Effect of a brief supportive and educational intervention on the psychological well-being of mothers with babies in neonatal wards of a Tertiary Hospital in Ibadan, Nigeria
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Published online version
Author(s)
Oyekunle, Olufemi
Bella-Awusah, Tolulope
Ayede, Adejumoke
Omigbodun, Olayinka
Ani, Cornelius
Type
Journal Article
Abstract
OBJECTIVE:
To assess the effect of a supportive educational intervention on the psychological wellbeing of mothers whose babies were admitted to Neonatal Care Unit (NCU) in Nigeria.
METHODS:
Controlled trial involving 41 mothers whose babies were consecutively admitted into two NCUs (21 in the intervention group and 19 controls). The intervention group received two group-based sessions which included psychological coping strategies, and familiarity with NCU environment, equipment, personnel and procedures. The control group received usual care. Outcome measures were depressive symptoms (Edinburg Postnatal Depression Scale—EPDS), stress-related to NCU (Parental Stressor Scale: Neonatal Intensive Care Unit—PSS: NICU) and post-traumatic symptoms (Impact Event Scale-Revised—IES-R).
RESULTS:
Difference-in-Differences (DiD) analysis showed a difference of −4.70 in PSS: NICU score in favour of the intervention group which was statistically significant [F(3, 75) = 9.47, p < 0.0001, R2 = 0.28]. The differences in EPDS (0.91) and IES-R (2.55) were not statistically significant [F(3, 75) = 10.10, p = 0.74] and [F(3, 75) = 10.13, p = 0.73], respectively. All the mothers in the treatment group expressed satisfaction with the intervention.
CONCLUSION:
This brief group-based supportive educational intervention for mothers with babies in NCU was feasible, acceptable and helpful in reducing stress related to NCU. Larger controlled trials are recommended to establish the generalizability of these findings in this region.
To assess the effect of a supportive educational intervention on the psychological wellbeing of mothers whose babies were admitted to Neonatal Care Unit (NCU) in Nigeria.
METHODS:
Controlled trial involving 41 mothers whose babies were consecutively admitted into two NCUs (21 in the intervention group and 19 controls). The intervention group received two group-based sessions which included psychological coping strategies, and familiarity with NCU environment, equipment, personnel and procedures. The control group received usual care. Outcome measures were depressive symptoms (Edinburg Postnatal Depression Scale—EPDS), stress-related to NCU (Parental Stressor Scale: Neonatal Intensive Care Unit—PSS: NICU) and post-traumatic symptoms (Impact Event Scale-Revised—IES-R).
RESULTS:
Difference-in-Differences (DiD) analysis showed a difference of −4.70 in PSS: NICU score in favour of the intervention group which was statistically significant [F(3, 75) = 9.47, p < 0.0001, R2 = 0.28]. The differences in EPDS (0.91) and IES-R (2.55) were not statistically significant [F(3, 75) = 10.10, p = 0.74] and [F(3, 75) = 10.13, p = 0.73], respectively. All the mothers in the treatment group expressed satisfaction with the intervention.
CONCLUSION:
This brief group-based supportive educational intervention for mothers with babies in NCU was feasible, acceptable and helpful in reducing stress related to NCU. Larger controlled trials are recommended to establish the generalizability of these findings in this region.
Date Issued
2021-05-20
Date Acceptance
2021-04-28
Citation
Journal of Tropical Pediatrics, 2021, 67 (2)
ISSN
0142-6338
Publisher
Oxford University Press
Journal / Book Title
Journal of Tropical Pediatrics
Volume
67
Issue
2
Copyright Statement
© The Author(s) [2021]. Published by Oxford University Press.This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not alteredor transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
Subjects
Science & Technology
Life Sciences & Biomedicine
Pediatrics
Tropical Medicine
neonatal intensive care unit (NCU)
post-natal depression
parental stress
educational intervention
supportive counselling
CARE
FAMILY
SCALE
educational intervention
neonatal intensive care unit (NCU)
parental stress
post-natal depression
supportive counselling
Pediatrics
1114 Paediatrics and Reproductive Medicine
Publication Status
Published
Article Number
ARTN fmab038
Date Publish Online
2021-05-20