Maternal mental health after infant discharge: a quasi-experimental clinical trial of family integrated care versus family-centered care for preterm infants in U.S. NICUs
Abstract Background Involvement in caregiving and tailored support services may reduce the risk of mental health symptoms for mothers after their preterm infant’s neonatal intensive care unit (NICU) discharge. We aimed to compare Family-Centered Care (FCC) with mobile-enhanced Family-Integrated Care...
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12887-023-04211-x |
| _version_ | 1827633039375597568 |
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| author | Linda S. Franck Caryl L. Gay Thomas J. Hoffmann Rebecca M. Kriz Robin Bisgaard Diana M. Cormier Priscilla Joe Brittany Lothe Yao Sun |
| author_facet | Linda S. Franck Caryl L. Gay Thomas J. Hoffmann Rebecca M. Kriz Robin Bisgaard Diana M. Cormier Priscilla Joe Brittany Lothe Yao Sun |
| author_sort | Linda S. Franck |
| collection | DOAJ |
| description | Abstract Background Involvement in caregiving and tailored support services may reduce the risk of mental health symptoms for mothers after their preterm infant’s neonatal intensive care unit (NICU) discharge. We aimed to compare Family-Centered Care (FCC) with mobile-enhanced Family-Integrated Care (mFICare) on post-discharge maternal mental health symptoms. Method This quasi-experimental study enrolled preterm infant (≤ 33 weeks)/parent dyads from three NICUs into sequential cohorts: FCC or mFICare. We analyzed post-discharge symptoms of perinatal post-traumatic stress disorder (PTSD) and depression using intention-to-treat and per protocol approaches. Results 178 mothers (89 FCC; 89 mFICare) completed measures. We found no main effect of group assignment. We found an interaction between group and stress, indicating fewer PTSD and depression symptoms among mothers who had higher NICU-related stress and received mFICare, compared with mothers who had high stress and received FCC (PTSD: interaction β=-1.18, 95% CI: -2.10, -0.26; depression: interaction β=-0.76, 95% CI: -1.53, 0.006). Per protocol analyses of mFICare components suggested fewer PTSD and depression symptoms among mothers who had higher NICU stress scores and participated in clinical team rounds and/or group classes, compared with mothers who had high stress and did not participate in rounds or classes. Conclusion Overall, post-discharge maternal mental health symptoms did not differ between the mFICare and FCC groups. However, for mothers with high levels of stress during the NICU stay, mFICare was associated with fewer post-discharge PTSD and depression symptoms. |
| first_indexed | 2024-03-09T14:53:59Z |
| format | Article |
| id | doaj.art-2e393df407b24123990471c258421c6d |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-03-09T14:53:59Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-2e393df407b24123990471c258421c6d2023-11-26T14:16:11ZengBMCBMC Pediatrics1471-24312023-08-0123111010.1186/s12887-023-04211-xMaternal mental health after infant discharge: a quasi-experimental clinical trial of family integrated care versus family-centered care for preterm infants in U.S. NICUsLinda S. Franck0Caryl L. Gay1Thomas J. Hoffmann2Rebecca M. Kriz3Robin Bisgaard4Diana M. Cormier5Priscilla Joe6Brittany Lothe7Yao Sun8Department of Family Health Care Nursing, University of California San Francisco (UCSF)Department of Family Health Care Nursing, University of California San Francisco (UCSF)Department of Epidemiology and Biostatistics, Office of Research, School of Nursing, UCSFDepartment of Family Health Care Nursing, University of California San Francisco (UCSF)Intensive Care Nursery, UCSF Benioff Children’s HospitalNICU and Pediatrics, Community Regional Medical CenterDivision of Neonatology, UCSF Benioff Children’s HospitalWill’s Way FoundationDivision of Neonatology, Department of Pediatrics, UCSFAbstract Background Involvement in caregiving and tailored support services may reduce the risk of mental health symptoms for mothers after their preterm infant’s neonatal intensive care unit (NICU) discharge. We aimed to compare Family-Centered Care (FCC) with mobile-enhanced Family-Integrated Care (mFICare) on post-discharge maternal mental health symptoms. Method This quasi-experimental study enrolled preterm infant (≤ 33 weeks)/parent dyads from three NICUs into sequential cohorts: FCC or mFICare. We analyzed post-discharge symptoms of perinatal post-traumatic stress disorder (PTSD) and depression using intention-to-treat and per protocol approaches. Results 178 mothers (89 FCC; 89 mFICare) completed measures. We found no main effect of group assignment. We found an interaction between group and stress, indicating fewer PTSD and depression symptoms among mothers who had higher NICU-related stress and received mFICare, compared with mothers who had high stress and received FCC (PTSD: interaction β=-1.18, 95% CI: -2.10, -0.26; depression: interaction β=-0.76, 95% CI: -1.53, 0.006). Per protocol analyses of mFICare components suggested fewer PTSD and depression symptoms among mothers who had higher NICU stress scores and participated in clinical team rounds and/or group classes, compared with mothers who had high stress and did not participate in rounds or classes. Conclusion Overall, post-discharge maternal mental health symptoms did not differ between the mFICare and FCC groups. However, for mothers with high levels of stress during the NICU stay, mFICare was associated with fewer post-discharge PTSD and depression symptoms.https://doi.org/10.1186/s12887-023-04211-xFamily partnershipsInfantMaternal depressionPerinatal PTSDParental stress |
| spellingShingle | Linda S. Franck Caryl L. Gay Thomas J. Hoffmann Rebecca M. Kriz Robin Bisgaard Diana M. Cormier Priscilla Joe Brittany Lothe Yao Sun Maternal mental health after infant discharge: a quasi-experimental clinical trial of family integrated care versus family-centered care for preterm infants in U.S. NICUs BMC Pediatrics Family partnerships Infant Maternal depression Perinatal PTSD Parental stress |
| title | Maternal mental health after infant discharge: a quasi-experimental clinical trial of family integrated care versus family-centered care for preterm infants in U.S. NICUs |
| title_full | Maternal mental health after infant discharge: a quasi-experimental clinical trial of family integrated care versus family-centered care for preterm infants in U.S. NICUs |
| title_fullStr | Maternal mental health after infant discharge: a quasi-experimental clinical trial of family integrated care versus family-centered care for preterm infants in U.S. NICUs |
| title_full_unstemmed | Maternal mental health after infant discharge: a quasi-experimental clinical trial of family integrated care versus family-centered care for preterm infants in U.S. NICUs |
| title_short | Maternal mental health after infant discharge: a quasi-experimental clinical trial of family integrated care versus family-centered care for preterm infants in U.S. NICUs |
| title_sort | maternal mental health after infant discharge a quasi experimental clinical trial of family integrated care versus family centered care for preterm infants in u s nicus |
| topic | Family partnerships Infant Maternal depression Perinatal PTSD Parental stress |
| url | https://doi.org/10.1186/s12887-023-04211-x |
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