Activity based group therapy reduces maternal anxiety in the Neonatal Intensive Care Unit - a prospective cohort study

John, Hima B; Philip, Rima Mary; Santhanam, Sridhar; Padankatti, Sanjeev M.; Sebastian, Tunny; Balan, Indira; Rajapandian, Earnest

doi:10.1016/j.earlhumdev.2018.07.001

Cited by 10 publications

(23 citation statements)

References 28 publications

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“…For example, one relaxation study demonstrated effectiveness 53 , but the other did not 54 , which may be due to the variation in intensity. Some studies also demonstrated that while there was a positive effect at the end of the intervention, this was not always maintained at follow-up 39,57 . Intervention administration also differed, as for example, CBT sessions were provided at different times, different intensity and different modalities (group or one to one).…”

Section: Discussionmentioning

confidence: 99%

Types, Evidence, and Resources of Interventions Focused on Improving the Psychosocial Well-being of Parents of Premature/Sick Infants

Thomson

Feeley

2021

Advances in Neonatal Care

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Background: Parents of infants born premature and/or sick and who require neonatal care are at risk of poor mental health. Currently there is no comprehensive knowledge about interventions (i.e. types, evidence, resources) that have been exclusively designed to improve the psychosocial wellbeing of this population group. Purpose: To undertake a systematic scoping review of interventions focused on improving the psychosocial wellbeing of parents of sick/premature infants who required neonatal care to identify the: a) types of interventions, b) evidence of the interventions; and c) level of resources required to deliver the interventions. Search strategy: Following an initial pilot search, we searched seven databases (Medline, CINAHL, PsychInfo, Cochrane, Embase, Web of Science and Global Index), reviewed references and followed up key authors. Results: From 10516 hits, 38 papers met the inclusion criteria (36 different studies/interventions). Studies were categorised into creative oriented (11), group or peer support (4), relaxation or mindfulness (3), spiritual/religious (4), psychotherapeutic-based (11), and 'other' (3) (e.g. sleep, acupuncture). Most interventions had been undertaken in high-income settings with mothers and required varying levels of resources both within and between the different intervention types. While some interventions were effective, there was high heterogeneity with similar interventions using different designs, protocols and outcomes. Most intervention types included studies that highlighted what parents valued, e.g. self-care, relaxation, social opportunities. Implications for research: Evidence highlights a wide range of potential interventions for 2 nursing and other specialist staff to consider and offers insights into potential mechanisms of effectiveness to underpin future intervention design.

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Section: Discussionmentioning

confidence: 99%

Types, Evidence, and Resources of Interventions Focused on Improving the Psychosocial Well-being of Parents of Premature/Sick Infants

Thomson

Feeley

2021

Advances in Neonatal Care

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“…Selected studies included seven randomized controlled trials (RCTs) (Dabas et al, 2019;Jouybari et al, 2018;Koochaki et al, 2017;Kucuk Alemdar et al, 2018;Petteys & Adoumie., 2018;Ribeiro et al, 2018;Welch et al, 2016) and seven quasi-experimental designs (Akbari et al, 2019;Gustafson et al, 2016;John et al, 2018;Kadivar et al, 2016;Mansson et al, 2019;Noergaard et al, 2018;Ong et al, 2018). One of the RCT studies was blinded (Jouybari et al, 2018).…”

Section: Methodsmentioning

confidence: 99%

“…The majority of studies were single centered, with the exception of Jouybari et al (2020) and Kadivar et al (2017). Six of the quasi-experimental studies utilized sequential pretest post-test designs (Akbari et al, 2019;Gustafson et al, 2016;John et al, 2018;Kadivar et al, 2017;Ong et al, 2018) and one a prospective longitudinal study design (Mansson et al, 2019). Five of the RCT studies utilized a pretest post-test design, with control and intervention arms occurring concurrently (Dabas et al, 2019;Jouybari et al, 2020;Koochaki et al, 2017;Kucuk Alemdar et al 2018;Petteys & Adoumie, 2018).…”

Section: Methodsmentioning

confidence: 99%

“…In total, 1,335 parent participants were involved in the identified studies. The majority of studies looked exclusively at mothers (Dabas et al, 2019;John et al, 2018;Jouybari et al, 2018;Kadivar et al, 2016;Koochaki et al, 2017;Kucuk Alemdar et al, 2018;Ong et al, 2018;Ribeiro et al, 2018;Welch et al, 2016). Two of the studies evaluated the effects on fathers only (Akbari et al, 2016;Noergaard et al, 2018), and five recruited both mothers and fathers as subjects (Gustafson et al, 2016;Mansson et al, 2019;Petteys & Adoumie, 2018).…”

