Training Parenting Self-efficacy in Parents of Hospitalized Preterm Neonates

Study Overview
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Brief Summary
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In a hospital environment, initial parenting of a family with a preterm neonate will be very different than expected. This unusual and stressful situation may determine the self-confidence perceived by mothers and fathers in caring their baby and therefore could shape future interaction with him/her as well as neurodevelopmental and behavioral development of preterm infants. 24/7 neonatal units allow parents stay with their baby whenever they want but this free access nor guarantee neither encourage parenting self-efficacy if it isn't hand in hand with a specific training program for parents.

Detailed Description
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Longitudinal, prospective, analytic cohort study of parents of preterm newborns who will receive a specific training program for caring their preterm newborns during hospitalization. Families will be recruited during the first 10 days of hospitalization. The PMP S-E (Perceived Maternal Parenting Self- Efficacy) tool developed by Barnes and Adamson-Macedo, will be used to measure self-efficacy in providing infant care by mother or both mother and father. The training program will be developed at bed side by nurses and neonatologist covering theoretical and practical sessions during the first 25 days of hospitalization. Hypothesis principal: Parents of hospitalized preterm neonates will get better score after application of a specific training program (CAP-PREM). Secondary hypothesis: There is a correlation between the level of stress and anxiety in parents at admission and discharge and the results of PMP S-E score after the CAP-PREM program To assess those selected demographic variables that can predict a better result in PMP S-E score after the CAP-PREM program

Official Title
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Assessing Parenting Self-efficacy Before and After Applying a Specific Training Program for Parents (CAP-PREM: Preterm Capacitation) During Hospitalization of Preterm Neonates

Conditions
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Parenting, Preterm Infants, Training Support

Intervention / Treatment
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* Behavioral: Training program CAP-PREM


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Preterm infants between 25 and 32 weeks of gestation, parents stay at the unit for at least 8 hours/day during training program fluent Spanish. parents age > 18 years No clinical instability, invasive mechanical ventilation, intraventricular hemorrhage >II or necrotizing enterocolitis . no congenital malformation nor chromosomal abnormalities Exclusion criteria : No possibility of survival beyond the first week of life Admission less than 4 weeks No collaboration / lack of parental compliance wish of parents to leave the study

Ages Eligible for Study
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Minimum Age: 10 Days
Maximum Age: 15 Days

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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Parents of preterm newborns (25-32 weeks of gestation)<br>Parents (mother or mother+father) of preterm newborns admitted at the Gregorio Marañón Hospital from birth, recruited during the first 10 days of preterm newborn hospitalization and receiving the training program CAP-PREM | Behavioral: Training program CAP-PREM<br>* 1ºAfter recruitment parents will fill the PMP S-E tool and the psychological tests evaluating their stress and depression . 2º parents will receive the training program during 4 weeks. 3º: before hospital discharge parents will fill again the PMP S-E tool and the psychological test evaluating their depression and anxiety<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Perceive parental self-efficacy before and after CAP-PREM program | Training parents for caring their preterm newborn from the first days of hospitalization will give them the opportunity to be active parents and improve their perceive parenting | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Influence of parents' psychological state in acquiring self-efficacy | The emotional situation of parents during their preterm neonate hospitalization may interfere with their perceived parenting sel-efficacy | 4 weeks | 
| Explore which demographic data may predict the PMP S-E score | Gestational age, weeks of gestation,parity, first time of kangaroo care, | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Parenting Self-efficacy, Parent training program, Perceived self-efficacy tool