Parents’ perceptions of administering a motor intervention with their preterm infant in the NICU

Øberg, Gunn Kristin; Ustad, Tordis; Jørgensen, Lone; Kaaresen, Per Ivar; Labori, Cathrine

doi:10.1080/21679169.2018.1503718

Cited by 8 publications

(38 citation statements)

References 40 publications

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“…The present study showed that mothers with good compliance with the home program had lower stress levels in the parental distress area, which is determined by the experience of the parental role [ 49 , 50 , 64 ]. Although parenting stress is known to be closely correlated with children’s behavioral development [ 65 ], the evidence suggests that parents’ involvement in the early intervention reinforces parents’ role and decreases their stress index [ 10 , 15 , 66 , 67 ]. A recently published qualitative study concluded that parents’ involvement in infants’ care is associated with increased empowerment.…”

Section: Discussionmentioning

confidence: 99%

“…Previous research has shown that parents’ involvement in early interventions enables them to better understand their child’s development and learn how to support their child. Moreover, when parents provide hands-on programs, they experience a sense of autonomy, empowerment, and stronger bonding with their infant [ 12 , 13 , 14 , 15 , 16 ]. This large body of research has provided valuable information when designing and administrating developmental programs to enhance preterm infants’ development and improve their parents’ mental health [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

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Early Physiotherapy Intervention Program for Preterm Infants and Parents: A Randomized, Single-Blind Clinical Trial

et al. 2022

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Background: The early developmental interventions might be designed with a preventative approach to improving the development of at-risk preterm infants. The present study aimed to evaluate the effectiveness of an early physiotherapy intervention on preterm infants’ motor and global development, and on parents’ stress index. Methods: 48 infants were enrolled and randomized into two groups. Infants allocated to the intervention group received an early physiotherapy intervention, based on parental education sessions and tactile and kinesthetic stimulation during the NICU period, as well as a home-based activity program. The intervention commenced after 32 weeks post-menstrual age and ended at 2 months corrected age. Infants allocated to the control group received the usual care based on the NIDCAP-care. Results: No differences were found between groups on the Alberta Infant Motor Scale at 2- or 8-months corrected age. Infants in the intervention group showed more optimal fine motor, problem-solving, personal-social, and communication development at 1 month corrected age. Conclusions: The results showed no effect on the early physiotherapy intervention. Results might be related to the dose or intensity of the intervention, but also to the poor parental compliance. ClinicalTrials.gov NCT03313427.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Early Physiotherapy Intervention Program for Preterm Infants and Parents: A Randomized, Single-Blind Clinical Trial

et al. 2022

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“…Maternal participation to positioning has been evaluated in one randomized controlled trial (RCT) (67) where, compared to standard care, preterm infants who received the motor intervention from their mothers had a signi cantly better motor performance at term equivalent age (68). Mothers in this study also noted that it empowered them to become competent in providing care and enhanced their feeling of attachment to their preterm infant (69). Based on this evidence, teaching mothers how to position their preterm infant while in the NICU was selected.…”

Section: Educational Componentmentioning

confidence: 91%

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

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et al. 2021

Preprint

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Background: Maternal sensitivity is an important predictor of long-term mother-infant attachment and infant development. Considering the behavioral specificities of preterm infants that may impede the development of maternal sensitivity, it is essential to promote these outcomes soon after a preterm birth. A systematic review showed that current evidence on the effectiveness of parent-infant intervention promoting parental sensitivity in the neonatal intensive care unit (NICU) is of low to very low quality. The aim of this project was to develop and design a novel nursing intervention to enhance maternal sensitivity and preterm infant neurodevelopment in the NICU. Methods: The Medical Research Council’s guidance to develop and evaluate complex health interventions, that is an evidence and theory-based approach, was used for this study. Thus, based on the MRC framework, three main steps were conducted: 1- Identifying existing empirical evidence; 2- Identifying and developing theory; 3- Modeling processes and outcomes.Results: We developed a guided participation intervention for mothers to participate in their preterm infant’s care and positioning (GP_Posit). GP_Posit is based upon the Attachment theory, the Guided participation theory as well as the Synactive theory of development. Conclusion: This novel intervention is being tested in a pilot randomized controlled trial (NCT03677752).

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“…Compared to standard care, results showed that preterm infants who received the motor intervention from their parents had a significantly better motor performance at term equivalent age [43], but no significant difference was found on the quality of general movements at three months of corrected age [44]. However, qualitative interviews of experimental group parents highlighted that the intervention empowered them to become competent in providing care and enhanced their feeling of attachment to their preterm infant [45]. Thus, the GP_Posit intervention, combining guided participation of mothers to their preterm infant positioning during NICU hospitalization is being pilot-tested following the below-mentioned methods and preliminary effects on maternal sensitivity and preterm infant neurodevelopment are being evaluated.…”

Section: Background and Rationalementioning

confidence: 93%

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

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Côté

et al. 2020

Pilot Feasibility Stud

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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.

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Parents’ perceptions of administering a motor intervention with their preterm infant in the NICU

Cited by 8 publications

References 40 publications

Early Physiotherapy Intervention Program for Preterm Infants and Parents: A Randomized, Single-Blind Clinical Trial

Early Physiotherapy Intervention Program for Preterm Infants and Parents: A Randomized, Single-Blind Clinical Trial

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

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

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