Section: Subject Characteristicsmentioning

confidence: 99%

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Effectiveness of Current Interventions to Alleviate Parental Distress in the NICU: A Rapid Review

Shudra¹,

Papathanassoglou²,

Reichert³

2022

IJCC

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Background: The birth of a premature infant and admission to the NICU is often unexpected and traumatic for families, leading to increased distress and can negatively impact parental-infant attachment. Appropriate interventions can help to lessen the negative impact of a NICU admission on families, improving parental mental health, reducing distress, enhancing parent- infant relationships, and improving the long-term physical, cognitive, emotional, and social development of the infant. Aims: The purpose of this study is to examine and evaluate research evidence on the effectiveness of current interventions for improving parental distress in the NICU. Methods: A rapid review was conducted utilizing a protocol based on the Virginia Commonwealth University guidance. Keyword searches were conducted on CINAHL, MEDLINE, and PsychINFO, and studies were selected according to pre-defined eligibility criteria, published between January 2015 and January 2020. The literature search included primary studies of interventions with parental stress and/or anxiety reduction as outcomes. Results: A total of 14 articles were included, evaluating the effectiveness of 13 different interventions, including narrative writing, art therapy, structured nursing interventions, anxiety counselling, spiritual care, organizational change, music therapy, relaxation, and mindfulness techniques. With the Pexception of three, all the studies found significant results in the reduction of stress and/or anxiety levels of the subjects, with mothers having overall higher levels of stress indicated by higher stress scores on standardized measurement tools. Conclusion: There is a need for ongoing assessment of parental distress and integration of appropriate interventions within the NICU settings. In this review, both individualized and group interventions including narrative writing, art therapy, music therapy, spiritual care, activity-based group therapy, music therapy, audio-assisted relaxation techniques, mindfulness based neurodevelopmental care, cognitive behavioral based counselling, family nurture intervention and a structured nursing intervention were shown to be effective in reducing parental stress and/or anxiety in the NICU. The small scale of the studies included in this review impact generalizability to a broader audience and emphasizes the need for larger scope, multi-center studies at an international level to build on and broaden our level of knowledge on how to better support families and reduce parental distress in the NICU.

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“…Untimed birth of an infant or giving birth to an unhealthy one is a panic situation linked with parental anxiety and other psychological glitches. Admission of a neonate to the intensive care unit would be unexpected and nervous for their mothers [2]. Salah M et al [3] have found 50.8% of mothers of preterm and low birth weight infants admitted in the NICU in Gaza Strip of Palestine had severe to very severe symptoms of anxiety, 38.5% of mothers had severe to very severe symptoms of depression.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Mother Steered Essential Preemies Care Bundle on The Level of Anxiety Among Mothers of Preemies

Hemamalini

Jaya

Jayanthi³

2020

RPN

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Background:The birth of a baby prior to the expected date of its arrival to this world is associated with the emotions, feelings of anxiety, fear over danger, infrequent access and interaction with the infant during the period of hospitalization in the Neonatal Intensive Care Unit. Aim and objective:The objective of the study was to assess the effectiveness of a Mother Steered Essential Preemies Care Bundle on the level of anxiety among mothers of preemies. Methodology:A quantitative research approach with quasi-experimental study was adopted. Atotal of 240 mothers of preemies (120 each in the experimental and control group) participated in the study. Non-probability purposive sampling technique was used to select the subjects. Data was collected using Modified Perinatal Anxiety Screening Scale.Result: Comparison of the level of anxiety based on the statistics revealed that the 't' value for anxiety in the experimental group was 10.83. This has shown a very high statistical significance at p≤0.001. Conclusion:The Mother Steered Essential Preemies Care Bundle was effective in significantly reducing the anxiety of mothers of preemies.

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Activity based group therapy reduces maternal anxiety in the Neonatal Intensive Care Unit - a prospective cohort study

Cited by 10 publications

References 28 publications

Types, Evidence, and Resources of Interventions Focused on Improving the Psychosocial Well-being of Parents of Premature/Sick Infants

Types, Evidence, and Resources of Interventions Focused on Improving the Psychosocial Well-being of Parents of Premature/Sick Infants

Effectiveness of Current Interventions to Alleviate Parental Distress in the NICU: A Rapid Review

Effectiveness of Mother Steered Essential Preemies Care Bundle on The Level of Anxiety Among Mothers of Preemies

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