Effect of fathers in Preemie Prep for Parents (P3) program on couple's preterm birth preparedness.

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Patient Education and Counseling Pub Date : 2025-03-01 Epub Date: 2024-12-04 DOI:10.1016/j.pec.2024.108599

Mir A Basir, Siobhan M McDonnell, Ruta Brazauskas, U Olivia Kim, S Iqbal Ahamed, Jennifer J McIntosh, Kris Pizur-Barnekow, Michael B Pitt, Abbey Kruper, Steven R Leuthner, Kathryn E Flynn

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Abstract

Objective: Evaluate the effect of fathers' participation in the Preemie Prep for Parents (P3) program on maternal learning and fathers' preterm birth knowledge.

Methods: Mothers with preterm birth predisposing medical condition(s) enrolled with or without the baby's father and were randomized to the P3 intervention (text-messages linking to animated videos) or control (patient education webpages). Parent Prematurity Knowledge Questionnaire assessed knowledge, including unmarried fathers' legal neonatal decision-making ability.

Results: 104 mothers reported living with the baby's father; 50 participated with the father and 54 participated alone. In the P3 group, mothers participating with the father (n = 33) had greater knowledge than mothers participating alone (n = 21), 85 % correct responses vs. 76 %, p = 0.033. However, there was no difference in knowledge among the control mothers, 67 % vs. 60 %, p = 0.068. P3 fathers (n = 33) knowledge scores were not different than control fathers (n = 17), 77 % vs. 68 %, p= 0.054. Parents who viewed the video on fathers' rights (n = 58) were more likely than those who did not (n = 96) to know unmarried fathers' legal inability to decide neonatal treatments, 84 % vs. 41 %, p < 0.001.

Conclusions: Among opposite-sex cohabitating couples, fathers' participation in the P3 program enhanced maternal learning.

Practice implications: The P3 program's potential to educate fathers may benefit high-risk pregnancies.

Clinical trial registration: ClinicalTrials.gov, NCT04093492, https://clinicaltrials.gov/study/NCT04093492.

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父亲参与产前准备对夫妻早产准备的影响。

目的：评价父亲参与产前准备（Preemie Prep for Parents, P3）项目对母亲学习和父亲早产知识的影响。方法：有早产易感疾病的母亲与婴儿父亲一起或不一起入组，随机分为P3干预组（与动画视频链接的短信）和对照组（患者教育网页）。父母早产儿知识问卷评估知识，包括未婚父亲对新生儿的合法决策能力。结果：104名母亲报告与婴儿父亲生活在一起；50人与父亲一起参加，54人单独参加。在P3组中，与父亲一起参与的母亲（n = 33）比单独参与的母亲（n = 21）有更多的知识，正确率为85%比76%，p = 0.033。然而，对照组母亲在知识方面没有差异，67%对60%，p = 0.068。P3组父亲（n = 33）的知识得分与对照组父亲（n = 17）无显著差异，分别为77%对68%，p= 0.054。看过父亲权利视频的父母（n = 58）比没有看过的父母（n = 96）更有可能知道未婚父亲在决定新生儿治疗方面的法律无能，比例为84%比41%。结论：在异性同居夫妇中，父亲参与P3项目促进了母亲的学习。实践启示：P3项目教育父亲的潜力可能有利于高危妊娠。临床试验注册：ClinicalTrials.gov, NCT04093492, https://clinicaltrials.gov/study/NCT04093492。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.