Brett, Jo, Staniszewska, Sophie, Newburn, Mary, Jones, Nicola and Taylor, Lesley. (2011) A systematic mapping review of effective interventions for communicating with, supporting and providing information to parents of preterm infants. BMJ Open, Vol.1 (No.1). e000023. ISSN 2044-6055

Preview

PDF WRAP_Brett_BMJ_Open-2011-Brett-bmjopen-2010-000023.pdf - Published Version - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader Download (1431Kb)

Abstract

Background and objective: The birth of a preterm infant can be an overwhelming experience of guilt, fear and helplessness for parents. Provision of interventions to support and engage parents in the care of their infant may improve outcomes for both the parents and the infant. The objective of this systematic review is to identify and map out effective interventions for communication with, supporting and providing information for parents of preterm infants. Design: Systematic searches were conducted in the electronic databases Medline, Embase, PsychINFO, the Cochrane library, the Cumulative Index to Nursing and Allied Health Literature, Midwives Information and Resource Service, Health Management Information Consortium, and Health Management and Information Service. Hand-searching of reference lists and journals was conducted. Studies were included if they provided parent-reported outcomes of interventions relating to information, communication and/or support for parents of preterm infants prior to the birth, during care at the neonatal intensive care unit and after going home with their preterm infant. Titles and abstracts were read for relevance, and papers judged to meet inclusion criteria were included. Papers were dataextracted, their quality was assessed, and a narrative summary was conducted in line with the York Centre for Reviews and Dissemination guidelines. Studies reviewed: Of the 72 papers identified, 19 papers were randomised controlled trials, 16 were cohort or quasi-experimental studies, and 37 were non-intervention studies. Results: Interventions for supporting, communicating with, and providing information to parents that have had a premature infant are reported. Parents report feeling supported through individualised developmental and behavioural care programmes, through being taught behavioural assessment scales, and through breastfeeding, kangaroo-care and babymassage programmes. Parents also felt supported through organised support groups and through provision of an environment where parents can meet and support each other. Parental stress may be reduced through individual developmental care programmes, psychotherapy, interventions that teach emotional coping skills and active problem-solving, and journal writing. Evidence reports the importance of preparing parents for the neonatal unit through the neonatal tour, and the importance of good communication throughout the infant admission phase and after discharge home. Providing individual web-based information about the infant, recording doctorepatient consultations and provision of an information binder may also improve communication with parents. The importance of thorough discharge planning throughout the infant’s admission phase and the importance of home-support programmes are also reported. Conclusion: The paper reports evidence of interventions that help support, communicate with and inform parents who have had a premature infant throughout the admission phase of the infant, discharge and return home. The level of evidence reported is mixed, and this should be taken into account when developing policy. A summary of interventions from the available evidence is reported.

