The Effect of Individualized Developmental Care Education

University of Yalova

Status: Enrolling

Conditions: Self Efficacy; Maternal; Premature; Attachment

Treatments: Behavioral: Individualized Developmental Care Education Group

Study type: Interventional

Funder types: Other

Identifiers

NCT06958471

Emel Avcin Indı. Deve. Care

Details and patient eligibility

About

This study aims to evaluate the effect of individualized developmental care education provided to mothers of premature infants on maternal self-efficacy and maternal-infant attachment. Premature birth can be a stressful and anxiety-inducing experience for mothers, which may negatively impact their self-confidence and ability to establish an emotional bond with their baby.

Structured and individualized developmental care education provided in the neonatal intensive care unit (NICU) enhances mothers' knowledge and promotes their active participation in the care process, thereby strengthening their maternal roles. Increased self-efficacy helps mothers to take a more active and conscious role in their infant's care, while stronger maternal attachment plays a critical role in the infant's emotional and neurodevelopmental health.

Therefore, the integration and dissemination of such supportive educational interventions within the healthcare system are essential steps that can positively influence both maternal and infant health outcomes.

Enrollment: 60 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• The mother must have a premature baby born between 22 and 32 weeks gestation, admitted to a level 3 NICU.
• The baby's stay in the level 3 NICU must be at least one month.
• The mother must not have any diagnosed psychiatric disorders.
• The baby must not have severe congenital anomalies incompatible with life.
• The mother must be literate and open to communication.
• The mother must be willing and volunteer to participate in the research.

Exclusion criteria

• The baby's stay in the NICU must be at least one month.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

Individualized Developmental Care Education Group

Experimental group

Description:

Before the mother is discharged from the hospital after delivery (within 24 hours for a vaginal birth and within 72 hours for a cesarean section), a brochure titled "Your Premature Baby" prepared by the researcher will be provided. The content of the "Infant Care and Nutrition" booklet to be given to mothers will include information on breastfeeding, infant care, home environment, screening tests, immunization, common problems, and other related topics. In the second and third weeks, individualized developmental care training tailored to the needs of the newborn will be provided. This training will cover topics such as environmental adjustments (light, noise, temperature), kangaroo care, infant massage, non-nutritive sucking, and parent-infant bonding. In the fourth week, the mothers' application of the training and their knowledge levels regarding premature infant care will be assessed.

Treatment:

Behavioral: Individualized Developmental Care Education Group

Control group

No Intervention group

Description:

During the hospitalization of the premature infant, routine nursing education provided in the clinic will be delivered to the mother by the unit nurse. These routine trainings and information sessions include the following: A brief information session of approximately 5 minutes, usually given to all mothers within the first 24 hours after birth, covering topics such as breast milk expression, breastfeeding positions, and the benefits of breast milk. Mothers selected for kangaroo care are given information regarding hand hygiene and personal cleanliness. On weekdays, between 1:00 p.m. and 2:00 p.m., the neonatologist provides information to parents about the general condition of their baby in the NICU. To prevent ethical concerns arising from the implementation of the study in terms of the control group, after the posttest is completed, the researcher will provide the control group families with the information they need.