High-Risk Preterm Infants at 3 Years of Age: Parental Response to the Presence of Developmental Problems

Huber, Cathee J.; Holditch‐Davis, Diane; Brandon, Debra

doi:10.1207/s15326888chc2202_3

Cited by 28 publications

(19 citation statements)

References 48 publications

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“…These findings are consistent with a large literature describing problematic underutilization of services, particularly among individuals with low incomes and people of color (Huber et al, 1993;Meisels, 1989;Palfrey et al, 1989;Stauber & Mahan, 1987). The reality that only a small percentage of the participants reported ever having used parenting support services raises concerns about the effectiveness of parenting services in reaching the low-income, African American parents of babies at high risk for developmental delays and in need of extra support during their infants' early years.…”

Section: Discussionsupporting

confidence: 91%

“…However, the effectiveness of formal interventions and parenting programs often is compromised because these services are not used (Meisels, 1989;Stauber & Mahan, 1987). One study found that only one-sixth of families with premature infants were receiving adequate early intervention services three years after the premature delivery (Huber, Holditch-Davis, & Brandon, 1993). This underutilization remains a major challenge in early intervention practice, and contributes to social and economic costs that are likely to compound in future years (Arcia, Serling, & Gallagher, 1992;Halpern, 1990).…”

Section: W K Kellogg Foundationmentioning

confidence: 99%

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Informal social support characteristics and utilization of parenting support services among low‐income African American mothers of premature infants

Barton

Roman

Fitzgerald

et al. 2002

Infant Mental Health Journal

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Service delivery efforts to attenuate the risks associated with parenting premature infants in poverty often are compromised because those at greatest risk do not use available parenting support services. Yet, relatively little is known about the networks of support surrounding these parents. This study investigated both the characteristics of informal social support within a sample of 31 low-income, African American mothers of premature infants at high risk for parenting difficulties and their use of community parenting support services. The findings suggest that mothers had small (M ϭ 4.97, SD ϭ 1.80), but highly mobilized, social support networks consisting primarily of family members. Among six different types of support, informational guidance and parenting support were available from the fewest people in participants' networks. Only 32.3% of the sample was aware of and 16.1% of the sample had ever used formal parenting support services. Participants who had received informal support from more than five people in the last month were significantly more likely to have knowledge about existing community parenting support services than those receiving support from smaller social networks. Patterns of knowledge about and utilization of services were examined with regard to network characteristics, perceived maternal desire for more parenting support opportunities than were available, and presence of special needs in the child. The implications of these findings for parenting support programs are discussed.RESUMEN: Los esfuerzos de prestar el servicio a domicilio, con el fin de atenuar los riesgos que se asocian con la crianza de niños prematuros que viven en pobreza, a menudo están en peligro porque quienes están bajo riesgo inminente no siempre usan los servicios de ayuda para la crianza de los niños. Sin embargo, relativamente es muy poco lo que se concoe sobre la red de apoyo que rodea a este tipo de This study was supported in part by a grant from the Provost, MSU Foundation Royalty Block Grant to the Epidemiology Prenatal Program. Some of the findings of this study were presented as posters at the Meeting of the Society for Research in Child Development, Albuquerque, NM, 1999, and the American Public Health Association, Indianapolis, . The authors would like to express their appreciation to Alexander von Eye for his assistance in the development of this article. Special thanks also to Phyllis Lewis, whose dedication to recruitment and field coordination was instrumental. We also wish to thank the families whose cooperation and commitment made this study possible. Direct correspondence to: Lauren R. Barton, Department of Psychology, 135 Snyder Hall, Michigan State University, East Lansing, MI 48824; phone: 517-432-2500; fax: 517-355-4566; e-mail: bartonro@msu.edu. Utilization of Parenting Servicespadres. Este estudio investigó las características del apoyo social informal dentro de un grupo muestra de 31 madres afro-americanas, de bajo recursos, con infantes prematuros de alto riesgo en cuanto a las...

