors are closely linked to infant developmental outcomes, particularly during the first year of life, a critical period for neurodevelopment. Despite the recognized importance of early, family-centered interventions, evidence-based parenting programs specifically targeting mothers of preterm infants remain limited. This study will employ a mixed-methods, randomized controlled design to examine the effectiveness of a structured Parenting Skills Training Intervention for mothers of preterm infants aged 6-12 months (corrected age). Eligible participants will be randomly assigned to either an intervention group or a control group. Quantitative assessments will be conducted at baseline (pre-test), immediately after the intervention (post-test), and at follow-up to evaluate the sustainability of intervention effects. Qualitative data will be collected through semi-structured interviews to explore maternal needs, experiences, and perceptions related to the intervention process. The intervention will consist of a home-based parenting skills training program delivered in multiple structured sessions. The program is designed to provide mothers with practical knowledge and strategies related to responsive caregiving, infant development, and problem-solving in daily parenting situations. In addition to informational support, the intervention aims to strengthen maternal coping skills and perceived social support by addressing common caregiving challenges associated with prematurity and facilitating access to appropriate guidance and resources. Primary outcome measures will include maternal parenting self-efficacy and perceived social support, assessed using validated self-report scales. Secondary outcomes will focus on infant developmental status, evaluated using standardized developmental screening and assessment tools covering motor, cognitive, communication, and social domains. The control group will receive standard care during the study period and will be offered the parenting skills training after completion of post-test assessments. By integrating quantitative outcome measures with qualitative insights, this study aims to provide a comprehensive evaluation of a parenting skills training intervention tailored for mothers of preterm infants. The results are expected to inform early intervention practices, contribute to the development of family-centered support models, and guide professionals working with preterm infants and their caregivers in clinical and community settings
Interventions
OTHERParental Skill Training Program
The intervention will consist of a structured Parenting Skills Training Program delivered to mothers of preterm infants aged 6-12 months (corrected age). The program will be designed as an individualized, home-based intervention aiming to strengthen maternal parenting skills, enhance parenting self-efficacy, and support infant development through responsive caregiving practices. Mothers in the intervention group will receive the parenting skills training in multiple structured sessions delivered by a trained professional. Sessions will be conducted in the participants' homes and will include both informational and practical components tailored to the mother-infant dyad.
Sponsors
Medipol University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
6 Months to 12 Months
Healthy volunteers
Yes
Inclusion criteria
* For Mothers Being able to read and write in Turkish Providing written informed consent Having a preterm infant with a corrected age between 6 and 12 months Not having a diagnosed psychiatric disorder * For Infants Being born preterm between week of 32 and 37 Not presenting any neurological or other conditions Having a corrected age between 6 and 12 months
Exclusion criteria
* For Mothers Having any neurological, musculoskeletal and psychiatric diagnosis to effect the caregiving role * For Infants Use of multiple daily medications Hospitalization in the neonatal intensive care unit (NICU) for longer than 2 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Preterm Parenting & Self-efficacy Checklist | Assessment will be completed at baseline, after the 7 week training program and end of the one month follow-up period | The Preterm Parenting \& Self-Efficacy Checklist is a parent-reported assessment tool designed to evaluate parenting self-efficacy in caregivers of preterm infants. The checklist measures parents' beliefs and confidence in their ability to effectively manage caregiving tasks and parenting responsibilities related to their preterm infant. The instrument consists of multiple items assessing key dimensions of parenting self-efficacy, including confidence in caregiving skills, perceived competence in managing infant needs, and the importance attributed to parenting tasks. Items are rated on a Likert-type scale, with higher scores indicating higher levels of perceived parenting self-efficacy. The checklist has been developed specifically for parents of preterm infants and has demonstrated acceptable psychometric properties, including internal consistency and construct validity, in previous studies. It is suitable for use in clinical and research settings to assess changes in parenting sel |
| Multidimensional Scale of Perceived Social Support | Assessment will be completed at baseline, after the 7 week training program and end of the one month follow-up period | The Multidimensional Scale of Perceived Social Support (MSPSS) is a self-report questionnaire designed to assess an individual's perceived adequacy of social support from multiple sources. The scale evaluates perceived support from three distinct domains: family, friends, and a significant other. The MSPSS consists of 12 items rated on a Likert-type scale, with higher scores indicating higher levels of perceived social support. Subscale scores can be calculated for each support source, as well as a total score representing overall perceived social support. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of developmental level of children in five domains; gross motor, fine motor, communication, problem-solving, social skills. | Assessment will be completed at baseline, after the 7 week training program and end of the one month follow-up period | Ages and Stages Questionnaire ASQ will be used to assess developmental level of infants. ASQ is a standardized, parent-completed developmental screening tool used to assess the developmental status of infants and young children. It evaluates development across five domains: communication, gross motor, fine motor, problem solving, and personal-social skills. The ASQ is designed for children aged 3 to 72 months and includes age-specific questionnaires that correspond to the child's corrected age. Each item is rated as "yes," "sometimes," or "not yet," with higher scores indicating more advanced developmental performance. Domain-specific cutoff scores are used to identify children at risk for developmental delay. |
| Psychomotor, cognitive, language, and social-emotional developmental levels of infants. | Assessment will be completed at baseline, after the 7 week training program and end of the one month follow-up period | The Gazi Early Childhood Assessment Tool (GEÇDA) is a standardized developmental assessment instrument used to evaluate the developmental functioning of infants and young children aged 0-72 months. The tool assesses development across four core domains: psychomotor, cognitive, language, and social-emotional development. GEÇDA consists of age-specific items organized into 21 developmental age intervals. Each item is scored dichotomously as achieved or not achieved, and developmental performance is determined by comparing the child's domain-specific raw scores with age-based normative data. Rather than producing a single total score, the tool provides a profile of developmental strengths and areas of concern across domains. |
Countries
Turkey (Türkiye)
Contacts
CONTACTMinevver Emir, Msc
Outcome results
None listed