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. 2020 May 26:6:77.
doi: 10.1186/s40814-020-00601-5. eCollection 2020.

A guided participation nursing intervention to theraupeutic positioning and care (GP_Posit) for mothers of preterm infants: protocol of a pilot randomized controlled trial

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A guided participation nursing intervention to theraupeutic positioning and care (GP_Posit) for mothers of preterm infants: protocol of a pilot randomized controlled trial

Andréane Lavallée et al. Pilot Feasibility Stud. .

Abstract

Background: In the NICU, interventions intended to enhance maternal sensitivity are indicated in order to optimize preterm infant development and long-term mother-infant attachment. A novel nursing intervention was developed following a theory-oriented methodology and is based upon the guided participation theory for mothers to participate in their preterm infant's therapeutic POSITioning and care (GP_Posit). The primary objective of this study is to evaluate the feasibility and acceptability of (i) the study design; and (ii) the experimental GP_Posit nursing intervention during NICU hospitalization. The secondary objective is to estimate the preliminary effects of GP_Posit on maternal and preterm infant outcomes.

Methods: A pilot parallel-group randomized clinical trial (RCT) was designed where mother-preterm infant dyads are being recruited and randomized to a control group (usual care) or experimental group (GP_Posit intervention). Data collection includes feasibility and acceptability data as well as preliminary effects on maternal sensitivity and infant neurodevelopment. Ethical approval from the University Hospital ethical board was obtained in January 2018 (2017-1540).

Discussion: Data collection for this pilot study is expected to end in 2020. Results of this pilot study will inform about the feasibility and acceptability of the study design and GP_Posit intervention, a nursing intervention having the potential to favor maternal sensitivity and infant neurodevelopment in the NICU and guide the elaboration of a large-scale RCT.

Trial registration: clinicaltrial.gov, NCT03677752. Registered 19 September 2018.

Keywords: Guided participation; Maternal sensitivity; Neonatal intensive care unit; Neurodevelopment; Preterm.

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Conflict of interest statement

Competing interestsThe authors declare that they have no competing interests.

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References

    1. DeMaster D, Bick J, Johnson U, Montroy JJ, Landry S, Duncan AF. Nurturing the preterm infant brain: leveraging neuroplasticity to improve neurobehavioral outcomes. Pediatr Res. 2019;85:166–175. - PubMed
    1. Deans Carolyn L. Maternal sensitivity, its relationship with child outcomes, and interventions that address it: a systematic literature review. Early Child Development and Care. 2018;190(2):252–275.
    1. Ruiz N, Piskernik B, Witting A, Fuiko R, Ahnert L. Parent-child attachment in children born preterm and at term: A multigroup analysis. PLoS One. 2018;13(8):e0202972. - PMC - PubMed
    1. Kok R, Thijssen S, Bakermans-Kranenburg MJ, Jaddoe VW, Verhulst FC, White T, et al. Normal variation in early parental sensitivity predicts child structural brain development. J Am Acad Child Adolesc Psychiatry. 2015;54(10):824–831. - PubMed
    1. Treyvaud K, Anderson VA, Howard K, Bear M, Hunt RW, Doyle LW, et al. Parenting behavior is associated with the early neurobehavioral development of very preterm children. Pediatrics. 2009;123(2):555–561. - PubMed

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