12.00
Hdl Handle:
http://hdl.handle.net/10755/163803
Category:
Abstract
Type:
Presentation
Title:
Maternal Coping With Preterm Labor: An Intervention
Author(s):
Feinstein, Nancy
Author Details:
Nancy Feinstein, Senior Research Associate, University of Rochester, School of Nursing, Center for Research and Evidence-Based Practice, Rochester, New York, USA, email: nancy_feinstein@urmc.rochester
Abstract:
Purpose/Specific Aims/Framework: Women with preterm labor (PTL) experience multiple stressors that result in anxiety, mood changes and depression during pregnancy. This has implications for the pregnancy experience and may impact on emotions and functioning after pregnancy. Despite the fact that 20% of women experience PTL with its associated negative impact, there is a paucity of theoretically-driven intervention studies designed to promote maternal coping during this type of high-risk pregnancy. The major purpose of this study was to test an intervention designed to improve coping outcomes. The specific aims were to: (a) evaluate the effects of an experimental program (MOST: Monitoring of Self Through Transition) on emotional and functional coping outcomes of women with PTL; and (b) evaluate the coping process through a theoretical framework comprised of self-regulation and control theories. Intervention and Outcome Variables: A theoretically-based informational-behavioral program that focused on addressing discrepancies in women's experiences of PTL and removing some of the barriers to coping was used. Women in the MOST group also were given activities including a journal called "Me and My Baby" that reinforced information and focused on markers of growth in self, the pregnancy, and the baby. Control group information focused on usual care. Outcome and process variables including anxiety, pregnancy anxiety, depression, mood state, problem-solving, and maternal beliefs about their ability to monitor the psychological and physiological transition to motherhood were assessed during pregnancy to determine short-term effects. Anxiety, depression, mood state, evaluation of the parenting experience, and problem-solving were measured postpartum to determine potential long-term effects. Methods: A two-group experimental design with random assignment was used including women in 2 high-risk perinatal centers with a diagnosis of PTL (N = 99) and a fetal gestational age of 19 to 30 weeks. Women received the MOST or Control intervention by audiotape and matching written information at intake followed by a booster intervention within 2 weeks. Outcomes were measured at 3 times during pregnancy and at 3-4 weeks after their infants were discharged home. Results/Conclusions: Women who received the MOST program reported: (a) less depression, negative mood state, and stronger maternal beliefs during pregnancy; and (b) more positive evaluations of parenting, increased centrality of the infant, and more skillful problem-solving regarding infant care 3-4 weeks post infant discharge than women in the control program. The MOST program resulted in improved short- and long-term effects on maternal coping outcomes. Implications for Nursing Practice and Knowledge Development in Nursing: The theoretical approach was extended to a new population and provided explanations for MOST program effects on short- and long-term outcomes. The reproducible MOST intervention program could be implemented and evaluated in clinical settings to address maternal coping outcomes with preterm labor.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2001
Conference Name:
ENRS 13th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Atlantic City, New Jersey, USA
Sponsors:
This study was funded by a Sigma Theta Tau (STT) International Small Grant Award, STT Epsilon Xi and Omicron Chapter Awards, an American Nurses Foundation Scholar Award, and a Susan B. Anthony Fellowship Award and Graduate Research Award from the University of Rochester.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleMaternal Coping With Preterm Labor: An Interventionen_GB
dc.contributor.authorFeinstein, Nancyen_US
dc.author.detailsNancy Feinstein, Senior Research Associate, University of Rochester, School of Nursing, Center for Research and Evidence-Based Practice, Rochester, New York, USA, email: nancy_feinstein@urmc.rochesteren_US
dc.identifier.urihttp://hdl.handle.net/10755/163803-
dc.description.abstractPurpose/Specific Aims/Framework: Women with preterm labor (PTL) experience multiple stressors that result in anxiety, mood changes and depression during pregnancy. This has implications for the pregnancy experience and may impact on emotions and functioning after pregnancy. Despite the fact that 20% of women experience PTL with its associated negative impact, there is a paucity of theoretically-driven intervention studies designed to promote maternal coping during this type of high-risk pregnancy. The major purpose of this study was to test an intervention designed to improve coping outcomes. The specific aims were to: (a) evaluate the effects of an experimental program (MOST: Monitoring of Self Through Transition) on emotional and functional coping outcomes of women with PTL; and (b) evaluate the coping process through a theoretical framework comprised of self-regulation and control theories. Intervention and Outcome Variables: A theoretically-based informational-behavioral program that focused on addressing discrepancies in women's experiences of PTL and removing some of the barriers to coping was used. Women in the MOST group also were given activities including a journal called "Me and My Baby" that reinforced information and focused on markers of growth in self, the pregnancy, and the baby. Control group information focused on usual care. Outcome and process variables including anxiety, pregnancy anxiety, depression, mood state, problem-solving, and maternal beliefs about their ability to monitor the psychological and physiological transition to motherhood were assessed during pregnancy to determine short-term effects. Anxiety, depression, mood state, evaluation of the parenting experience, and problem-solving were measured postpartum to determine potential long-term effects. Methods: A two-group experimental design with random assignment was used including women in 2 high-risk perinatal centers with a diagnosis of PTL (N = 99) and a fetal gestational age of 19 to 30 weeks. Women received the MOST or Control intervention by audiotape and matching written information at intake followed by a booster intervention within 2 weeks. Outcomes were measured at 3 times during pregnancy and at 3-4 weeks after their infants were discharged home. Results/Conclusions: Women who received the MOST program reported: (a) less depression, negative mood state, and stronger maternal beliefs during pregnancy; and (b) more positive evaluations of parenting, increased centrality of the infant, and more skillful problem-solving regarding infant care 3-4 weeks post infant discharge than women in the control program. The MOST program resulted in improved short- and long-term effects on maternal coping outcomes. Implications for Nursing Practice and Knowledge Development in Nursing: The theoretical approach was extended to a new population and provided explanations for MOST program effects on short- and long-term outcomes. The reproducible MOST intervention program could be implemented and evaluated in clinical settings to address maternal coping outcomes with preterm labor.en_GB
dc.date.available2011-10-27T11:14:06Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:14:06Z-
dc.conference.date2001en_US
dc.conference.nameENRS 13th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationAtlantic City, New Jersey, USAen_US
dc.description.sponsorshipThis study was funded by a Sigma Theta Tau (STT) International Small Grant Award, STT Epsilon Xi and Omicron Chapter Awards, an American Nurses Foundation Scholar Award, and a Susan B. Anthony Fellowship Award and Graduate Research Award from the University of Rochester.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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