Affective Bonding in Mothers and Their Premature Newborn

Study Overview
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Brief Summary
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This experimental study will determine the effectiveness of nursing intervention the attachment promotion to increase the affective bonds between mothers and their premature infants. The assignment of the mothers to the control group will receive usual care, the mothers will be assigned to intervention group will receive the intervention.

Detailed Description
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The premature newborn has a high need for positive interactions, which is a challenge for him, due to biological immaturity, and for his mother because of the level of stress that this situation generates. Behavioral and developmental interventions are needed to address the unique behaviors of preterm infants and the interactive capacities of the mother-newborn premature dyad. The project will be conducted in 18 months. The assignment of the mothers to each group will be like that: First at all, mother will be assignment to control group. They will received usual care when achieve the total of 74 mothers, the mothers will be assigned to intervention group.

Official Title
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Efficacy of a Nursing Intervention in the Mother-premature Infant Affective Bond

Conditions
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Premature Infant

Intervention / Treatment
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* Behavioral: Attachment Promotion


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Premature Infant: Neonates who had been hospitalized in the neonatal care unit, with ages ranging from 29 - 36.6/7 weeks gestation at birth. Apgar to the minute and five minutes greater to 7/10 Mother: Mother with nursing diagnosis: Risk of impaired attachment. Mother with a neonate who had hospitalized in the neonatal care unit, with ages ranging from 29 - 36.6/7 weeks of gestation at birth Mother living in the metropolitan perimeter of the city of Bucaramanga Exclusion Criteria: Newborn: Infants that underwent surgery Infants with neurological injury. Congenital cardiac abnormalities, severe deformities, grade III intraventricular hemorrhage. Mother: Mother with limitations: hearing, motor and / or mental handicap-measured through the Abbreviated Mental Test (minimental), that prevent the intervention. Mother consuming psychoactive substances. With mental alterations, verified in the medical history.

Ages Eligible for Study
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Minimum Age: 29 Weeks
Maximum Age: 36 Weeks

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Interventional Model Description: The assignment of the mothers to each group will be like that: First at all, mother will be assignment to control group. They will received usual care when achieve the total of 74 mothers, the mothers will be assigned to intervention group.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Attachment Promotion Intervention<br>Mothers will receive the intervention which includes an education session about newborn care, training in multisensory stimulation with the intervention ATVV and two domiciliary visits to follow up the mother and her premature infant. | Behavioral: Attachment Promotion<br>* Attachment Promotion consists of: Education session about newborn and mother care. Training in multisensory stimulation using the ATVV Intervention (auditory, tactile, visual and vestibular) Two domiciliary visits to follow up and to give education about newborn care and ATVV Intervention. Daily Phone follows up.<br>|
| No Intervention: Usual Care<br>Mothers will continue to receive usual which consist in education session about newborn care in home. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Affective bonding score | Changes in the mean score of the nursing outcome: affective bonding measure with the NOC(Nursing Outcomes Classification) | 1-6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Coping adaptation score | Changes in the mean score of the coping measure with the Coping adaptation Processing Scale Abbreviated (CAPS Abbreviated - Spanish) | 1-6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Premature Infant, Mother-Infant Interaction, Acoustic stimulation/methods, Touch, Visual Stimulation, Vestibule, Labyrinth/physiology