J Korean Soc Matern Child Health.  2023 Oct;27(4):256-266. 10.21896/jksmch.2023.27.4.256.

Effect of a Follow-up Program Involving an Early Intervention and Self-help Group on Parenting Stress, Depression, and Parenting Efficacy for Mothers of Premature Infants

Affiliations
  • 1Department of Nursing, Konkuk University Glocal Campus, Chungju, Korea
  • 2Early Childhood Development & Family Support Research Center, Seocho Hanwoori Rehabilitation Center, Seoul, Korea
  • 3Department of Nursing, Sangmyung University at 2 Campus, Cheonan, Korea

Abstract

Purpose
This study is intended to investigate the impact of an early intervention and follow-up program involving self-help groups on maternal parenting stress, depression, and parenting efficacy in families with premature infants.
Methods
The study included 30 mothers in the experimental group and 29 in the control group, all of whom had premature infants in the neonatal intensive care unit. Changes in dependent variables before and after the followup program were analyzed using paired t-tests with mean and standard deviation, and variables that differed in presurvey scores were analyzed using analysis of covariance with covariates.
Results
Parenting stress decreased in the experimental group that participated in the follow-up program, while it increased in the control group. Depression decreased by 3.44 points in the intervention group and 1.76 points in the control group. Parenting efficacy increased by 3.03 points in the experimental group and decreased by 1.03 points in the control group after the program.
Conclusion
This study highlights the significance of offering family-centered early interventions within existing hospitals or institutions, rather than relying solely on home visits, to promptly address the early developmental issues of premature infants, share information, and provide emotional support through regular self-help meetings.

Keyword

Follow-up program, Premature, Parenting stress, Depression, Parenting efficacy

Figure

  • Fig. 1. Flow chart of the study. IFSP, Individualized Family Service Plan.


