Clinical trial NCT06525142: The Effectiveness of Audiovisual Intervention
Official title: The Effectiveness of Audiovisual Intervention on the Parent-Child Bonding, Parental Role Perception, and Well-Being in Fathers of Premature Infants
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Parent-Child Relations
Premature; Infant, Light-for-dates
Premature Infant Disease
Keywords: Parent-Child Bonding,Parental Role Perception,Well-Being
Lead sponsor: Chang Gung Memorial Hospital
Sponsor class: OTHER
First posted: 2024-07-29
Enrollment: 99
Sex: MALE
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The investigators will compare the pre- and post-test methods bwtween the experimental groups and the control group. The fathers of enrolled preterm infants will fill in the structured questionnaires at the time before the intervention (Baseline data) and one month later after the intervention.
Primary purpose: PREVENTION

Brief summary: The objective of this clinical study is to understand the current status of parent-child bond, parenting role perception and well-being of fathers of preterm infants, and to explore the effect of audio-visual interventions on parent-child bonding, parenting role perception and well-being of fathers of preterm infants. The main questions it aims to answer are:

* After intervention, whether the parent-child connection between fathers and preterm infants in the audio-visual group is higher than that in the audio-visual group and the control group
* After the intervention, whether the father's perception of parenting role in the audio-visual group is higher than that of the vocal group and the control group
* After intervention, whether the father's happiness in the audio-visual group is higher than that in the audio-visual group and the control group The investigators will compare the pre- and post-test methods bwtween the experimental groups and the control group. The fathers of enrolled preterm infants will fill in the structured questionnaires at the time before the intervention (Baseline data) and one month later after the intervention.

Detailed description: This study is a randomized controlled trial, which will compare the pre- and post-test methods between the experimental groups (2 groups) and the control group in an attempt to explore the effect of audio-visual intervention on the parent-child bond, parent-role perception and well-being of fathers of preterm infants.

The total number of participants is estimated as 99. All fathers of preterm infants will complete three questionnaires at the time of 1-3 days , one week, and one month of age of their preterm babies). It will take about 10-20 minutes for questionnaire survey each time. Study participants were randomly assigned to the following three groups (33 in each group):

【Group 1】During the first three days, the researchers will provide a storybook to the father of the premature infant, and the researchers assist in recording the father's voice of the storybook in the form of MP4 recording. At the fourth day, one hour after the baby feeding, the father's voice will be played by the player to the baby, for 2 consecutive days, 2 times/day, 10 minutes/time. The baby's heartbeat, breathing and blood oxygen changes will be recorded and monitored with a physiological monitor. The recording files will be kept by the researcher.

【Group 2】 The intervention will be the same with Group 1 except the following intervention: on the 4th-6th day of the baby's birth, sleeping in the incubator, the baby's reaction behavior will be taken with a mobile phone, 1 time/day, 5 minutes/time, for 3 consecutive days, the image feedback is delivered to the father in person.

【Group 3】This group is a control group. The fathers and preterm infants will not receive interventions conducted in group 1 and 2.

Eligibility criteria: Inclusion Criteria:

* father age \> 20
* premature infant born at 29-36 weeks

Exclusion Criteria:

* infant failing the hearing examination
* father and mother are not married

Primary outcomes:
measure: Postpartum Bonding Questionnaire
timeFrame: one month
measure: Paternal Role Significance Questionnaire
timeFrame: one month
measure: Satisfaction With Life Scale
timeFrame: one month
measure: Positive and Negative Affect Schedule (PANAS)
timeFrame: one month
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: Chang Gung University
name: Hsing-Yi Yu,
role: PRINCIPAL_INVESTIGATOR
References:
citation: Provenzi L, Broso S, Montirosso R. Do mothers sound good? A systematic review of the effects of maternal voice exposure on preterm infants' development. Neurosci Biobehav Rev. 2018 May;88:42-50. doi: 10.1016/j.neubiorev.2018.03.009. Epub 2018 Mar 10.
citation: Rossen L, Hutchinson D, Wilson J, Burns L, A Olsson C, Allsop S, J Elliott E, Jacobs S, Macdonald JA, Mattick RP. Predictors of postnatal mother-infant bonding: the role of antenatal bonding, maternal substance use and mental health. Arch Womens Ment Health. 2016 Aug;19(4):609-22. doi: 10.1007/s00737-016-0602-z. Epub 2016 Feb 11.
citation: Rowe HJ, Wynter KH, Steele A, Fisher JR, Quinlivan JA. The growth of maternal-fetal emotional attachment in pregnant adolescents: a prospective cohort study. J Pediatr Adolesc Gynecol. 2013 Dec;26(6):327-33. doi: 10.1016/j.jpag.2013.06.009. Epub 2013 Sep 26.
citation: Sajjadian N, Mohammadzadeh M, Alizadeh Taheri P, Shariat M. Positive effects of low intensity recorded maternal voice on physiologic reactions in premature infants. Infant Behav Dev. 2017 Feb;46:59-66. doi: 10.1016/j.infbeh.2016.11.009. Epub 2016 Nov 30.
citation: Makela H, Axelin A, Feeley N, Niela-Vilen H. Clinging to closeness: The parental view on developing a close bond with their infants in a NICU. Midwifery. 2018 Jul;62:183-188. doi: 10.1016/j.midw.2018.04.003. Epub 2018 Apr 11.