TY - JOUR
T1 - A Mobile Health Intervention to Support Parenting Self-Efficacy in the Neonatal Intensive Care Unit from Admission to Home
AU - Garfield, Craig F.
AU - Kerrigan, Elizabeth
AU - Christie, Rebecca
AU - Jackson, Kathryn L.
AU - Lee, Young S.
N1 - Funding Information:
C.G. has received grant support from the National Institutes of Health (NIH), the Agency for Healthcare Research and Quality , and Friends of Prentice Philanthropy , and has the right to receive payments or may receive future financial benefits for inventions or discoveries related to the NICU2Home,LLC. Y.L. has received grant support from the National Institutes of Health (NIH), the Agency for Healthcare Research and Quality , and Friends of Prentice Philanthropy and has the right to receive payments or may receive future financial benefits for inventions or discoveries related to the NICU2Home, LLC. All phases of this study were supported by the philanthropy Friends of Prentice. The funders did not influence in any way the outcomes or reporting of the findings in this study. The other authors declare no conflicts of interest.
Publisher Copyright:
© 2022 Elsevier Inc.
PY - 2022/5
Y1 - 2022/5
N2 - Objective: To test whether parents of premature infants less than 37 weeks of gestation provided with a unique smartphone app designed to support parents had greater parenting self-efficacy, a key element in parenting confidence, compared with controls. Study design: Using a quasiexperimental, time-lagged study design, parents were assigned to either usual care (control) or NICU2HOME app (intervention) groups. Both groups completed the validated Parenting Sense of Competence (PSOC) scale at 4 time points (approximately day of life 7, 1 day before discharge, and at 14 and 30 days after discharge) representing the neonatal intensive care unit, discharge, and home contexts. App use was described and categorized. Univariate group differences were assessed, and linear mixed effect regression models were used to assess treatment group effect on PSOC score across time, adjusted for covariates and controlling for overall family effect. Results: We enrolled 298 parents (123 control, 175 intervention) with 256 completing 1 or more PSOC screenings. The intervention group had sustained higher PSOC scores than those of the control group (estimate, 4.3; P = .0042) from the first measurement onward with no significant change in PSOC score across time for either group. Average app use was 15 taps per average day; average and above-average users had significantly higher PSOC scores (estimate, 5.16; P = .0024; estimate, 5.16; P = .014) compared with controls or below-average users. Conclusions: Compared with controls, parents assigned to use the NICU2HOME app reported greater parenting self-efficacy while in the neonatal intensive care unit and this continued once discharged to home. Novel technologies such as point-of-care smartphone applications may hold promise for supporting parents in difficult and stressful situations. Trial Registration: ClincalTrials.gov: NCT03505424.
AB - Objective: To test whether parents of premature infants less than 37 weeks of gestation provided with a unique smartphone app designed to support parents had greater parenting self-efficacy, a key element in parenting confidence, compared with controls. Study design: Using a quasiexperimental, time-lagged study design, parents were assigned to either usual care (control) or NICU2HOME app (intervention) groups. Both groups completed the validated Parenting Sense of Competence (PSOC) scale at 4 time points (approximately day of life 7, 1 day before discharge, and at 14 and 30 days after discharge) representing the neonatal intensive care unit, discharge, and home contexts. App use was described and categorized. Univariate group differences were assessed, and linear mixed effect regression models were used to assess treatment group effect on PSOC score across time, adjusted for covariates and controlling for overall family effect. Results: We enrolled 298 parents (123 control, 175 intervention) with 256 completing 1 or more PSOC screenings. The intervention group had sustained higher PSOC scores than those of the control group (estimate, 4.3; P = .0042) from the first measurement onward with no significant change in PSOC score across time for either group. Average app use was 15 taps per average day; average and above-average users had significantly higher PSOC scores (estimate, 5.16; P = .0024; estimate, 5.16; P = .014) compared with controls or below-average users. Conclusions: Compared with controls, parents assigned to use the NICU2HOME app reported greater parenting self-efficacy while in the neonatal intensive care unit and this continued once discharged to home. Novel technologies such as point-of-care smartphone applications may hold promise for supporting parents in difficult and stressful situations. Trial Registration: ClincalTrials.gov: NCT03505424.
KW - PSOC
KW - parental self-efficacy
KW - preterm infants
UR - http://www.scopus.com/inward/record.url?scp=85124264071&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85124264071&partnerID=8YFLogxK
U2 - 10.1016/j.jpeds.2022.01.004
DO - 10.1016/j.jpeds.2022.01.004
M3 - Article
C2 - 35033562
AN - SCOPUS:85124264071
SN - 0022-3476
VL - 244
SP - 92
EP - 100
JO - journal of pediatrics
JF - journal of pediatrics
ER -