Item Type:	Journal Article
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Social Sciences > School of Health and Social Studies
Library of Congress Subject Headings (LCSH):	Premature infants, Child rearing, Communication in medicine
Journal or Publication Title:	BMJ Open
Publisher:	BMJ
ISSN:	2044-6055
Date:	2 June 2011
Volume:	Vol.1
Number:	No.1
Page Range:	e000023
Identification Number:	10.1136/bmjopen-2010-000023
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access
Funder:	Big Lottery Fund (Great Britain) (BLF), University of Warwick. Royal College of Nursing Research Institute, National Childbirth Trust (Great Britain) (NCT), University of Oxford. National Perinatal Epidemiology Unit (NPEU), BLISS (Organisation)
Grant number:	RG/1/01014958 (BLF)
References:	1. Lau R, Morse C. Experiences of parents with premature infants hospitalised in neonatal intensive care units: a literature review. J Neonatal Nurs 1998;4:23e9. 2. Stjernqvist K. Extremely low birth with infants less than 901g. Impact on the family in the first year. Scand J Public Health 1992; 20:226e33. 3. Veddovi M, Kerry DI, Gibson F, et al. The relationship between depressive symptoms following premature birth, mothers’ coping style, and knowledge of infant development. J Reprod Infant Psychol 2001;19:313e23. 4. Singh D, Newburn M. Becoming a FatherdMens’ Access to Information and Support about Pregnancy, Birth and Life with a New Baby. London: The National Childbirth Trust, 2000. 5. Melnyk BM, Feinstein NF, Alpert-Gillis L, et al. Reducing premature infants’ length of stay and improving parents’ mental health outcomes with the Creating Opportunities for Parent Empowerment (COPE) neonatal intensive care unit program: a randomized, controlled trial. Pediatrics 2006;118:e1414e27. 6. Finello KM, Litton KM, de Lemos R, et al. Very low birth weight infants and their families during the first year of life: comparisons of medical outcomes based on after care services. J Perinatol 1998;18:365e71. 7. Gray JE, Safron RB, Davis G, et al. Baby care link: Using the internet and telemedicine to improve care for high risk infants. Pediatrics 2000;106:1318e24. 8. Harrison H. The principles for family centred neonatal care. Pediatrics 1993;92:643e50. 9. Systematic Reviews: CRD’s Guidance for Undertaking Reviews in Health Care. NHS Centre for Reviews and Dissemination. University of York, 2008. http://www.york.ac.uk/inst/crd/publications.htm. 10. Scottish Intercollegiate Guidelines Network (SIGN). Sign 50: A Guideline Developer’s Handbook. Scottish Intercollegiate Guidelines Network (SIGN), 2008. 11. Als H, Gilkerson L, Duffy FH, et al. A three-center, randomized, controlled trial of individualized developmental care for very low birth weight preterm infants: Medical, neurodevelopmental, parenting, and caregiving effects. J Dev Behav Pediatr 2003;24:399e408. 12. Van der Pal S, Macguire C, Cessie S, et al. Parental experiences during the first phase at the neonatal intensive care unit after two developmental care interventions. Acta Paediatrica 2007;96:1611e16. 13. Wielenga J, Smit B, Unk L. How satisfied are parents supported by nurses with the NIDCAP model of care for their preterm infant? J Nurs Care Qual 2006;21:41e8. 14. Kaaresen PI, Rønning JA, Ulvund SE, et al. A randomized, controlled trial of the effectiveness of an early-intervention program in reducing parenting stress after preterm birth. Pediatrics 2006;118:e9e19. 15. Rauh VA, Nurcombe B, Achenbach T, et al. The MothereInfant Transaction Program. The content and implications of an intervention for the mothers of low-birthweight infants. Clin Perinatol 1990;17:31e45. 16. Nurcombe B, Howell DC, Rauh VA, et al. An intervention program for mothers of low-birthweight infants: preliminary results. J Am Acad Child Psychiatr 1984;23:319e25. 17. Sumner G, Spietz A. NCATS Caregiver/Parent-Child Interaction Teaching Manual. Seattle, WA: NCATS Publications, University of Washington, School of Nursing, 1994. 18. Browne JV, Talmi A. Family-based intervention to enhance infanteparent relationships in the neonatal intensive care unit. J Pediatr Psychol 2005;30:667e77. 19. Meyer E, Coll C, Seifer R, et al. Psychological distress in mothers of preterm infants. J Dev Behav Pediatr 1995;16:412e17. 20. Glazebrook C, Marlow N, Israel C, et al. Randomised trial of a parenting intervention during neonatal intensive care. Arch Dis Child Fetal Neonatal Ed 2007:1e16. 21. Parker-Loewen DL. Effects of short-term interaction coaching with mothers of preterm infants. Infant Ment Health J 1987;8:277e87. 22. Byers JF, Lowman LB, Francis J, et al. A quasi-experimental trial on individualized, developmentally supportive family-centered care. J Obstet Gynecol Neonatal Nurs 2006;35:105e15. 