A Feasibility Study of the Parental Sensitivity Intervention on Attachment and Self-Efficacy of Mothers and Fathers of Preterm Infants
Keywords:
attachment, feasibility, parental sensitivity, preterm infants, self-efficacyAbstract
This pre-experimental design with pretest-posttest and follow-up measures aimed to determine the feasibility of the parental sensitivity intervention by comparing mother-infant attachment, maternal self-efficacy, father-infant attachment and paternal self-efficacy among mothers and fathers in the care of preterm infants. A pre-experimental design with pretest, posttest and follow-up measures was employed. The participants were recruited through a purposive sampling method with four triads of mother, father and preterm infants who were admitted to a sick newborn ward at a hospital in Thailand. The research instruments for data collection included the Postpartum Bonding Questionnaire and the Maternal/Paternal Confidence Questionnaire with Cronbach’s alpha reliability of 0.73 and 0.75, respectively. The parental sensitivity intervention contained four sessions with 60-90 minutes per session. Descriptive statistics and Friedman test were used to analyze the data.
The results found that a significant difference over the three time measures of the outcome variables. Mother-infant attachment, mother’s self-efficacy, father-infant attachment and father’s self-efficacy at posttest and follow-up periods were better than those at pretest (p<.05). These findings indicate that the parental sensitivity intervention would be appropriate and feasible for further implementation.
Downloads
Download data is not yet available.
References
1. Forcada-Guex, M., Pierrehumbert, B., Borghini, A., Moessinger, A., & Muller-Nix, C. Early dyadic patterns of mother–infant interactions and
outcomes of prematurity at 18 months. Pediatrics. 2006; 118(1): 107-114.
2. Muller-Nix, C., Forcada-Guex, M., Pierrehumbert, B., Jaunin, L., Borghini, A., & Ansermet, F. Prematurity, maternal stress and mother–child
interactions. Early human development. 2004; 79(2): 145-158.
3. Grant, K. A., McMahon, C., & Austin, M. P. Maternal anxiety during the transition to parenthood: a prospective study. Journal of affective
disorders. 2008; 108(1): 101-111.
4. Greisen, G., Mirante, N., Haumont, D., Pierrat, V., Pallas-Alonso, C. R., Warren, I., & Cuttini, M. Parents, siblings and grandparents in the
Neonatal Intensive Care Unit A survey of policies in eight European countries. Acta paediatrica. 2009; 98(11): 1744-1750.
5. Honda, M., Som, R., Seang, S., Tung, R., & Iwamoto, A. One year outcome of high-risk newborn infants discharged from the neonatal care unit of the National Maternal and Child Health Center in Cambodia. Heliyon, 2019; 5(4): e01446.
6. McInnes, R. J., & Chambers, J. Infants admitted to neonatal units–interventions to improve breastfeeding outcomes: a systematic review
1990–2007. Maternal & child nutrition. 2008; 4(4): 235-263.
7. Bowlby, J. Attachment. New York: Basic book; 1969.
8. Klaus, M. H., & Kennell, J. H. Parent-infant bonding. CV Mosby; 1982.
9. Kleebpan, S., Phahuwatanakorn, W., Yusamran, C., & Putdivarnichapong, W. Factors Influencing Parental Competence in First-Time Postpartum
Mothers. Journal of The Royal Thai Army Nurses. 2019; 20(2): 140-149. (in Thai)
10. Yakasem, P., Chaimongkol, N., & Pongjaturawit, Y. Experience of becoming a Thai early adolescent mother. Journal of The Royal Thai Army Nurses. 2018; 19(3): 89-96. (in Thai)
11. Littleton, L. Y., & Engebretson, J. C. Maternal, Neonatal and women’s Health Nursing. Delmar, Thomson Learning; 2002.
12. Satipan, C. Marital Relationship, Father–infant Attachment and Father Involvement in Postpartum Period [Thesis]: Chiangmai University; 2014. (in Thai)
13. Tapanya, S. Attributions and attitudes of mothers and fathers in Thailand. Parenting. 2011; 11 (2-3): 190-198. (in Thai)
14. Shin, H., Park, Y-J., & Kim, M. J. Predictors of maternal sensitivity during the early postpartum period. Journal of Advanced Nursing. 2006;
55(4): 425-434.
