Socio-demographic factors related to parent engagement in the NICU and the impact of the SENSE program.
Socio-demographic factors related to parent engagement in the NICU and the impact of the SENSE program.
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DOI：
10.1016/j.earlhumdev.2021.105486
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发表时间：
2021-12
影响因子：
2.5
通讯作者：
Pineda R
中科院分区：
文献类型：
--
作者：
Whitehill L;Smith J;Colditz G;Le T;Kellner P;Pineda R
父母早期参与新生儿重症监护室（NICU）对父母和婴儿的心理健康以及改善发育结果都很重要。目前尚不清楚不同的计划，如支持和增强新生儿重症监护室感官体验（SENSE）计划，可以使来自不同社会人口群体的父母参与新生儿重症监护室。更好的理解有助于为那些健康差异风险最高的人制定个性化的干预措施。这项探索性研究是一项大型研究的一部分，旨在探索1）与NICU中父母在场和参与相关的社会人口统计学因素，以及2）支持和增强NICU感官体验（SENSE）计划是否与不同社会人口统计学群体中增加父母在场和参与相关。将70对母婴（≤ 32周妊娠）在入住NICU后随机分配至SENSE程序（父母教育和年龄适当的积极感觉干预，父母每天对其婴儿进行）或标准护理。父母的存在和参与感官活动的数量进行了跟踪使用床边日志，护理记录，和研究团队的文件。已婚（p=0.048; p=0.01），有私人保险（p<0.001; p=0.01），有较少的孩子（p=0.004; p=0.03）与更多的父母在场和参与有关。黑人父母在NICU的存在和参与度较低（p= 0.04; p=0.02）。在年轻母亲（p= 0.002; p=<0.001）和居住在离医院较远的父母（p<0.001; p=0.004）中，参与SENSE计划与更多的父母在场和参与有关。SENSE等方案可以提高高风险群体的参与度。
Early parent engagement in the neonatal intensive care unit (NICU) is important for both parent and infant mental health and for improving developmental outcomes. It remains unclear how different programs, such as the Supporting and Enhancing NICU Sensory Experiences (SENSE) program, may empower parents from various socio-demographic groups to engage in the NICU. An improved understanding could aid in individualizing interventions for those at the highest risk for health disparities. This exploratory study, which was part of a larger study, sought to explore 1) socio-demographic factors related to parent presence and engagement in the NICU and 2) if the Supporting and Enhancing NICU Sensory Experiences (SENSE) program related to increased parent presence and engagement among different socio-demographic groups. Seventy mother-infant dyads (≤ 32 weeks gestation) were randomized to SENSE programming (parent education and age-appropriate, positive sensory interventions for parents to conduct with their infants every day of hospitalization) or standard care after admission to the NICU. The amount of parent presence and participation in sensory activities was tracked using bedside logs, nursing records, and research team documentation. Being married (p=0.048; p=0.01), having private insurance (p<0.001; p=0.01), and having fewer children (p=0.004; p=0.03) related to more parent presence and engagement. Parents who were Black had less presence and engagement in the NICU (p=.04; p=0.02). Participation in the SENSE program was related to more parent presence and engagement among younger mothers (p=.002; p=<0.001) and among parents living farther distances from the hospital (p<0.001; p=0.004). Programming, such as SENSE, can improve engagement among high-risk groups.
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影响因子：
2.5
作者：
Pineda, Roberta;Wallendorf, Michael;Smith, Joan
通讯作者：
Smith, Joan
影响因子：
3.8
作者：
Latva, R.;Lehtonen, L.;Tamminen, T.
通讯作者：
Tamminen, T.
影响因子：
7.6
作者：
Welch, Martha G.;Firestein, Morgan R.;Myers, Michael M.
通讯作者：
Myers, Michael M.
DOI：
10.1038/s41372-020-0721-2
发表时间：
2021-03
期刊：
Journal of perinatology : official journal of the California Perinatal Association
影响因子：
--
作者：
Glazer KB;Sofaer S;Balbierz A;Wang E;Howell EA
通讯作者：
Howell EA
影响因子：
2.9
作者：
Pineda, R. G.;Stransky, K. E.;Rogers, C.;Duncan, M. H.;Smith, G. C.;Neil, J.;Inder, T.
通讯作者：
Inder, T.