Reference

Abidin RR. Parenting stress index: manual (PSI). Odessa (FL): Psy-chological Assessment Resources;1995. p. 1–74.
Ahn YM., Lee S. Cognitive ability and related factors in preschoolers born prematurely. Child Health Nurs Res. 2019. 25:468–76.
Article
Bang KS. Effects of an early nursing intervention program for infants' development and mother's child rearing in poverty. J Korean Acad Nurs. 2009. 39:796–804. https://doi.org/10.4040/jkan.2009.39.6.796.
Article
Bang KS., Kang HJ. Factors related to the development of premature infants at 12 and 24 months age: a prospective study. Child Health Nurs Res. 2018. 24:58–67. https://doi.org/10.4094/chnr.2018.24.1.58.
Article
Bishe MV., Aziznejadroshan P., Mojaveri MH., Hajiahmadi M., Bishe RJ. The effect of home-visit training program on the maternal anxiety of preterm infants: a clinical trial study. Int J Pediatr. 2020. 8:11783–91. https://doi.org/10.22038/ijp.2020.44964.3705.
Article
Brisch KH., Bechinger D., Betzler S., Heinemann H. Early preventive attachment-oriented psychotherapeutic intervention program with parents of a very low birthweight premature infant: results of attachment and neurological development. Attach Hum Dev. 2003. 5:120–35.
Article
Brown HK., Speechley KN., Macnab J., Natale R., Campbell MK. Mild prematurity, proximal social processes, and development. Pediatrics. 2014. 134:e814–24.
Article
Chung KM., Lee KS., Park JA., Kim HJ. Standardization study for the Korean version of parenting stress index (K-PSI). Korean J Clin Psychol. 2008. 27:689–707. https://doi.org/10.15842/kjcp.2008.27.3.007.
Article
Dusing SC., Tripathi T., Marcinowski EC., Thacker LR., Brown LF., Hendricks-Muñoz KD. Supporting play exploration and early developmental intervention versus usual care to enhance development outcomes during the transition from the neonatal intensive care unit to home: a pilot randomized controlled trial. BMC Pediatr. 2018. 18:46.
Article
Ferreira RC., Alves CRL., Guimarães MAP., Menezes KKP., Magalhães LC. Effects of early interventions focused on the family in the development of children born preterm and/or at social risk: a meta-analysis. J Pediatr (Rio J). 2020. 96:20–38.
Article
Gibaud-Wallston J., Wandersman LP. Development and utility of the Parenting Sense of Competence Scale. Nashville (TN): John F. Kennedy Center for Research on Education and Human Development;1978.
Gray PH., Edwards DM., Gibbons K. Parenting stress trajectories in mothers of very preterm infants to 2 years. Arch Dis Child Fetal Neonatal Ed. 2018. 103:F43–8.
Article
Griffin T., Abraham M. Transition to home from the newborn intensive care unit: applying the principles of family-centered care to the discharge process. J Perinat Neonatal Nurs. 2006. 20:243–9. quiz 250-1.
Han MR., Choi KS. Effects of a refresher program for inactive nurses on nursing professionalism and nursing clinical self-efficacy. J Korean Acad Nurs Adm. 2011. 17:44–53.
Article
Ji ES., Shim KK. Effects of a community-based follow-up program for parents with premature infants on parenting stress, parenting efficacy, and coping. Child Health Nurs Res. 2020. 26:366–75.
Article
Kang HJ., Choi MJ. Development of infants born prematurely, depression of mothers, parenting stress, and school readiness. Crisisonomy. 2022. 18:113–27. https://www.earticle.net/Article/A410506.
Kim H., Epstein NB., Hancock GR., Hurtado GA., Svetaz MV., Allen M. Latent change modeling of Latino parent– child conflict and path-ways to mental health. J Marriage Fam. 2023. 85:518–38. https://doi.org/10.1111/jomf.12880.
Article
Kim JS. Parenting experience of prematurity parents based on grounded theory. J Korean Soc Matern Child Health. 2019. 23:232–40. https://doi.org/10.21896/jksmch.2019.23.4.232.
Article
Korfmacher J., Green B., Staerkel F., Peterson C., Cook G., Roggman L, et al. Parent involvement in early childhood home visiting. Child Youth Care Forum. 2008. 37:171–96. https://doi.org/10.1007/s10566-008-9057-3.
Article
Kwon HK., Kwon MK. Effect of discharge education program for mothers of premature infants on maternal role confidence and parenting stress. Child Health Nurs Res. 2007. 13:58–65. https://www.e-chnr.org/upload/pdf/jkachn-13-58.pdf.
Lee YH., Song JY. A study of the reliability and the validity of the BID, SDS, and MMPI-D scales. Korean J Clin Psychol. 1991. 10:98–113. https://accesson.kr/kjcp/assets/pdf/26435/journal-10-1-98.pdf.
Lundqvist P., Weis J., Sivberg B. Parents' journey caring for a preterm infant until discharge from hospital-based neonatal home care-A challenging process to cope with. J Clin Nurs. 2019. 28:2966–78.
Article
Martínez-Shaw ML., Sánchez-Sandoval Y. Effective stress intervention programs for parents of premature children: a systematic review. Stress Health. 2023. 39:236–54.
Article
Merritt TA., Pillers D., Prows SL. Early NICU discharge of very low birth weight infants: a critical review and analysis. Semin Neonatol. 2003. 8:95–115.
Article
Pace CC., Spittle AJ., Molesworth CM., Lee KJ., Northam EA., Cheong JL, et al. Evolution of depression and anxiety symptoms in parents of very preterm infants during the newborn period. JAMA Pediatr. 2016. 170:863–70.
Article
Puddu M. L'assistenza domiciliare del nato ad alto rischio [Home care for the high-risk newborn infant]. Minerva Pediatr. 2010. 62(3 Suppl 1):11–4.
Scherf RF., Reid KW. Going home: what NICU nurses need to know about home care. Neonatal Netw. 2006. 25:421–5.
Article
Shin SJ. Effects of stress, social support and efficacy on mothers’ parenting behaviors [dissertation]. Seoul (Korea): Yonsei University;1997.
Statistics Korea. Cause of birth statistics in 2021 [Internet]. Daejeon (Korea): Statistics Korea;2021 Jan. [cited 2022 Jan 20]. Available from:. http://kostat.go.kr/portal/eng/pressReleases/8/10/index.board?bmode=read&bSeq=&aSeq=420358&pageNo=1&rowNum=10&navCount=10&cu.
Woo M., Chae SM. The relationship between participating in online parenting communities and health-promoting behaviors for children among first-time mothers: the mediating effect of parental efficacy. J Korean Soc Mater Child Health. 2022. 26:183–93.
Article
World Health Organization. WHO recommendations for care of the preterm or low-birth-weight infant. Geneva (Switzerland): World Health Organization;2022. https://iris.who.int/bitstream/handle/10665/363697/9789240058262-eng.pdf.
Yan T., Hou Y., Deng M. Direct, Indirect, and Buffering Effect of Social Support on Parental Involvement Among Chinese Parents of Children with Autism Spectrum Disorders. J Autism Dev Disord. 2022. 52:2911–23.
Article
Yell ML., Shriner JG., Katsiyannis A. Individuals with disabilities education improvement act of 2004 and IDEA regulations of 2006: implications for educators, administrators, and teacher trainers. Focus Except Child. 2006. 39:1–24. https://doi.org/10.17161/foec.v39i1.6824.
Article
Zhang R., Huang RW., Gao XR., Peng XM., Zhu LH., Rangasamy R, et al. Involvement of parents in the care of preterm infants: a pilot study evaluating a family-centered care intervention in a Chinese neonatal ICU. Pediatr Crit Care Med. 2018. 19:741–7.
Article
Full Text Links
  • JKSMCH
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr