Acceptability and feasibility of collecting psychosocial data from fathers of very low birth weight infants

Bagge, Sophie; Westgate, Briony; Few, Karen; Clarke, Paul; Adlam, Anna; Walsh, Judi; O′Brien, Margaret

doi:10.1177/1367493517715147

Cited by 5 publications

(14 citation statements)

References 23 publications

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“…Parent perspectives were reported in eight studies (34,49,(78)(79)(80)(81)(82)(83); nine reported health professional perspectives (84)(85)(86)(87)(88)(89)(90)(91)(92); none included both. A further three feasibility and implementation studies reported behavioral indicators (e.g., completion rates) without collecting participants' perspectives (93)(94)(95).…”

Section: Overview Of Included Acceptability Studiesmentioning

confidence: 99%

Assessing the Mental Health of Fathers, Other Co-parents, and Partners in the Perinatal Period: Mixed Methods Evidence Synthesis

et al. 2021

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Introduction: Five to 10 percentage of fathers experience perinatal depression and 5–15% experience perinatal anxiety, with rates increasing when mothers are also experiencing perinatal mental health disorders. Perinatal mental illness in either parent contributes to adverse child and family outcomes. While there are increasing calls to assess the mental health of both parents, universal services (e.g., maternity) and specialist perinatal mental health services usually focus on the mother (i.e., the gestational parent). The aim of this review was to identify and synthesize evidence on the performance of mental health screening tools and the acceptability of mental health assessment, specifically in relation to fathers, other co-parents and partners in the perinatal period.Methods: A systematic search was conducted using electronic databases (MEDLINE, PsycINFO, Maternity, and Infant Care Database and CINAHL). Articles were eligible if they included expectant or new partners, regardless of the partner's gender or relationship status. Accuracy was determined by comparison of screening tool with diagnostic interview. Acceptability was predominantly assessed through parents' and health professionals' perspectives. Narrative synthesis was applied to all elements of the review, with thematic analysis applied to the acceptability studies.Results: Seven accuracy studies and 20 acceptability studies were included. The review identified that existing evidence focuses on resident fathers and assessing depression in universal settings. All accuracy studies assessed the Edinburgh Postnatal Depression Scale but with highly varied results. Evidence on acceptability in practice is limited to postnatal settings. Amongst both fathers and health professionals, views on assessment are mixed. Identified challenges were categorized at the individual-, practitioner- and service-level. These include: gendered perspectives on mental health; the potential to compromise support offered to mothers; practitioners' knowledge, skills, and confidence; service culture and remit; time pressures; opportunity for contact; and the need for tools, training, supervision and onward referral routes.Conclusion: There is a paucity of published evidence on assessing the mental health of fathers, co-mothers, step-parents and other partners in the perinatal period. Whilst practitioners need to be responsive to mental health needs, further research is needed with stakeholders in a range of practice settings, with attention to ethical and practical considerations, to inform the implementation of evidence-based assessment.

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Section: Overview Of Included Acceptability Studiesmentioning

confidence: 99%

Assessing the Mental Health of Fathers, Other Co-parents, and Partners in the Perinatal Period: Mixed Methods Evidence Synthesis

et al. 2021

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“…Being able to express experience using metaphors can help both parents and those who care for them to make sense of this experience, enabling a poignant and evocative way to communicate. This is vital, given the evidence on the emotional turmoil experienced by parents and the challenges in relation coping with the stress and uncertainty of having a sick, premature baby (Spinelli et al, 2016; Turner et al, 2014) when emotional support can sometimes be perceived to be lacking (Bagge et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Using parent metaphors for learning about the neonatal care experience: An interpretive perspective

