A guided participation nursing intervention to theraupeutic positioning and care (GP_Posit) for mothers of preterm infants: protocol of a pilot randomized controlled trial

Abstract

Background: In the NICU, interventions intended to enhance maternal sensitivity are indicated in order to optimize preterm infant development and long-term mother-infant attachment. A novel nursing intervention was developed following a theory-oriented methodology and is based upon the guided participation theory for mothers to participate in their preterm infant's therapeutic POSITioning and care (GP_Posit). The primary objective of this study is to evaluate the feasibility and acceptability of (i) the study design; and (ii) the experimental GP_Posit nursing intervention during NICU hospitalization. The secondary objective is to estimate the preliminary effects of GP_Posit on maternal and preterm infant outcomes. Methods: A pilot parallel-group randomized clinical trial (RCT) was designed where mother-preterm infant dyads are being recruited and randomized to a control group (usual care) or experimental group (GP_Posit intervention). Data collection includes feasibility and acceptability data as well as preliminary effects on maternal sensitivity and infant neurodevelopment. Ethical approval from the University Hospital ethical board was obtained in January 2018 (2017-1540). Discussion: Data collection for this pilot study is expected to end in 2020. Results of this pilot study will inform about the feasibility and acceptability of the study design and GP_Posit intervention, a nursing intervention having the potential to favor maternal sensitivity and infant neurodevelopment in the NICU and guide the elaboration of a large-scale RCT.

Development and Design of a Nursing Intervention Following a Theory and Evidence-Based Approach to Promote Maternal Sensitivity and Preterm Infant Neurodevelopment in the NICU

“…Thus, this intervention has the potential to enhance neonatal nursing care and optimize both mothers' and preterm infants' short-and long-term outcomes. GP_Posit intervention was piloted according to a published protocol to evaluate mother's acceptability and satisfaction with the intervention as well as preliminary effects on maternal sensitivity and preterm infant neurodevelopment (99).…”

Documenting standard developmental care in neonatal intensive care units: Insights from the GP_Posit pilot trial

“…José Côté 1,3,4 Linda Bell 3,5 Thuy Mai Luu 6,7 Care practices that were mentioned by mothers: changing the diaper (n = 8), changing saturation sensor (n = 4), bathing (n = 7), cleaning eyes (n = 2), doing nasal hygiene (n = 1) and giving vitamins (n = 1).…”

“…The aim of this report is to present the standards of care as perceived by control group mothers in a pilot randomised controlled trial in a level III NICU. 5 This study was approved by the institutional review board in January 2018 (2017-1540) and prospectively registered in the ClinicalTrial.gov NIH U.S. National Library of Medicine registry (NCT03677752).…”

“…This has implications for research with preterm infants as it limits either pooling of studies in meta‐analysis or understanding the differences between care received in experimental and control groups. The aim of this report is to present the standards of care as perceived by control group mothers in a pilot randomised controlled trial in a level III NICU 5 . This study was approved by the institutional review board in January 2018 (2017–1540) and prospectively registered in the ClinicalTrial.gov NIH U.S. National Library of Medicine registry (NCT03677752).…”

Pengembangan Aplikasi Untuk Pemantauan Dan Evaluasi Pendidikan Anak Usia Dini

“…Aplikasi ini tersedia algoritma yang memungkinkan untuk validasi entri data pada saat entri data berlangsung sehingga jika ada kesalahan entri, secara otomatis akan muncul pesan error dan aplikasi ini juga memungkikan untuk mengharuskan mengisi variabel atau field yang wajib diisi jika termasuk pertanyaan yang required (diwajibkan untuk diisi). Hal ini untuk menghindari data missing karena terlompati pada waktu entry data [8].…”