Integrated Mother-Premature Infant Intervention and Mother-Infant Interaction at 6-weeks Corrected Age (CA)

2.50
Hdl Handle:
http://hdl.handle.net/10755/158893
Type:
Presentation
Title:
Integrated Mother-Premature Infant Intervention and Mother-Infant Interaction at 6-weeks Corrected Age (CA)
Abstract:
Integrated Mother-Premature Infant Intervention and Mother-Infant Interaction at 6-weeks Corrected Age (CA)
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Norr, Kathleen, PhD
P.I. Institution Name:U. of Illinois at Chicago
Title:Women, Children & Family Health Sciences
Contact Address:845 South Damen Ave., College of Nursing, Chicago, IL, 60612, USA
Contact Telephone:312-996-7950
Co-Authors:R. White-Traut, K.F. Norr, Women, Children & Family Health Sciences, U of Illinois at Chicago, Chicago, IL; K.M. Rankin, Epidemiology and Biostatistics, School of Public Health, U of Illinois at Chicago, Chicago, IL;
Purpose: To examine whether an integrated intervention for mother-premature infant dyads relates to more positive mother-infant interactions at 6-weeks CA. Background: Premature infants present unclear behavioral cues and their mothers experience stress and anxiety, often leading to difficulties in mother-infant interaction, but no previous interventions have addressed needs for both mother and infant. Methods: This ongoing randomized trial is testing the impacts of H-HOPE, an integrated intervention for mother-premature infant dyads. Selection criteria are: otherwise healthy infant, 29-34 weeks gestational age (GA) at birth, and at least 2 of 10 social-environmental risk factors, e.g., low maternal education, poverty. There were no significant demographic differences between the groups. Mothers had a mean age of 26 years, 2/3 completed high school, and 2/3 were Latina; infants' mean GA = 32 weeks. The intervention includes (1) twice-daily infant auditory, tactile, visual, and vestibular (rocking) stimulation (ATVV) and (2) four maternal participatory guidance sessions by a nurse-community member team. Mother-infant interaction was assessed using the Nursing Child Assessment Satellite Training?Feeding Scale, (NCAST) (76 items) and the Dyadic Mutuality Code (DMC) (6-item contingency scale during a 5-minute play session). Results: At 6-weeks CA, the H-HOPE group had higher mean scores on the NCAST total score (p=0.11), the mother subscore, (p=0.20), infant subscore (p=0.08) and the infant clarity of cues subscale (p=.02). The H-HOPE group had higher mean DMC scores (p=0.09) and 60% had appropriate responsiveness scores (>9), vs. 36.4% of control group (p=0.11). Data are based on 35 cases for whom data are currently available; by the time the conference occurs there will be more cases, increasing the power of these statistical tests. Implications: Intervening simultaneously with both mother and premature infant is a promising approach to help them achieve the positive social interaction patterns essential for healthy development. Funding: NICHD HD050738
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.titleIntegrated Mother-Premature Infant Intervention and Mother-Infant Interaction at 6-weeks Corrected Age (CA)en_GB
dc.identifier.urihttp://hdl.handle.net/10755/158893-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Integrated Mother-Premature Infant Intervention and Mother-Infant Interaction at 6-weeks Corrected Age (CA)</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">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Norr, Kathleen, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">U. of Illinois at Chicago</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Women, Children &amp; Family Health Sciences</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">845 South Damen Ave., College of Nursing, Chicago, IL, 60612, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">312-996-7950</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">knorr@uic.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">R. White-Traut, K.F. Norr, Women, Children &amp; Family Health Sciences, U of Illinois at Chicago, Chicago, IL; K.M. Rankin, Epidemiology and Biostatistics, School of Public Health, U of Illinois at Chicago, Chicago, IL;</td></tr><tr><td colspan="2" class="item-abstract">Purpose: To examine whether an integrated intervention for mother-premature infant dyads relates to more positive mother-infant interactions at 6-weeks CA. Background: Premature infants present unclear behavioral cues and their mothers experience stress and anxiety, often leading to difficulties in mother-infant interaction, but no previous interventions have addressed needs for both mother and infant. Methods: This ongoing randomized trial is testing the impacts of H-HOPE, an integrated intervention for mother-premature infant dyads. Selection criteria are: otherwise healthy infant, 29-34 weeks gestational age (GA) at birth, and at least 2 of 10 social-environmental risk factors, e.g., low maternal education, poverty. There were no significant demographic differences between the groups. Mothers had a mean age of 26 years, 2/3 completed high school, and 2/3 were Latina; infants' mean GA = 32 weeks. The intervention includes (1) twice-daily infant auditory, tactile, visual, and vestibular (rocking) stimulation (ATVV) and (2) four maternal participatory guidance sessions by a nurse-community member team. Mother-infant interaction was assessed using the Nursing Child Assessment Satellite Training?Feeding Scale, (NCAST) (76 items) and the Dyadic Mutuality Code (DMC) (6-item contingency scale during a 5-minute play session). Results: At 6-weeks CA, the H-HOPE group had higher mean scores on the NCAST total score (p=0.11), the mother subscore, (p=0.20), infant subscore (p=0.08) and the infant clarity of cues subscale (p=.02). The H-HOPE group had higher mean DMC scores (p=0.09) and 60% had appropriate responsiveness scores (&gt;9), vs. 36.4% of control group (p=0.11). Data are based on 35 cases for whom data are currently available; by the time the conference occurs there will be more cases, increasing the power of these statistical tests. Implications: Intervening simultaneously with both mother and premature infant is a promising approach to help them achieve the positive social interaction patterns essential for healthy development. Funding: NICHD HD050738</td></tr></table>en_GB
dc.date.available2011-10-26T21:29:58Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:29:58Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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