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Promoting Emotional Well-Being in Distressed NICU Mothers: A Phase 2 Evaluation of a Nurse-Delivered Approach

促进 NICU 母亲的情绪健康：护士实施方法的第二阶段评估

基本信息

批准号：
9764491
负责人：
LISA Sharon SEGRE
金额：
$ 19.06万
依托单位：
UNIVERSITY OF IOWA
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-08-15 至 2022-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9764491
关键词：
Address Admission activity Adopted Anxiety Arts British Caring Client satisfaction Clinical Clinical Trials Communication Control Groups Data Depressed mood Depression screen Discipline of Nursing Distress Educational Status Emotional Enrollment Ensure Equipment and supply inventories Evaluation Family Friends Funding Health Health Professional Health Services Accessibility Health Status Healthcare Home visitation Hospitalization Infant Intervention Iowa Length of Stay Maternal Health Measures Medical Medical Care Team Mental Depression Mental Health Modeling Moods Mothers Neonatal Intensive Care Units Newborn Infant Nurse Practitioners Nurses Outcome Parents Perception Phase Philosophy Population Positioning Attribute Postpartum Period Postpartum Women Press Releases Psyche structure Public Health Publishing Quality of Care Randomized Reaction Readiness Research Resources Safety Services Social Work Stress Stressful Event Testing Time Trust Twin Multiple Birth Visit Visiting Nurse Well in self anxiety symptoms clinical practice clinically significant comparison group coping cost effective depressive symptoms emotional distress experience feasibility trial improved innovation novel phase 2 testing point of care prevent programs relative effectiveness satisfaction secondary analysis standard of care support tools treatment as usual

项目摘要

PROJECT SUMMARY/ABSTRACT Infant admission to the neonatal intensive care unit (NICU) is an extremely stressful postpartum outcome, as evidenced by data showing significant depressive symptoms in some 63% of new NICU mothers. Thus, as part of a Family-Centered Care philosophy, focus on the emotional well-being of the mother (and indeed the entire family) should be widely adopted by NICU nursing units. In current clinical practice, however, the emotional well-being of NICU mothers is often ignored. At best, NICU mothers are screened for depression and if indicated, referred to a mental health professional. We posit that the extremes of no treatment and full- on mental healthcare comprise an inadequate approach for treating mothers dealing with a normative reaction to a stressful event. In alignment with the Nurse Parent Support Model, we propose implementation of Listening Visits—a cost-effective nurse-delivered supportive approach, proven to relieve moderately severe depressive symptoms in mothers of term infants. In the NICU setting, Listening Visits were first implemented in a phase-1 feasibility trial conducted by PI Segre and her team. In that first trial, Listening Visits were delivered by a doctoral level nurse practitioner and showed promise as means to reduce distress in NICU mothers. A Listening Visit program for emotionally distressed NICU mothers is innovative because it is a cost-effective approach that uses resources that are largely in place, to serve a persistent unmet need in a vulnerable postpartum population. By having nurses provides support, the concept of emotional distress in NICU mothers is normalized. This new application of Listening Visits also directly aligns with the NINR emphasis on promoting coping to prevent compromising mood states. The promising results of the feasibility trial now must be challenged with a control group comparison to definitively attribute maternal improvements to Listening Visits. Thus the objective of the proposed research is to conduct a Phase 2 pilot RCT to evaluate Listening Visits provided by bachelor's-level NICU nurses as compared with the care currently provided by the NICU social work team. In three specific aims we will assess the relative effectiveness of Listening Visits on depression symptoms, perception of nurse support, and infant's length of stay. 0

项目总结/文摘

项目成果

期刊论文数量（2）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

A Randomized Controlled Trial of Listening Visits for Mothers of Hospitalized Newborns.

对住院新生儿母亲进行倾听访问的随机对照试验。

DOI：
10.1097/nnr.0000000000000650
发表时间：
2023
期刊：
Nursing research
影响因子：
2.5
作者：
Segre,LisaS;McCabe,JenniferE;Davila,RebeccaChuffo;Carter,Cheryl;O'Hara,MichaelW;Arndt,Stephan
通讯作者：
Arndt,Stephan

Race/ethnicity matching boosts enrollment of black participants in clinical trials.

种族/族裔匹配提高了临床试验中黑人参与者的入学率。