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Cited by 117Infant Development and Preterm CareMaternal Mental Health During Pregnancy and PostpartumInfant Health and Development

Mother-infant interaction improves with a developmental intervention for mother-preterm infant dyads

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White-Traut, Rosemary, Norr, Kathleen F., Fabiyi, Camille, Rankin, Kristin M., Li, Zhyouing, Liu, Li·2013·Infant Behavior and Development
DOI 10.1016/j.infbeh.2013.07.004PMC PMC3858517
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Abstract

While premature infants have a high need for positive interactions, both infants and their mothers are challenged by the infant's biological immaturity. This randomized clinical trial of 198 premature infants born at 29-34 weeks gestation and their mothers examined the impact of the H-HOPE (Hospital to Home: Optimizing the Infant's Environment) intervention on mother-premature infant interaction patterns at 6-weeks corrected age (CA). Mothers had at least 2 social environmental risk factors such as minority status or less than high school education. Mother-infant dyads were randomly assigned to the H-HOPE intervention group or an attention control group. H-HOPE is an integrated intervention that included (1) twice-daily infant stimulation using the ATVV (auditory, tactile, visual, and vestibular-rocking stimulation) and (2) four maternal participatory guidance sessions plus two telephone calls by a nurse-community advocate team. Mother-infant interaction was assessed at 6-weeks CA using the Nursing Child Assessment Satellite Training-Feeding Scale (NCAST, 76 items) and the Dyadic Mutuality Code (DMC, 6-item contingency scale during a 5-min play session). NCAST and DMC scores for the Control and H-HOPE groups were compared using t-tests, chi-square tests and multivariable analysis. Compared with the Control group (n = 76), the H-HOPE group (n = 66) had higher overall NCAST scores and higher maternal Social-Emotional Growth Fostering Subscale scores. The H-HOPE group also had significantly higher scores for the overall infant subscale and the Infant Clarity of Cues Subscale (p < 0.05). H-HOPE dyads were also more likely to have high responsiveness during play as measured by the DMC (67.6% versus 58.1% of controls). After adjustment for significant maternal and infant characteristics, H-HOPE dyads had marginally higher scores during feeding on overall mother-infant interaction (β = 2.03, p = 0.06) and significantly higher scores on the infant subscale (β = 0.75, p = 0.05) when compared to controls. In the adjusted analysis, H-HOPE dyads had increased odds of high versus low mutual responsiveness during play (OR = 2.37, 95% CI = 0.97, 5.80). Intervening with both mother and infant is a promising approach to help premature infants achieve the social interaction patterns essential for optimal development.

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  • At 6 weeks corrected age, the H-HOPE intervention group demonstrated higher scores for mother-infant interaction, including maternal social-emotional growth fostering, infant clarity of cues, and responsiveness, compared with the control group.

    “In addition, at 6 weeks corrected age, compared with the control group, the H-HOPE intervention group demonstrated higher scores for mother-infant interaction, including maternal social-emotional growth fostering, as well as infant clarity of cues and responsiveness (White-Traut et al., 2013).”

    From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as White-Traut et al., 2013

  • At 6 weeks corrected age, compared with the control group, the H-HOPE intervention group demonstrated higher scores for mother-infant interaction, including maternal social-emotional growth fostering, as well as infant clarity of cues and responsiveness.

    “In addition, at 6 weeks corrected age, compared with the control group, the H-HOPE intervention group demonstrated higher scores for mother-infant interaction, including maternal social-emotional growth fostering, as well as infant clarity of cues and responsiveness (White-Traut et al., 2013).”

    From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as White-Traut et al., 2013

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Authors
White-Traut, R., Norr, K. F., Fabiyi, C., Rankin, K. M., Li, Z., & Liu, L.
Affiliations
University of Illinois Chicago (US)
ORCID
Venue
Infant Behavior and Development
Publisher
Elsevier BV
Published
2013-12
Volume
36
Issue
4
Pages
694-706
ISSN
0163-6383 (ISSN-L)
DOI
10.1016/j.infbeh.2013.07.004
PMC
PMC3858517
OpenAlex
W2072899157
Cited by
117
References
9
Citations by year
2026: 6 · 2025: 5 · 2024: 7 · 2023: 11 · 2022: 17 · 2021: 14 · 2020: 9 · 2019: 5 · 2018: 11 · 2017: 10 · 2016: 11 · 2015: 9 · 2014: 2
FWCI
6.85
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Infant Behavior and Development (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Child Health and Human Development
  • National Institute of Nursing Research (1 R01 HD050738-01A2)
  • Harris Foundation
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Health Professions › Pharmacy › Infant Health and Development
Keywords
mother-infant interaction, preterm infants, developmental intervention, infant stimulation, maternal guidance, mutual responsiveness, infant feeding, social risk factors, low-income mothers, hospital-to-home transition
MeSH terms
Adult, Cues, Emotions, Family, Female, Humans, Infant, Infant, Newborn, Infant, Premature, Male, Mother-Child Relations, Mothers, Social Environment, Touch

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