15. Sevigny, P. R., & Loutzenhiser, L. Predictors of parenting self-efficacy in mothers and fathers of toddlers. Child: Care, Health and Development. 2010; 36: 179–189.
16. Coleman, P. K., & Karraker, K. H. Maternal self-efficacy beliefs, competence in parenting, and toddlers’ behavior and developmental status. Infant Mental Health Journal: Official Publication of the World Association for Infant Mental Health. 2003; 24(2): 126-148.
17. Badr, L. K. Further psychometric testing and use of the Maternal Confidence Questionnaire. Issues in Comprehensive Pediatric Nursing. 2005; 28(3): 163-174.
18. Ahn, H. Y., Lee, J., & Shin, H. J. Kangaroo care on premature infant growth and maternal attachment and post-partum depression in South Korea. Journal of tropical pediatrics. 2010; 56(5): 342-344.
19. Chen, E. M., Gau, M. L., Liu, C. Y., & Lee, T. Y. Effects of Father-Neonate Skin-to-Skin Contact on Attachment: A Randomized Controlled Trial. Nursing research and practice. 2017.
20. Holditch-Davis, D., White-Traut, R. C., Levy, J. A., O’Shea, T. M., Geraldo, V., & David, R. J. Maternally administered interventions for preterm infants in the NICU: Effects on maternal psychological distress and mother–infant relationship. Infant Behavior and Development. 2014; 37(4): 695-710.
21. Moore, E. R., Anderson, G. C., Bergman, N., & Dowswell, T. Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev. 2012; 5(5).
22. Sunanta, S., Yusamran, C., & Phahuwatanakorn, W. Effect of Providing Knowledge and Support Primiparous Adolescent Mother and Grandmother on Maternal Role Attainment. Journal of The Royal Thai Army Nurses. 2016; 17(2): 125-134. (in Thai)
23. Promneramit P. The effects of the paternal role promotion program on paternal-infant attachment and paternal role adaptation for first-time fathers. [Thesis]: Mahidol University; 2005. (in Thai)
24. Shorey, S., He, H. G., & Morelius, E. Skin-to-skin contact by fathers and the impact on infant and paternal outcomes: an integrative review. Midwifery. 2016; 40: 207-217.
25. Varela, N., Dclinpsy, P. M., Tessier, R., & Charpak, N. Indian Fathers and Their Premature Baby An Early Beginning: A Pilot Study of Skin-to-Skin
Contact, Culture and Fatherhood. Fathering. 2014; 12(2): 211.
26. Yang, H. L., Chen, Y. C., Mao, H. C., Gau, B. S., & Wang, J. K. Effect of a systematic discharge nursing plan on mothers’ knowledge and confidence in caring for infants with congenital heart disease at home. 2004; 103(1): 47-52.
27. Kusanagi, M., Hirose, T., Mikuni, K., & Okamitsu, M. Effect of early intervention using state modulation and cue reading on mother-infant
interactions in preterm infants and their mothers in Japan. Journal of medical and dental sciences 2011; 58(3): 89-96.
28. Brockington, I. F., Oates, J., George, S., Turner, D., Vostanis, P., Sullivan, M & Murdoch, C. A screening questionnaire for mother-infant bonding disorders. Archives of Women’s Mental Health. 2001; 3(4): 133-140.
29. Parker, S., & Zahr, L. K.The maternal confidence questionnaire. Boston, MA: Boston City Hospital; 1985.
30. Bostanabad, M. A., Areshtanab, H. N., Balila, M., Jafarabadi, M. A., & Ravanbakhsh, K. Effect of a Supportive-Training Intervention on Mother-Infant Attachment. Iranian Journal of Pediatrics. 2017; 27(6).
31. Chung, F. F., Wan, G. H., Kuo, S. C., Lin, K. C., & Liu, H. E. Mother–infant interaction quality and sense of parenting competence at six months
postpartum for first-time mothers in Taiwan: a multiple time series design. BMC pregnancy and childbirth. 2018; 18(1): 365.
32. Newnham, C. A., Milgrom, J., & Skouteris, H. Effectiveness of a modified mother–infant transaction program on outcomes for preterm infants from 3 to 24 months of age. Infant behavior and development. 2009; 32(1): 17-26.
33. Lawrence, P. J., Davies, B., & Ramchandani, P. G. Using video feedback to improve early father–infant interaction: A pilot study. Clinical child psychology and psychiatry. 2013; 18(1):61-71.
