Effects of the Creating Opportunities for Parent Empowerment (COPE) Intervention for Mothers of Preterm Infants Based on Maternal Age

2.50
Hdl Handle:
http://hdl.handle.net/10755/153817
Type:
Presentation
Title:
Effects of the Creating Opportunities for Parent Empowerment (COPE) Intervention for Mothers of Preterm Infants Based on Maternal Age
Abstract:
Effects of the Creating Opportunities for Parent Empowerment (COPE) Intervention for Mothers of Preterm Infants Based on Maternal Age
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Melnyk, Bernadette Mazurek, PhD, RN, CPNP/PMHNP, FAAN
P.I. Institution Name:Arizona State University
Title:Dean and Distinguished Foundation Professor in Nursing
Co-Authors:Krista L. Oswalt PhD, Postdoctoral Research Associate
Darya McClain PhD, Research Associate Professor
[22nd International Nursing Research Congress - Research Presentation] Purpose: The purpose of this presentation will be to report the findings from a full-scale randomized controlled trial that tested the efficacy of COPE, an educational-behavioral parent intervention in the NICU, on child outcomes (temperament, internalizing and externalizing behavior problems) associated with younger and older mothers of premature infants.
Methods: 
A comparative descriptive study was conducted on data obtained from a larger randomized controlled trial with 246 mothers of low birth weight (LBW) premature infants from two hospitals in Upstate New York.  Internalizing and externalizing subscale scores from the Child Behavior Checklist (CBCL) at 12 months corrected age were compared for younger (?21 years of age; n=58) and older mothers (>21 years of age; n=188).
Results: Multiple regression analyses indicated that there was a significant interaction between COPE and maternal age in the models predicting infant temperament, internalizing, and externalizing behavior problems. Follow-up analyses indicated that participating in the COPE Program was associated with reduced temperament, internalizing, and externalizing for both younger and older mothers. Further analyses indicated that being a younger mom was associated with higher levels of infant mood, distractibility, anxious/depressed symptoms, withdrawal, and aggression in the control group, but there were no significant differences based on maternal age in the intervention group.
Conclusion: Participation in the COPE program may help close the health disparities gap between infants of younger and older mothers by reducing temperament, internalizing, and externalizing behaviors in infants of younger mothers to rates similar to those of children of older mothers. The practice and policy implications of this research will be discussed.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEffects of the Creating Opportunities for Parent Empowerment (COPE) Intervention for Mothers of Preterm Infants Based on Maternal Ageen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153817-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Effects of the Creating Opportunities for Parent Empowerment (COPE) Intervention for Mothers of Preterm Infants Based on Maternal Age</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">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Melnyk, Bernadette Mazurek, PhD, RN, CPNP/PMHNP, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Arizona State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Dean and Distinguished Foundation Professor in Nursing</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Bernadette.Melnyk@asu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Krista L. Oswalt PhD, Postdoctoral Research Associate<br/>Darya McClain PhD, Research Associate Professor</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose:&nbsp;The purpose of this presentation will be to report the findings from a full-scale randomized controlled trial that tested the efficacy of COPE, an educational-behavioral parent intervention in the NICU, on child outcomes (temperament, internalizing and externalizing behavior problems) associated with younger and older mothers of premature infants. <br/>Methods:&nbsp; <br/>A comparative descriptive study was conducted on data obtained from a larger randomized controlled trial with 246 mothers of low birth weight (LBW) premature infants from two hospitals in Upstate New York.&nbsp; Internalizing and externalizing subscale scores from the Child Behavior Checklist (CBCL) at 12 months corrected age were compared for younger (?21 years of age; n=58) and older mothers (&gt;21 years of age; n=188). <br/>Results:&nbsp;Multiple regression analyses indicated that there was a significant interaction between COPE and maternal age&nbsp;in the models&nbsp;predicting infant temperament, internalizing, and externalizing behavior problems. Follow-up analyses indicated that&nbsp;participating in the COPE&nbsp;Program was associated with reduced temperament, internalizing, and externalizing for&nbsp;both younger and older mothers. Further analyses indicated that&nbsp;being a&nbsp;younger mom was associated with higher levels of infant mood, distractibility, anxious/depressed symptoms, withdrawal, and aggression in the control group, but&nbsp;there were no significant differences based on maternal age&nbsp;in the intervention group. <br/>Conclusion:&nbsp;Participation in the COPE program may help close the health disparities gap between infants of younger and older mothers by reducing temperament, internalizing, and externalizing behaviors in infants of younger mothers to rates similar to those of children of older mothers. The practice and policy implications of this research will be discussed.</td></tr></table>en_GB
dc.date.available2011-10-26T12:32:18Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:32:18Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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