Effects of the Parental Sensitivity Intervention Among Mothers and Fathers of Preterm Infants: A Quasi-Experimental Study

Authors

  • Kulwara Phianching PhD (Candidate), Faculty of Nursing, Burapha University and Lecturer, Faculty of Nursing, Naresuan University, Thailand.
  • Nujjaree Chaimongkol PhD, Associate Professor, Faculty of Nursing, Burapha University, Thailand.
  • Yunee Pongjaturawit PhD, Assistant Professor Faculty of Nursing, Burapha University, Thailand.

Keywords:

Father-infant attachment, Mother-infant attachment, Parental sensitivity, Intervention, Preterm infants, Self-efficacy

Abstract

                Infants who are born prematurely or of a gestational age less than 37 weeks with birth weight less than 2500gramsusually require long hospitalizations in order to receive highly specialized care,resulting in separation from their parents.This separation may have negative consequences on the development of a healthy attachment between parents and their babies.In addition,due to the fragility of preterm infants,parents often lackconfidence tocare for them.This study aimed to examine the effects ofa parental sensitivity intervention on attachment and confidence/self-efficacy among mothers and fathers of preterm infants.A convenience sampling was used to recruit 34 triads of mothers, fathers and preterm infants with 17 triads in each group.The Postpartum Bonding Questionnaire and the Maternal Confidence Questionnaire were used to measure attachment andself-efficacy at three pointstime(Baseline, Day3 and Day7).The experimental group received four sessions of 1)teaching infant states and cues, 2)observing the mothers’state-modulation and cue-reading skills,3)checking the mothers’state-modulation and cue-reading skills,and4)providing parental support, and routine care while the control group received only the routine care at the hospital. Repeated measure ANOVAs were used to analyze the data.
              The results revealed that father-infant attachment and self-efficacy were significantly higher in the intervention group compared to the control group at post-intervention of Day3 and Day7.However, mother-infant attachment and self-efficacy were not significantly different between the experiment and the control group.These findings suggest the benefit of a parental sensitivity intervention,especially for fathers of preterm infants.Nurses should utilize this intervention to educate the parents of preterm infants,focusing on both mother and father,before the baby is discharged from hospital.

References

Hockenberry M J, Wilson D. Wong’s nursing care of infants and children 10th ed. St. Louis: Mosby; 2015.

World Health Organization [Internet]. Preterm birth; 2018 [cited 2019 March12]. Available from: https://www. who.int/en/news-room/fact-sheets/detail/preterm-birth

Muller-Nix C, Forcada-Guex M, Pierrehumbert B, Jaunin L, Borghini A, Ansermet F. Prematurity, maternal stress and mother-child interactions. Early Hum Dev. 2004; 79(2):145-58.

Korja R, Ahlqvist-Björkroth S, Savonlahti E, Stolt S, Haataja L, Lapinleimu H, et al. Relations between maternal attachment representations and the quality of mother-infant interaction in preterm and full-term infants. Infant Behav Dev. 2010; 33(3):330-6.https://doi.10.1016/j.infbeh. 2010.03.010. Epub 2010 Apr 24

Greisen G, Mirante N, Haumont D, Pierrat V, Pallas‐Alonso CR, Warren I, et al. Parents, siblings and grandparents in the neonatal intensive care unit: a survey of policies in eight European countries. Acta Paediatrica. 2009; 98(11): 1744-50. https://doi.10.1111/j.1651-2227. 2009.01439.x. Epub 2009 Jul 24

Bowlby J. Attachment. New York: Basic book; 1969.

Reyna BA, Pickler RH, Thompson A. A descriptive study of mothers’ experiences feeding their preterm infants after discharge. Adv Neonatal Care. 2006; 6(6):333-40.

Yang HL, Chen YC, Mao HC, Gau BS, Wang JK. Effect of a systematic discharge nursing plan on mothers' knowledge and confidence in caring for infants with congenital heart disease at home. J Formos Med Assoc. 2004;103(1):47-52.

Satipan C, Sriareporn P, Sansiriphun . Marital relationship, father-infant attachment and father involvement in postpartum period. Nursing Journal. 2016;43(suppl): 71-81.[in Thai].

Forcada-Guex M, Pierrehumbert B, Borghini A, Moessinger A, Muller-Nix C. Early dyadic patterns of mother–infant interactions and outcomes of prematurity at 18 months. Pediatrics. 2006;118(1):e107-14.

Bang KS. Effects of maternal role education program on the mother-infant interaction and infant development. Korean J Child Health Nurs. 2001;7(1):21-34.

Coleman PK, Karraker KH. Maternal self‐efficacy beliefs, competence in parenting, and toddlers' behavior and developmental status. Infant Ment Health J. 2003;24(2): 126-48. https://doi.org/10.1002/imhj.10048

Badr LK. Further psychometric testing and use of the Maternal Confidence Questionnaire. Issues Compr Pediatr Nurs. 2005;28(3):163-74.

Ribeiro NA, Kase JS. The evolution of parental self-efficacy in knowledge and skill in the home care of preterm infants. J Pediatr Neonat Individual Med. 2017; 6(1):e060118. https://doi.10.7363/060118

Chen EM, Gau ML, Liu CY, Lee TY. Effects of father-neonate skin-to-skin contact on attachment: a randomized controlled trial. Nurs Res Pract. 2017;2017:8612024. https:// doi.10.1155/2017/8612024. Epub 2017 Jan 17

Holditch-Davis D, White-Traut RC, Levy JA, O'Shea TM, Geraldo V, David RJ. Maternally administered interventions for preterm infants in the NICU: effects on maternal psychological distress and mother-infant relationship. Infant Behav Dev. 2014;37(4):695-710.

