Complex Congenital Heart Defects: Heart Rate variability and Working Models of Parenting and Caregiving

2.50
Hdl Handle:
http://hdl.handle.net/10755/158496
Type:
Presentation
Title:
Complex Congenital Heart Defects: Heart Rate variability and Working Models of Parenting and Caregiving
Abstract:
Complex Congenital Heart Defects: Heart Rate variability and Working Models of Parenting and Caregiving
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2005
Author:Pridham, Karen, PhD, RN, FAAN
P.I. Institution Name:University of Wisconsin - Madison
Title:Emeritus Professor
Contact Address:School of Nursing, 600 Highland Ave., Madison, WI, 53792, USA
Contact Telephone:(608) 238-7536
Co-Authors:Lioness Ayres, PhD, RN, Assistant Professor; Jill M Winters, PhD, RN, Associate Professor; Mary Krolikowski, PhDc, RN; and Kathleen Mussatto, BSN, RN, Research Coordinator
A parent's working models (WMs) of parenting and caregiving may
influence the physiologic regulation and subsequent growth and development
of an infant with a complex congenital heart defect (CCHD). Physiologic
regulation associated with these infant outcomes operates through the
parasympathetic nervous system (PNS) and is indexed by heart rate
variability (HRV). A WM is constructed of expectations, intentions, goals,
and strategies, and operates dynamically in goal-directed activity. Little
is known about the WMs of parents of infants with a CCHD. Without
knowledge of types of WMs, antecedents and outcomes of parental mental
processing of parenting and caregiving issues cannot be studied, and
interventions cannot be tailored to a familyÆs needs. The aim of this
poster is to describe the design and conduct of the methods used to
develop a typology from longitudinal, qualitative data and mixed-model
analysis of qualitative and quantitative (HRV) data for assessment of the
usefulness of the typology. Infants whose parents have parenting and
caregiving WMs higher in adaptive qualities should have higher HRV,
indicating greater responsive to internal and environmental stimuli.
Semi-structured interview data from 5 parents, all primary caregivers, and
their infants with a CCHD, collected at 1 and 4 months of age, will be
used to illustrate the processes of WM typology construction.
Electro-cardiographic data, collected to study HRV during feeding and pre-
and post-feeding conditions, will be analyzed with power spectral
analysis. Measures of high frequency (HF) HRV, reflecting PNS activity,
and low frequency (LF) HRV, reflecting both sympathetic and PNS activity,
will be obtained. A multinomial, mixed-method analytic strategy will be
used to explore the relationship of WM types with measures of HF, LF, and
the ratio of HF/LF HRV. The implications of the study for application of
the typology of WMs in future intervention studies will be described.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleComplex Congenital Heart Defects: Heart Rate variability and Working Models of Parenting and Caregivingen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158496-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Complex Congenital Heart Defects: Heart Rate variability and Working Models of Parenting and Caregiving</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Pridham, Karen, PhD, RN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Wisconsin - Madison</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Emeritus Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 600 Highland Ave., Madison, WI, 53792, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(608) 238-7536</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kpridham@wisc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Lioness Ayres, PhD, RN, Assistant Professor; Jill M Winters, PhD, RN, Associate Professor; Mary Krolikowski, PhDc, RN; and Kathleen Mussatto, BSN, RN, Research Coordinator</td></tr><tr><td colspan="2" class="item-abstract">A parent's working models (WMs) of parenting and caregiving may <br/> influence the physiologic regulation and subsequent growth and development <br/> of an infant with a complex congenital heart defect (CCHD). Physiologic <br/> regulation associated with these infant outcomes operates through the <br/> parasympathetic nervous system (PNS) and is indexed by heart rate <br/> variability (HRV). A WM is constructed of expectations, intentions, goals, <br/> and strategies, and operates dynamically in goal-directed activity. Little <br/> is known about the WMs of parents of infants with a CCHD. Without <br/> knowledge of types of WMs, antecedents and outcomes of parental mental <br/> processing of parenting and caregiving issues cannot be studied, and <br/> interventions cannot be tailored to a family&AElig;s needs. The aim of this <br/> poster is to describe the design and conduct of the methods used to <br/> develop a typology from longitudinal, qualitative data and mixed-model <br/> analysis of qualitative and quantitative (HRV) data for assessment of the <br/> usefulness of the typology. Infants whose parents have parenting and <br/> caregiving WMs higher in adaptive qualities should have higher HRV, <br/> indicating greater responsive to internal and environmental stimuli. <br/> Semi-structured interview data from 5 parents, all primary caregivers, and <br/> their infants with a CCHD, collected at 1 and 4 months of age, will be <br/> used to illustrate the processes of WM typology construction. <br/> Electro-cardiographic data, collected to study HRV during feeding and pre- <br/> and post-feeding conditions, will be analyzed with power spectral <br/> analysis. Measures of high frequency (HF) HRV, reflecting PNS activity, <br/> and low frequency (LF) HRV, reflecting both sympathetic and PNS activity, <br/> will be obtained. A multinomial, mixed-method analytic strategy will be <br/> used to explore the relationship of WM types with measures of HF, LF, and <br/> the ratio of HF/LF HRV. The implications of the study for application of <br/> the typology of WMs in future intervention studies will be described.</td></tr></table>en_GB
dc.date.available2011-10-26T21:06:50Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:06:50Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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