A Feasibility Study of a Physical and Occupational Therapy-Led and Parent-Administered Program to Improve Parent Mental Health and Infant Development.

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Title: A Feasibility Study of a Physical and Occupational Therapy-Led and Parent-Administered Program to Improve Parent Mental Health and Infant Development.
Authors: McCarty, Dana B.1 dana_mccarty@med.unc.edu, Dusing, Stacey C.2, Thorpe, Deborah1, Weinberger, Morris3, Pusek, Susan4, Gilbert, Alana5, Liu, Tianyi6, Blazek, Kerry7, Hammond, Sara7, O'Shea, T. Michael8
Source: Physical & Occupational Therapy in Pediatrics. 2024, Vol. 44 Issue 3, p316-335. 20p.
Subject Terms: *Fathers' attitudes, *Attitudes of mothers, *Anxiety, *Family relations, *Developmental disabilities, *Occupational therapy, *Longitudinal method, *Mental depression, Physical therapy, Infant development, Mental health, Research funding, Evaluation of human services programs, Pilot projects, Descriptive statistics, Mann Whitney U Test, Newborn infants, Social skills, Psychology of parents, Social support, Sociodemographic factors, Disease risk factors
Abstract: Extremely premature birth puts infants at high risk for developmental delay and results in parent anxiety and depression. The primary objective of this study was to characterize feasibility and acceptability of a therapist-led, parent-administered therapy and massage program designed to support parent mental health and infant development. A single cohort of 25 dyads - parents (24 mothers, 1 father) and extremely preterm (<28 wk gestation) infants – participated in the intervention. During hospitalization, parents attended weekly hands-on education sessions with a primary therapist. Parents received bi-weekly developmental support emails for 12 months post-discharge and were scheduled for 2 outpatient follow up visits. We collected measures of parent anxiety, depression, and competence at baseline, hospital discharge, and <4 and 12 months post-discharge. All feasibility targets were met or exceeded at baseline and discharge (≥70%). Dyads participated in an average of 11 therapy sessions (range, 5–20) during hospitalization. Lower rates of data collection adherence were observed over successive follow ups (range, 40–76%). Parent-rated feasibility and acceptability scores were high at all time points. Results support parent-rated feasibility and acceptability of the TEMPO intervention for extremely preterm infants and their parents in the Neonatal Intensive Care Unit. [ABSTRACT FROM AUTHOR]
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Abstract:Extremely premature birth puts infants at high risk for developmental delay and results in parent anxiety and depression. The primary objective of this study was to characterize feasibility and acceptability of a therapist-led, parent-administered therapy and massage program designed to support parent mental health and infant development. A single cohort of 25 dyads - parents (24 mothers, 1 father) and extremely preterm (<28 wk gestation) infants – participated in the intervention. During hospitalization, parents attended weekly hands-on education sessions with a primary therapist. Parents received bi-weekly developmental support emails for 12 months post-discharge and were scheduled for 2 outpatient follow up visits. We collected measures of parent anxiety, depression, and competence at baseline, hospital discharge, and <4 and 12 months post-discharge. All feasibility targets were met or exceeded at baseline and discharge (≥70%). Dyads participated in an average of 11 therapy sessions (range, 5–20) during hospitalization. Lower rates of data collection adherence were observed over successive follow ups (range, 40–76%). Parent-rated feasibility and acceptability scores were high at all time points. Results support parent-rated feasibility and acceptability of the TEMPO intervention for extremely preterm infants and their parents in the Neonatal Intensive Care Unit. [ABSTRACT FROM AUTHOR]
ISSN:01942638
DOI:10.1080/01942638.2023.2271102