34. Kadivar, M., & Mozafarinia, S. M. Supporting fathers in a NICU: Effects of the HUG Your Baby program on fathers’ understanding of preterm
infant behavior. The Journal of perinatal education. 2013; 22(2): 113.
outcomes of prematurity at 18 months. Pediatrics. 2006; 118(1): 107-114.
2. Muller-Nix, C., Forcada-Guex, M., Pierrehumbert, B., Jaunin, L., Borghini, A., & Ansermet, F. Prematurity, maternal stress and mother–child
interactions. Early human development. 2004; 79(2): 145-158.
3. Grant, K. A., McMahon, C., & Austin, M. P. Maternal anxiety during the transition to parenthood: a prospective study. Journal of affective
disorders. 2008; 108(1): 101-111.
4. Greisen, G., Mirante, N., Haumont, D., Pierrat, V., Pallas-Alonso, C. R., Warren, I., & Cuttini, M. Parents, siblings and grandparents in the
Neonatal Intensive Care Unit A survey of policies in eight European countries. Acta paediatrica. 2009; 98(11): 1744-1750.
5. Honda, M., Som, R., Seang, S., Tung, R., & Iwamoto, A. One year outcome of high-risk newborn infants discharged from the neonatal care unit of the National Maternal and Child Health Center in Cambodia. Heliyon, 2019; 5(4): e01446.
6. McInnes, R. J., & Chambers, J. Infants admitted to neonatal units–interventions to improve breastfeeding outcomes: a systematic review
1990–2007. Maternal & child nutrition. 2008; 4(4): 235-263.
7. Bowlby, J. Attachment. New York: Basic book; 1969.
8. Klaus, M. H., & Kennell, J. H. Parent-infant bonding. CV Mosby; 1982.
9. Kleebpan, S., Phahuwatanakorn, W., Yusamran, C., & Putdivarnichapong, W. Factors Influencing Parental Competence in First-Time Postpartum
Mothers. Journal of The Royal Thai Army Nurses. 2019; 20(2): 140-149. (in Thai)
10. Yakasem, P., Chaimongkol, N., & Pongjaturawit, Y. Experience of becoming a Thai early adolescent mother. Journal of The Royal Thai Army Nurses. 2018; 19(3): 89-96. (in Thai)
11. Littleton, L. Y., & Engebretson, J. C. Maternal, Neonatal and women’s Health Nursing. Delmar, Thomson Learning; 2002.
12. Satipan, C. Marital Relationship, Father–infant Attachment and Father Involvement in Postpartum Period [Thesis]: Chiangmai University; 2014. (in Thai)
13. Tapanya, S. Attributions and attitudes of mothers and fathers in Thailand. Parenting. 2011; 11 (2-3): 190-198. (in Thai)
14. Shin, H., Park, Y-J., & Kim, M. J. Predictors of maternal sensitivity during the early postpartum period. Journal of Advanced Nursing. 2006;
55(4): 425-434.
15. Sevigny, P. R., & Loutzenhiser, L. Predictors of parenting self-efficacy in mothers and fathers of toddlers. Child: Care, Health and Development. 2010; 36: 179–189.
16. Coleman, P. K., & Karraker, K. H. Maternal self-efficacy beliefs, competence in parenting, and toddlers’ behavior and developmental status. Infant Mental Health Journal: Official Publication of the World Association for Infant Mental Health. 2003; 24(2): 126-148.
17. Badr, L. K. Further psychometric testing and use of the Maternal Confidence Questionnaire. Issues in Comprehensive Pediatric Nursing. 2005; 28(3): 163-174.
18. Ahn, H. Y., Lee, J., & Shin, H. J. Kangaroo care on premature infant growth and maternal attachment and post-partum depression in South Korea. Journal of tropical pediatrics. 2010; 56(5): 342-344.
19. Chen, E. M., Gau, M. L., Liu, C. Y., & Lee, T. Y. Effects of Father-Neonate Skin-to-Skin Contact on Attachment: A Randomized Controlled Trial. Nursing research and practice. 2017.
20. Holditch-Davis, D., White-Traut, R. C., Levy, J. A., O’Shea, T. M., Geraldo, V., & David, R. J. Maternally administered interventions for preterm infants in the NICU: Effects on maternal psychological distress and mother–infant relationship. Infant Behavior and Development. 2014; 37(4): 695-710.