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Section: Discussionsupporting

confidence: 91%

Section: W K Kellogg Foundationmentioning

confidence: 99%

Informal social support characteristics and utilization of parenting support services among low‐income African American mothers of premature infants

Barton

Roman

Fitzgerald

et al. 2002

Infant Mental Health Journal

View full text Add to dashboard Cite

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“…The barriers to parenting created by the NICU environment and parents’ emotional reactions to the environment may negatively influence the parent–infant relationship and the infant's long‐term developmental outcome (Affleck & Tennen 1991, Huber et al. 1993, Singer et al.…”

Section: Introductionmentioning

confidence: 99%

“…1999). The postponement of parenting results in extended emotional and psychological stress that can lead to parents not being emotionally attached to their infant at the time of discharge, and may contribute to greater parenting risk and child vulnerability (Affleck & Tennen 1991, Huber et al. 1993).…”

Section: Introductionmentioning

confidence: 99%

Measuring neonatal intensive care unit‐related parental stress

Franck

Cox

Allen³

et al. 2005

Journal of Advanced Nursing

234

164

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“…The postponement of parenting and the emotional and psychological stress, may cause parents not being able to emotionally connect to their infant at time of discharge, and may contribute to greater parenting risk and child vulnerability [24,53,54]. These findings highlight the importance of therapeutic interventions during hospitalisation in the NICU aiming at improvement of parent-infant interactions and early parental- therapeutic support focusing on the psychological impact after premature birth.…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of video interaction guidance in parents of premature infants: A multicenter randomised controlled trial

et al. 2012

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BackgroundStudies have consistently found a high incidence of neonatal medical problems, premature births and low birth weights in abused and neglected children. One of the explanations proposed for the relation between neonatal problems and adverse parenting is a possible delay or disturbance in the bonding process between the parent and infant. This hypothesis suggests that due to neonatal problems, the development of an affectionate bond between the parent and the infant is impeded. The disruption of an optimal parent-infant bond -on its turn- may predispose to distorted parent-infant interactions and thus facilitate abusive or neglectful behaviours. Video Interaction Guidance (VIG) is expected to promote the bond between parents and newborns and is expected to diminish non-optimal parenting behaviour.Methods/designThis study is a multi-center randomised controlled trial to evaluate the effectiveness of Video Interaction Guidance in parents of premature infants. In this study 210 newborn infants with their parents will be included: n = 70 healthy term infants (>37 weeks GA), n = 70 moderate term infants (32–37 weeks GA) which are recruited from maternity wards of 6 general hospitals and n = 70 extremely preterm infants or very low birth weight infants (<32 weeks GA) recruited by the NICU of 2 specialized hospitals. The participating families will be divided into 3 groups: a reference group (i.e. full term infants and their parents, receiving care as usual), a control group (i.e. premature infants and their parents, receiving care as usual) and an intervention group (i.e. premature infants and their parents, receiving VIG). The data will be collected during the first six months after birth using observations of parent-infant interactions, questionnaires and semi-structured interviews. Primary outcomes are the quality of parental bonding and parent-infant interactive behaviour. Parental secondary outcomes are (posttraumatic) stress symptoms, depression, anxiety and feelings of anger and hostility. Infant secondary outcomes are behavioral aspects such as crying, eating, and sleeping.DiscussionThis is the first prospective study to empirically evaluate the effect of VIG in parents of premature infants. Family recruitment is expected to be completed in January 2012. First results should be available by 2012.Trail registration numberNTR3423

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High-Risk Preterm Infants at 3 Years of Age: Parental Response to the Presence of Developmental Problems

Cited by 28 publications

References 48 publications

Informal social support characteristics and utilization of parenting support services among low‐income African American mothers of premature infants

Informal social support characteristics and utilization of parenting support services among low‐income African American mothers of premature infants

Measuring neonatal intensive care unit‐related parental stress

The effectiveness of video interaction guidance in parents of premature infants: A multicenter randomised controlled trial

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