A Feasibility Study of a Physical and Occupational Therapy-Led and Parent-Administered Program to Improve Parent Mental Health and Infant Development

McCarty, Dana B.; Dusing, Stacey C.; Thorpe, Deborah; Weinberger, Morris; Pusek, Susan; Gilbert, Alana; Liu, Tianyi; Blazek, Kerry; Hammond, Sara; O’Shea, T. Michael

doi:10.1080/01942638.2023.2271102

Cited by 2 publications

(1 citation statement)

References 57 publications

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“…The Latinx/ Hispanic population is the fastest growing racial/ethnic group in the United States and has grown by more than 50% in the last decade, reaching more than 62.1 million in 2020; 21 yet, evidence suggests that disparities in health access and outcomes are perpetuated in Spanish-speaking families. 22 The purpose of this study was to translate and culturally adapt parent education materials into Spanish for a parent-centered physical therapy program, 23 , 24 which was designed to support parent mental health and infant development during Neonatal Intensive Care.…”

Section: Introductionmentioning

confidence: 99%

Spanish Translation and Cultural Adaptations of Physical Therapy Parent Educational Materials for Use in Neonatal Intensive Care

McCarty,

Sierra-Arevalo,

Caldwell Ashur

et al. 2024

PPA

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Background A paucity of Spanish language, culturally relevant parent education materials in the healthcare setting results in suboptimal care for Latinx families and further perpetuates health disparities. The purpose of this article is to describe the process for Spanish translation and cultural adaptations to parent education materials of a parent-centered physical therapy program designed to support maternal mental health and infant development during Neonatal Intensive Care (NICU). Methods Two bilingual physical therapy (PT) students translated educational materials from English to Spanish and were proofread by a professional translator. Next, we conducted a materials review with 5 members of the Latine Community Review Board (CRB), a “standing” advisory group of natively Spanish-speaking, Latine North Carolinians who contract with research teams under the coordination of the Inclusive Science Program (ISP) of the North Carolina Translational and Clinical Sciences Institute (NC TraCS). Review session recruitment, facilitation, and data analysis were conducted by bilingual NC TraCS project managers and the primary investigator for the main feasibility study. Readability analyses were performed at the final stage of translation and adaptation. Results Themes from CRB review sessions for improvement included to 1) use parent-friendly language, 2) use the plural masculine form of gendered language for caregivers to include all gender identities in this neonatal context, 3) address challenges with direct translation, and 4) use written education materials to supplement in-person, hands-on training with parents and their infants. All translated materials received a grade level of 5 on the Crawford grade-level index. Conclusion Based on CRB feedback and readability analysis, the translation and cultural-adaptation process resulted in comprehensible written parent education materials for Spanish-speaking families. Review meetings with the CRB reinforced the need for Spanish materials in the healthcare setting. Further assessment of these materials with Spanish-speaking families in the NICU setting is needed.

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Section: Introductionmentioning

confidence: 99%

Spanish Translation and Cultural Adaptations of Physical Therapy Parent Educational Materials for Use in Neonatal Intensive Care

McCarty,

Sierra-Arevalo,

Caldwell Ashur

et al. 2024

PPA

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Infant massage as a stress management technique for parents of hospitalized extremely preterm infants

McCarty,

Silver,

Quinn

et al. 2023

Infant Mental Health Journal

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Mothers of infants born extremely preterm requiring prolonged medical intervention in the Neonatal Intensive Care Unit (NICU) are at high risk of developing stress. Parent‐administered infant massage is a well‐established, safe intervention for preterm infants with many developmental benefits, but the published literature has mostly examined its impact on infants and parents through self‐reported or observational measures of stress. The aim of this study was to measure salivary cortisol, a biomarker for stress, in extremely preterm infants and their mothers immediately pre and post parent‐administered infant massage in order to detect potential changes in physiologic stress. Twenty‐two mother‐infant dyads completed massage education with a physical or occupational therapist. All dyads provided salivary cortisol samples via buccal swab immediately pre‐ and post‐massage at the second session. Of mothers determined to be “cortisol responders” (15/22), salivary cortisol levels were lower after massage (pre‐minus post‐level: −26.47 ng/dL, [CI = −4.40, −48.53], p = .016, paired t‐test). Our primary findings include a clinically significant decrease (as measured by percent change) in maternal cortisol levels immediately post parent‐administered massage, indicating decreased physiological stress. Integration of infant massage into NICU clinical practice may support maternal mental health, but further powered studies are necessary to confirm findings.

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A Feasibility Study of a Physical and Occupational Therapy-Led and Parent-Administered Program to Improve Parent Mental Health and Infant Development

Cited by 2 publications

References 57 publications

Spanish Translation and Cultural Adaptations of Physical Therapy Parent Educational Materials for Use in Neonatal Intensive Care

Spanish Translation and Cultural Adaptations of Physical Therapy Parent Educational Materials for Use in Neonatal Intensive Care

Infant massage as a stress management technique for parents of hospitalized extremely preterm infants

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