Evaluation of a Model of Transitional Care After Preterm Birth on Parents' Mental Health and Self-Efficacy: A Randomized Controlled Pilot Trial.

IF 2 4区 医学 Q2 PEDIATRICS
Natascha Schuetz Haemmerli, Liliane Stoffel, Kai-Uwe Schmitt, Tilman Humpl, Mathias Nelle, Odile Stalder, Eva Cignacco
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Abstract

Background/objectives: Parents of premature infants experience depression, anxiety, post-traumatic stress disorder, and increased stress, which can negatively impact parent-infant relationships and infant development. To reduce negative consequences and optimally support families, we developed the Transition to Home model (TtH). In this randomized controlled pilot trial (RCT), the feasibility of performing an experimental study to analyse the effects of TtH on parental mental health over time was evaluated.

Methods: The following domains were assessed: recruitment, follow-up and study burden, outcome measures used and parental mental health outcomes. We included n = 22 parent couples with their preterm infants in the control group and n = 23 in the intervention group. Depression, anxiety and post-traumatic stress disorders, parenting stress, and parental self-efficacy were assessed at five timepoints. The study burden was evaluated once at the end of the study.

Results: The control and intervention groups had similar socio-demographic characteristics. The groups showed no differences in the mental health outcomes except for depression in mothers at T2 (p = 0.042) and T5 (p = 0.027) and state anxiety in fathers at T2 (p = 0.016).

Conclusions: This pilot RCT established a framework for the evaluation of the TtH model of care and demonstrated the viability of the evaluation scheme. The results confirm the suitability of the RCT's structure and the feasibility of the methods and instruments used. Minor adjustments are recommended to include a more diverse sample in future studies.

早产后过渡护理模式对父母心理健康和自我效能的评估:随机对照试验。
背景/目的:早产儿的父母会经历抑郁、焦虑、创伤后应激障碍和更大的压力,这可能会对亲子关系和婴儿发育产生负面影响。为了减少负面影响并为家庭提供最佳支持,我们开发了 "过渡到家 "模式(TtH)。在这项随机对照试点试验(RCT)中,我们评估了开展实验研究的可行性,以分析随着时间的推移,TtH 对父母心理健康的影响:方法:对以下方面进行了评估:招募、跟踪和研究负担、使用的结果测量和父母的心理健康结果。我们将 n = 22 对父母夫妇及其早产儿纳入对照组,将 n = 23 对父母夫妇纳入干预组。在五个时间点对抑郁、焦虑和创伤后应激障碍、养育压力和父母自我效能进行了评估。研究结束时对研究负担进行一次评估:结果:对照组和干预组的社会人口特征相似。除了母亲在第二阶段(p = 0.042)和第五阶段(p = 0.027)出现抑郁以及父亲在第二阶段(p = 0.016)出现状态焦虑外,两组在心理健康结果上没有差异:这项试验性 RCT 建立了 TtH 护理模式的评估框架,并证明了评估计划的可行性。结果证实了 RCT 结构的适宜性以及所用方法和工具的可行性。建议稍作调整,以便在今后的研究中纳入更多样化的样本。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Children-Basel
Children-Basel PEDIATRICS-
CiteScore
2.70
自引率
16.70%
发文量
1735
审稿时长
6 weeks
期刊介绍: Children is an international, open access journal dedicated to a streamlined, yet scientifically rigorous, dissemination of peer-reviewed science related to childhood health and disease in developed and developing countries. The publication focuses on sharing clinical, epidemiological and translational science relevant to children’s health. Moreover, the primary goals of the publication are to highlight under‑represented pediatric disciplines, to emphasize interdisciplinary research and to disseminate advances in knowledge in global child health. In addition to original research, the journal publishes expert editorials and commentaries, clinical case reports, and insightful communications reflecting the latest developments in pediatric medicine. By publishing meritorious articles as soon as the editorial review process is completed, rather than at predefined intervals, Children also permits rapid open access sharing of new information, allowing us to reach the broadest audience in the most expedient fashion.
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