Moore ER, Anderson GC, Bergman N, Dowswell T. Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev. 2012;16;(5): CD003519. https://doi.10.1002/14651858.CD00 3519.pub3

Charoensri P. Effects of multi-modalities sensory stimulation program on the growth of premature infants and maternal infant attachment. Master thesis 99p Mahidol University; 2002.

Kusanagi M, Hirose T, Mikuni K, Okamitsu M. Effect of early intervention using state modulation and cue reading on mother-infant interactions in preterm infants and their mothers in Japan. J Med Dent Sci. 2011;58(3):89-96.

Eamkusolkit R. Development of early mother-preterm infant attachment coaching program. Doctoral dissertation 171p Burapha University; 2016.

Barlow J, Sembi S, Underdown A. Pilot RCT of the use of video interactive guidance with preterm babies. J Reprod Infant Psyc. 2016;34(5):511-24. https://doi.org/10 .1080/02646838.2016.1217404

Kalinauskiene L, Cekuoliene D, Van IJzendoorn MH, Bakermans-Kranenburg MJ, Juffer F, Kusakovskafa I. Supporting insensitive mothers: the Vilnius randomized control trial of video-feedback intervention to promote maternal sensitivity and infant attachment security. Child: Care Health Dev. 2009;35(5):613-23. https://doi. org/10.1111/j.1365-2214.2009.00962.x

Ra JS, Lim J. Development and evaluation of a video discharge education program focusing on mother-infant interaction for mothers of premature infants. J Korean Acad Nurs. 2012; 42(7): 936-46. https://dx.doi.org/ 10.4040/jkan.2012.42.7.936

Promneramit P. The effects of the paternal role promotion program on paternal-infant attachment and paternal role adaptation for first-time fathers. Master thesis 127p Mahidol University; 2005.

Shorey S, He HG, Morelius E. Skin-to-skin contact by fathers and the impact on infant and paternal outcomes: an integrative review. Midwifery. 2016;40: 207-17. https://doi.10.1016/j.midw.2016.07.007. Epub 2016 Jul 5

Varela N, Dclinpsy PM, Tessier R, Charpak N. Indian fathers and their premature baby - an early beginning: a pilot study of skin-to-skin contact, culture and fatherhood. Fathering. 2014;12(2):211-7. https://doi.10.3149/ fth.1202.211

Klein Velderman M, Bakermans-Kranenburg MJ, Juffer F, Van Ijzendoorn MH. Effects of attachment-based interventions on maternal sensitivity and infant attachment: differential susceptibility of highly reactive infants. J Fam Psychol. 2006; 20(2):266-74. https://doi.10. 1037/0893-3200.20.2.266.

Brockington IF, Oates J, George S, Turner D, Vostanis P, Sullivan M, et al. A screening questionnaire for motherinfant bonding disorders. Arch Womens Ment Health. 2001;3(4):133-40.

Beaton D, Bombardier C, Guillemin F, Ferraz MB. Recommendations for the cross-cultural adaptation of the DASH & Quick DASH outcome measures. Institute for Work & Health; 2007 Jun. 45p.

Parker SJ, Zahr LK, Cole JG, Brecht ML. Outcome after developmental intervention in the neonatal intensive care unit for mothers of preterm infants with low socioeconomic status. J Pediatr. 1992;120(5):780-5. https://doi. org/10.1016/S0022-3476(05)80248-3

Kuo CP, Chuang HL, Lee SH, Liao WC, Chang LY, Lee MC. Parenting confidence and needs for parents of newborns in Taiwan. Iran J Pediatr. 2012;22(2): 177-84.

Bostanabad MA, Areshtanab HN, Balila M, Jafarabadi MA, Ravanbakhs K. Effect of a supportive-training intervention on mother-infant attachment. Iran J Pediatr. 2017;27(6): e10565. https://doi.10.5812/ijp.10565

Chung FF, Wan GH, Kuo SC, Lin KC, Liu HE. Motherinfant interaction quality and sense of parenting competence at six months postpartum for first-time mothers in Taiwan: a multiple time series design. BMC Pregnancy Childbirth. 2018; 18:365. https://doi.10.1186/s12884-018-1979-7

Newnham CA, Milgrom J, Skouteris H. Effectiveness of a modified mother-infant transaction program on outcomes for preterm infants from 3 to 24 months of age. Infant Behav Dev.2009;32(1):17-26. https://doi.10.1016/j.infbeh. 2008.09.004. Epub 2008 Nov 20

Lawrence PJ, Davies B, Ramchandani PG. Using video feedback to improve early father-infant interaction: a pilot study. Clin Child Psychol Psychiatry. 2013;18(1):61-71. https://doi.10.1177/1359104512437210

Kadivar M, Mozafarinia SM. Supporting fathers in a NICU: effects of the HUG Your Baby program on fathers’ understanding of preterm infant behavior. J Perinat Educ. 2013;22(2): 113-9. https:// doi.10.1891/1058-1243.22.2.113

Fraser D. Health problems of newborns. In: Hockenberry MJ, Wilson D, editors. Wong’s essentials of pediatric nursing (9th ed). St. Louis: Mosby Elsevier; 2013. p. 228-307.

Downloads

Published

2020-03-14

How to Cite

1.
Phianching K, Chaimongkol N, Pongjaturawit Y. Effects of the Parental Sensitivity Intervention Among Mothers and Fathers of Preterm Infants: A Quasi-Experimental Study. PRIJNR [Internet]. 2020 Mar. 14 [cited 2024 Mar. 28];24(2):246-59. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/195126

Issue

Section

Original paper