Petty

Jarvis

2019

J Child Health Care

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This study focuses on how metaphors are used by parents who have had a premature baby, to describe their neonatal care experience and how these can contribute to empathic learning of health professionals. In health, metaphors are commonly used to communicate and explain difficult topics. When patients tell their story, metaphor can be a means of expression from which we can learn about their experience of illness or hospitalisation. Limited research exits on how metaphor can improve our understanding of parent's emotional experience in neonatal care and subsequently inform education in this field. Employing narrative inquiry within an interpretive, constructivist paradigm, twenty narrative interviews with twenty-three parents of premature babies were analyzed using a process of metaphor identification. Findings revealed common metaphors used to describe experience. Metaphor clusters used by parents in order of frequency were: journeying, altered reality, darkness, breaking, connections, fighting, salvation and being on the edge. Parents widely used compelling and emotive metaphors to describe and express both difficult and challenging times as well as progression forward. Metaphors serve as a powerful way for health professionals to learn about the emotional experiences of parents and potentially enhance their empathic understanding. : 631-634. Appleton L and Flynn M (2014) Searching for the new normal: Exploring the role of language and metaphors in becoming a cancer survivor. European Journal of Oncology Nursing 18(4): 378-384. Bagge SR, Westgate B, Few K, Clarke P, Adlam A, Walsh J and O'Brien M (2017) Acceptability and feasibility of collecting psychosocial data from fathers of very low birth weight infants. Journal of Child Health Care 21(3), 283-291. Banerjee J, Aloysius A, Platonos K et al (2018) Innovations: Supporting family integrated care. Journal of Neonatal Nursing 24(1): 48-54.Beck CT (2016) Posttraumatic stress disorder after birth: A metaphor analysis.

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“…A recent qualitative study of fathers who experienced a traumatic birth and met some PTSD criteria suggested that the subjective nature of the perception of the birth was crucial and this may have implications for the development of PTSD symptomology (Etheridge & Slade, 2017). Recent work has shown that it is feasible and acceptable to fathers to administer multiple research questionnaires when investigating this area (Bagge, Westgate, Few, Clarke, & Adlam, 2017). The use of mixed methods designs could help to unravel the highlighted complexities with regards to the degree to which PTSS is related to the Page 17 of 28 experience of the preterm birth relative to the protracted NICU hospitalisation.…”

Section: Future Researchmentioning

confidence: 99%

PTSS in fathers of VLBW infants two to four years postpartum: A pilot study.

Alexander

Clarke

Rushworth

et al. 2020

Clinical Practice in Pediatric Psychology

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Aim:To conduct a pilot study to compare fathers of very low birth weight (VLBW; <1500grams) infants and of term infants at two to four years postpartum for self-reported post-traumatic stress symptoms (PTSS) related to the previous birth of their baby, and for depression, and anxiety. The prevalence of paternal PTSS was compared with that of a historical cohort of mothers of VLBW infants followed up at a similar postnatal age.Methods: 26 fathers of VLBW infants and 22 fathers of term infants completed four validated psychological questionnaires at two to four years postpartum. Results: PTSS levels were significantly higher in fathers of VLBW infants than in fathers of term infants, and PTSS levels did not differ significantly between fathers and the mothers of VLBW infants of an historical cohort. There was a significant association between perceived levels of social support and PTSS severity in fathers of VLBW infants, but not for their anxiety or depression severity. Conclusion: PTSS directly related to the birth of their VLBW infants are present in fathers at two to four years postpartum and occur at similar levels to those found in mothers of VLBW infants. Routine screening for PTSS in fathers of VLBW infants is important and targeted psychological support should be offered. Larger scale studies in the area are needed to elucidate further information about PTSS in fathers postpartum.

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Acceptability and feasibility of collecting psychosocial data from fathers of very low birth weight infants

Cited by 5 publications

References 23 publications

Assessing the Mental Health of Fathers, Other Co-parents, and Partners in the Perinatal Period: Mixed Methods Evidence Synthesis

Assessing the Mental Health of Fathers, Other Co-parents, and Partners in the Perinatal Period: Mixed Methods Evidence Synthesis

Using parent metaphors for learning about the neonatal care experience: An interpretive perspective

PTSS in fathers of VLBW infants two to four years postpartum: A pilot study.

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