Improving Cognitive Development of LBW Premature Infants with the COPE Program: A Pilot Study of the Benefit of Early NICU Intervention with Mothers

2.50
Hdl Handle:
http://hdl.handle.net/10755/148289
Type:
Presentation
Title:
Improving Cognitive Development of LBW Premature Infants with the COPE Program: A Pilot Study of the Benefit of Early NICU Intervention with Mothers
Abstract:
Improving Cognitive Development of LBW Premature Infants with the COPE Program: A Pilot Study of the Benefit of Early NICU Intervention with Mothers
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:November 10 - 14, 2001
Author:Melnyk, Bernadette, PhD
P.I. Institution Name:University of Rochester
Title:Associate Dean for Research and Director of Center for Research & Evidence-Based
Objective: The purpose of this pilot study was to examine the effects of a theoretically-driven reproducible intervention program (COPE=Creating Opportunities for Parent Empowerment) on: (a) the process and coping outcomes of mothers of low-birth-weight (LBW) premature infants; and (b) their infants’ cognitive development. Design: A randomized clinical trial with repeated measures was used in which mothers were randomly assigned to either the COPE program or a control program. Sample: Fifty-five mothers and their LBW premature infants. Setting: A level III, 52-bed NICU within a 720-bed academic medical center. Variables: Driven by self-regulation and control theory, the 4-phase COPE program (independent variable) consisted of: (a) audio taped infant behavior information that focused on common characteristics of premature infants and parent role information that provided mothers with strategies for becoming involved in their infant’s care, enhancing quality of interaction with their infant, and facilitating development; and (b) parent activities that assisted the mothers in implementing the experimental information. Measures of both process and outcome variables were assessed during hospitalization and up to the infants’ 6-month corrected ages, including: (a) maternal beliefs, (b) negative mood state, (c) maternal-infant interaction, (d) quality of parenting, and (e) infant cognitive development (rated by pediatric nurse practitioners trained in the use of the Mental Development Index of the revised Bayley Scales of Infant Development and blind to study group). Findings: Results on the final sample of 42 subjects indicated that COPE infants had significantly higher cognitive development scores at 3-months corrected age, and this difference widened at 6-months corrected age, with COPE infants scoring 14 points higher than control infants. COPE mothers were significantly less stressed by the NICU sights and sounds and had significantly stronger beliefs about what behaviors and characteristics to expect from their premature infants. Implications: These results hold promise that early intervention with mothers in the NICU could enhance maternal coping and protect LBW premature infants from later cognitive deficits.
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Nov-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImproving Cognitive Development of LBW Premature Infants with the COPE Program: A Pilot Study of the Benefit of Early NICU Intervention with Mothersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/148289-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Improving Cognitive Development of LBW Premature Infants with the COPE Program: A Pilot Study of the Benefit of Early NICU Intervention with Mothers</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">November 10 - 14, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Melnyk, Bernadette, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Rochester</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Dean for Research and Director of Center for Research &amp; Evidence-Based</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Bernadette_Melnyk@urmc.rochest</td></tr><tr><td colspan="2" class="item-abstract">Objective: The purpose of this pilot study was to examine the effects of a theoretically-driven reproducible intervention program (COPE=Creating Opportunities for Parent Empowerment) on: (a) the process and coping outcomes of mothers of low-birth-weight (LBW) premature infants; and (b) their infants&rsquo; cognitive development. Design: A randomized clinical trial with repeated measures was used in which mothers were randomly assigned to either the COPE program or a control program. Sample: Fifty-five mothers and their LBW premature infants. Setting: A level III, 52-bed NICU within a 720-bed academic medical center. Variables: Driven by self-regulation and control theory, the 4-phase COPE program (independent variable) consisted of: (a) audio taped infant behavior information that focused on common characteristics of premature infants and parent role information that provided mothers with strategies for becoming involved in their infant&rsquo;s care, enhancing quality of interaction with their infant, and facilitating development; and (b) parent activities that assisted the mothers in implementing the experimental information. Measures of both process and outcome variables were assessed during hospitalization and up to the infants&rsquo; 6-month corrected ages, including: (a) maternal beliefs, (b) negative mood state, (c) maternal-infant interaction, (d) quality of parenting, and (e) infant cognitive development (rated by pediatric nurse practitioners trained in the use of the Mental Development Index of the revised Bayley Scales of Infant Development and blind to study group). Findings: Results on the final sample of 42 subjects indicated that COPE infants had significantly higher cognitive development scores at 3-months corrected age, and this difference widened at 6-months corrected age, with COPE infants scoring 14 points higher than control infants. COPE mothers were significantly less stressed by the NICU sights and sounds and had significantly stronger beliefs about what behaviors and characteristics to expect from their premature infants. Implications: These results hold promise that early intervention with mothers in the NICU could enhance maternal coping and protect LBW premature infants from later cognitive deficits.</td></tr></table>en_GB
dc.date.available2011-10-26T09:42:59Z-
dc.date.issued2001-11-10en_GB
dc.date.accessioned2011-10-26T09:42:59Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.