21. Moore, E. R., Anderson, G. C., Bergman, N., & Dowswell, T. Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev. 2012; 5(5).
22. Sunanta, S., Yusamran, C., & Phahuwatanakorn, W. Effect of Providing Knowledge and Support Primiparous Adolescent Mother and Grandmother on Maternal Role Attainment. Journal of The Royal Thai Army Nurses. 2016; 17(2): 125-134. (in Thai)
23. Promneramit P. The effects of the paternal role promotion program on paternal-infant attachment and paternal role adaptation for first-time fathers. [Thesis]: Mahidol University; 2005. (in Thai)
24. Shorey, S., He, H. G., & Morelius, E. Skin-to-skin contact by fathers and the impact on infant and paternal outcomes: an integrative review. Midwifery. 2016; 40: 207-217.
25. Varela, N., Dclinpsy, P. M., Tessier, R., & Charpak, N. Indian Fathers and Their Premature Baby An Early Beginning: A Pilot Study of Skin-to-Skin
Contact, Culture and Fatherhood. Fathering. 2014; 12(2): 211.
26. Yang, H. L., Chen, Y. C., Mao, H. C., Gau, B. S., & Wang, J. K. Effect of a systematic discharge nursing plan on mothers’ knowledge and confidence in caring for infants with congenital heart disease at home. 2004; 103(1): 47-52.
27. Kusanagi, M., Hirose, T., Mikuni, K., & Okamitsu, M. Effect of early intervention using state modulation and cue reading on mother-infant
interactions in preterm infants and their mothers in Japan. Journal of medical and dental sciences 2011; 58(3): 89-96.
28. Brockington, I. F., Oates, J., George, S., Turner, D., Vostanis, P., Sullivan, M & Murdoch, C. A screening questionnaire for mother-infant bonding disorders. Archives of Women’s Mental Health. 2001; 3(4): 133-140.
29. Parker, S., & Zahr, L. K.The maternal confidence questionnaire. Boston, MA: Boston City Hospital; 1985.
30. Bostanabad, M. A., Areshtanab, H. N., Balila, M., Jafarabadi, M. A., & Ravanbakhsh, K. Effect of a Supportive-Training Intervention on Mother-Infant Attachment. Iranian Journal of Pediatrics. 2017; 27(6).
31. Chung, F. F., Wan, G. H., Kuo, S. C., Lin, K. C., & Liu, H. E. Mother–infant interaction quality and sense of parenting competence at six months
postpartum for first-time mothers in Taiwan: a multiple time series design. BMC pregnancy and childbirth. 2018; 18(1): 365.
32. Newnham, C. A., Milgrom, J., & Skouteris, H. Effectiveness of a modified mother–infant transaction program on outcomes for preterm infants from 3 to 24 months of age. Infant behavior and development. 2009; 32(1): 17-26.
33. Lawrence, P. J., Davies, B., & Ramchandani, P. G. Using video feedback to improve early father–infant interaction: A pilot study. Clinical child psychology and psychiatry. 2013; 18(1):61-71.
34. Kadivar, M., & Mozafarinia, S. M. Supporting fathers in a NICU: Effects of the HUG Your Baby program on fathers’ understanding of preterm
infant behavior. The Journal of perinatal education. 2013; 22(2): 113.
Downloads
Published
27-04-2020
How to Cite
1.
Phianching K, Chaimongkol N, Pongjaturawit Y. A Feasibility Study of the Parental Sensitivity Intervention on Attachment and Self-Efficacy of Mothers and Fathers of Preterm Infants. J Royal Thai Army Nurses [Internet]. 2020 Apr. 27 [cited 2024 Dec. 19];21(1):66-74. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/241382
Issue
Section
Research Articles
License
บทความหรือข้อคิดเห็นใดใดที่ปรากฏในวารสารพยาบาลทหารบกเป็นวรรณกรรมของผู้เขียน ซึ่งบรรณาธิการหรือสมาคมพยาบาลทหารบก ไม่จำเป็นต้องเห็นด้วย
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลทหารบก
The ideas and opinions expressed in the Journal of The Royal Thai Army Nurses are those of the authors and not necessarily those
of the editor or Royal Thai Army Nurses Association.
