Effects of early intervention on the mental wellbeing and caregiving practices of preterm infant caregivers

IF 2.2 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Early human development Pub Date : 2024-09-03 DOI:10.1016/j.earlhumdev.2024.106112
Eunice Eunhee Jang , Samantha Burns , Melissa Hunte , Megan Vincett , Lorraine Chiarotto , Paige T. Church
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Abstract

Background

The rising incidence of preterm births worldwide presents a pressing public health challenge, affecting both infants and their preterm caregivers. Early Intervention (EI) programs aim to mitigate the negative impacts associated with preterm births on the physical, cognitive, and psychological health of both infants and their caregivers by providing personalized parental support and developmental monitoring. This study addressed the gap in research evaluating the long-term effects of community-based EI programs on the holistic coping mechanisms of families, encompassing mental wellbeing, caregiving competencies, and the transition process from hospital to home care.

Methods

This study evaluated the long-term effects of a community-based EI program (in-home only) and the added benefits of earlier Hospital-to-Home (H2H) support, focusing on preterm caregivers' mental wellbeing and caregiving practices.

Results

The findings highlight the extended benefits of EI, demonstrating that program duration and intensity significantly benefit families dealing with neonatal intensive care unit stays. For infants requiring extensive medical intervention, EI support markedly enhances caregiver mental wellbeing. Additionally, interventions initiated earlier yield a more substantial positive effect on preterm caregivers' mental wellbeing after discharge compared to those that commence later.

Conclusion

These findings suggest the potential role of community-based EI programs and the benefits of supporting preterm caregivers before transitioning home. The study calls for future research to explore the effects of various EI program components to identify which interventions are most effective for addressing preterm infants' specific developmental challenges.

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早期干预对早产儿照护者心理健康和照护方法的影响
背景全世界早产儿的发病率不断上升,对婴儿及其早产儿看护者都造成了影响,是一项紧迫的公共卫生挑战。早期干预(EI)项目旨在通过提供个性化的父母支持和发育监测,减轻早产对婴儿及其照护者的身体、认知和心理健康造成的负面影响。本研究针对社区早产儿干预项目对家庭整体应对机制(包括心理健康、护理能力以及从医院到家庭护理的过渡过程)长期影响的评估研究空白进行了探讨。方法本研究评估了社区早期干预计划(仅限于居家)的长期效果以及早期医院到家庭(H2H)支持的额外益处,重点关注早产儿护理人员的心理健康和护理实践。结果研究结果突出了早期干预计划的长期益处,表明该计划的持续时间和强度对处理新生儿重症监护病房住院问题的家庭大有裨益。对于需要大量医疗干预的婴儿,早期干预支持明显提高了护理人员的心理健康水平。此外,与较晚开始的干预相比,较早开始的干预对早产儿照护者出院后的心理健康产生了更大的积极影响。该研究呼吁今后开展研究,探讨各种早期干预计划内容的效果,以确定哪些干预措施对解决早产儿的特定发育挑战最为有效。
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来源期刊
Early human development
Early human development 医学-妇产科学
CiteScore
4.40
自引率
4.00%
发文量
100
审稿时长
46 days
期刊介绍: Established as an authoritative, highly cited voice on early human development, Early Human Development provides a unique opportunity for researchers and clinicians to bridge the communication gap between disciplines. Creating a forum for the productive exchange of ideas concerning early human growth and development, the journal publishes original research and clinical papers with particular emphasis on the continuum between fetal life and the perinatal period; aspects of postnatal growth influenced by early events; and the safeguarding of the quality of human survival. The first comprehensive and interdisciplinary journal in this area of growing importance, Early Human Development offers pertinent contributions to the following subject areas: Fetology; perinatology; pediatrics; growth and development; obstetrics; reproduction and fertility; epidemiology; behavioural sciences; nutrition and metabolism; teratology; neurology; brain biology; developmental psychology and screening.
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