23. Lawhon G. Facilitation of parenting the premature infant within the newborn intensive care unit. J Perinat Neonatal Nurs 2002;16: 71e82. 24. Prentice M, Stainton MC. The effects of developmental care of preterm infants on women’s health and family life. Neonat Paediatr Child Health Nurs 2004;7:4e12. 25. Hawthorne J. Using the Neonatal Behavioural Assessment Scale to support parenteinfant relationships. Infant 2005;1:213e18. 26. Culp RE, Culp AM, Harmon RJ. A tool for educating parents about their premature infants. Birth 1989;16:23e6. 27. Szajnberg N, Ward MJ, Krauss A, et al. Low birth-weight prematures: preventive intervention and maternal attitude. Child Psychiatr Human Dev 1987;17:152e65. 28. Hall WA, Shearer K, Mogan J, et al. Weighing preterm infants before & after breastfeeding: does it increase maternal confidence and competence? MCN Am J Matern Child Nurs 2002;27:318e26. 29. Meier PP, Engstrom JL, Mangurten HH, et al. Breastfeeding support services in the neonatal intensive-care unit. J Obstetr Gynecol Neonatal Nurs 1993;22:338e47. 30. White JC, Smith MM, Lowman DK, et al. Parent support of feeding in the neonatal intensive care unit: perspectives of parents and occupational therapists. Phys Occup Ther Pediatr 2000;19:111e26. 31. Elliott S, Reimer C. Postdischarge telephone follow-up program for breastfeeding preterm infants discharged from a special care nursery. Neonat Netw 1998;17:41e5. 32. Tessier R, Cristo M, Velez S, et al. Kangaroo mother care and the bonding hypothesis. Pediatrics 1998;102:e17. 33. Lai HL, Chen CJ, Peng TC, et al. Randomized controlled trial of music during kangaroo care on maternal state anxiety and preterm infants’ responses. Int J Nurs Stud 2006;43:139e46. 34. Feldman R, Eidelman AI, Sirota L, et al. Comparison of skin-to-skin (kangaroo) and traditional care: parenting outcomes and preterm infant development. Pediatrics 2002;110:16e26. 35. Legault M, Goulet C. Comparison of kangaroo and traditional methods of removing preterm infants from incubators. J Obstetr Gynecol Neonat Nurs 1995;24:501e6. 36. Affonso D, Bosque E, Wahlberg V, et al. Reconciliation and healing for mothers through skin-to-skin contact provided in an American tertiary level intensive care nursery. Neonat Netw 1993;12:25e32. 37. Gale G, Franck L, Lund C. Skin-to-skin (kangaroo) holding of the intubated premature infant. Neonatal Netw 1993;12:49e57. 38. Ferber SG, Feldman R, Kohelet D, et al. Massage therapy facilitates mothereinfant interaction in premature infants. Infant Behav Dev 2005;28:74e81. 39. Remedios CM. Evaluation of massage programme for premature infants. Physiotherapy Singapore 2005;8:4e7. 40. Roman R. Parent-to-parent support initiated in the neonatal intensive care unit. Res Nurs Health 1995;18:385e94. 41. Preyde M, Ardal F. Effectiveness of a parent ‘buddy’ program for mothers of very preterm infants in a neonatal intensive care unit. CMAJ 2003;168:969e73. 42. Lindsay JK, Roman L, DeWys M, et al. Creative caring in the NICU: parent-to-parent support. Neonatal Netw 1993;12:37e44. 43. Pearson J, Andersen K. Evaluation of a program to promote positive parenting in the neonatal intensive care unit. Neonatal Netw 2001;20:43e8. 44. Buarque V, de Carvaiho Lima M, Parry Scott R, et al. The influence of support groups on the family of risk newborns and on neonatal unit workers. J pediatr (Rio J) 2006;82:295e301. 45. Hurst I. One size does not fit all: Parents evaluation of a support program in the neonatal intensive care nursery. J Perinat Neonat Nurs 2006;20:252e61. 46. Bracht M, Ardal F, Bot A, et al. Initiation and maintenance of a hospital-based parent group for parents of premature infants: key factors for success. Neonatal Netw 1998;17:33e7. 47. Dammers J, Harpin V. Parents’ meetings in two neonatal units: a way of increasing support for parents. Br Med J (Clin Res Ed) 1982;285:863e5. 48. Jarrett MH. Family matters. Parent partners: a parent-to-parent support program in the NICU part II: program implementation. Pediatr Nurs 1996;22:142e4. 49. Cobiella CW, Mabe PA, Forehand RL. A comparison of two stress-reduction treatments for mothers of neonates hospitalized in a neonatal intensive care unit. Child Health Care 1990;19:93e100. 50. Jotzo M, Poets CF. Helping parents cope with the trauma of premature birth: an evaluation of a trauma-preventive psychological intervention. Pediatrics 2005;115:915e19. 51. Macnab AJ, Beckett LY, Park CC, et al. Journal writing as a social support strategy for parents of premature infants: a pilot study. Patient Educ Couns 1998;33:149e59. 52. Zeanah CH, Canger CI, Jones JD. Clinical approaches to traumatized parents: psychotherapy in the intensive-care nursery. Child Psychiatr Hum Dev 1984;14:158e69. 53. Huckabay LM. The effect on bonding behavior of giving a mother her premature baby’s picture. Sch Inq Nurs Pract 1999;13:349e62. 54. Griffin T, Kavanaugh K, Soto CF, et al. Parental evaluation of a tour of the neonatal intensive care unit during a high-risk pregnancy. J Obstet Gynecol Neonatal Nurs 1997;26:59e65. 55. Koh T, Butow P, Coorey M, et al. Provision of taped conversations with neonatologists to mothers of babies in intensive care: randomised controlled trial. BMJ 2007;334:28. 56. Penticuff JH, Arheart KL. Effectiveness of an intervention to improve parenteprofessional collaboration in neonatal intensive care. J Perinat Neonat Nurs 2005;19:187e202. 57. Piecuch RE, Roth RS, Clyman RI, et al. Videophone use improves maternal interest in transported infants. Crit Care Med 1983;11:655e6. 58. Jones L, Woodhouse D, Rowe J. Effective nurse-parent communications: a study of parents perceptions in the NICU environment. Patient Educ Counsel 2007;69:206e12. 59. Fenwick J, Barclay L, Schmied V. ‘Chatting.’ An importanttool for facilitating mothering in the neonatal nursery. J Adv Nurs 2001;33:583e93. 60. Freer Y, Lyon A, Stenson B, et al. BabyLinkdimproving communication among clinicians and with parents with babies in intensive care. Br J Healthcare Comput Inform Manag 2005;22:34e6. 61. Koh TH, Jarvis C. Promoting effective communication in neonatal intensive care units by audiotaping doctoreparent conversations. Int J Clin Pract 1998;52:27e9. 62. Brown KA, Sauve RS. Evaluation of a caregiver education program: home oxygen therapy for infants. J Obstet Gynecol Neonat Nurs 1994;23:429e35. 63. Costello A, Bracht M, Van Camp K, et al. Parent information binder: individualizing education for parents of preterm infants. Neonatal Netw 1996;15:43e6. 64. Gannon BA. Caring one day at a time. Neonatal Netw 2000;19:25e32. 65. Drake E. Discharge teaching needs of parents in the NICU. Neonatal Netw 1995;14:49e53. 66. Kowalski W, Leef K, Mackley L, et al. Communicating with parents of premature infants: how is the informant. J Perinatol 2006;26:44e8. 67. Barrera ME, Rosenbaum PL, Cunningham CE. Early home intervention with low-birth-weight infants and their parents. Child Dev 1986;57:20e33. 68. Ortenstrand A, Winbladh B, Nordstrom G, et al. Early discharge of preterm infants followed by domiciliary nursing care: parents’ anxiety, assessment of infant health and breastfeeding. [see comment]. Acta Paediatr 2001;90:1190e5. 69. Broedsgaard A, Wagner L. How to facilitate parents and their premature infant for the transition home. Int Nurs Rev 2005;52:196e203. 70. Jonsson L, Fridlund B. Parents’ conceptions of participating in a home care programme from NICU: a qualitative analysis. Vard I Norden 2003;23:35e9. 71. Costello A, Chapman J. Mothers’ perceptions of the care-by-parent program prior to hospital discharge of their preterm infants. Neonatal Netw 1998;17:37e42. 72. Bennett R, Sheridan C. Mothers’ perceptions of ‘rooming-in’ on a neonatal intensive care unit. Infant 2005;1:171e4. 73. Spiker D, Ferguson J, Brooks G. Enhancing maternal interactive behavior and child social competence in low birth weight, premature infants. Child Dev 1993;64:754e68. 74. Ross GS. Home intervention for premature infants of low-income families. Am J Orthopsychiatry 1984;54:263e70. 75. Leonard BJ, Scott SA, Sootsman J. A home-monitoring program for parents of premature infants: a comparative study of the psychological effects. J Dev Behav Pediatr 1989;10:92e7. 76. Kurz H, Neunteufl R, Eichler F, et al. Does professional counseling improve infant home monitoring? Evaluation of an intensive instruction program for families using home monitoring on their babies. Wien Klin Wochenschr 2002;114:801e6. 77. Resnick MB, Armstrong S, Carter RL. Developmental intervention program for high-risk premature infants: effects on development and parent-infant interactions. J Dev Behav Pediatr 1988; 9:73e8. 78. Langley D, Hollis S, MacGregor D. Parents’ perceptions of neonatal services within the community: a postal survey. J Neonat Nurs 1999;5:7e11. 79. Isaacs PC. Teaching parents with high-risk infants in the home. Patient Couns Health Educ 1980;2:84e6. 80. Swanson SC, Naber MM. Neonatal integrated home care: nursing without walls. Neonatal Netw 1997;16:33e8. 81. Rycroft-Malone J, Seers K, Titchen A, et al. What counts as evidence in evidence-based practice? J Adv Nurs 2004;47:81e90. 82. Staniszewska S. West Meeting the patient partnership agenda: the challenge for health care workers. Int J Qual Health Care 2004;16:3e5.
URI:	http://wrap.warwick.ac.uk/id/eprint/38847

Request changes to a record

Actions (login required)

View Item