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Cited by 192Infant Development and Preterm CareInfant Health and DevelopmentFamily and Disability Support Research

Family-Based Intervention to Enhance Infant–Parent Relationships in the Neonatal Intensive Care Unit

Browne, Joy V., Talmi, Ayelet·2005·Journal of Pediatric Psychology
DOI 10.1093/jpepsy/jsi053
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Abstract

OBJECTIVE: To examine how family-based interventions in the neonatal intensive care unit (NICU) may change parental knowledge and behaviors and decrease stress. METHODS: Eighty-four high-risk mother-infant dyads were randomly assigned to two intervention and one control groups. Group 1 (n = 28) participated in a demonstration of infant reflexes, attention, motor skills, and sleep-wake states. Group 2 (n = 31) viewed educational materials. Group 3 (n = 25), controls, participated in an informal discussion. Parent-infant interactions (Nursing Child Assessment Feeding Scale) were videotaped. Mothers completed measures of stress (Parenting Stress Index) and knowledge of infant cues (Knowledge of Preterm Infant Behavior Scale). RESULTS: Mothers in both intervention groups evidenced greater knowledge and more contingent and sensitive interactions with their infants than did the control group. Stress also differed across groups, and all mothers reported scores above norms. CONCLUSIONS: In a high-risk sample, short-term, family-based NICU interventions may enhance mothers' knowledge, sensitivity, contingency, and stress.

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  • The PSI-4-SF is a reliable and valid self-report measure of parenting stress (36 items, Cronbach's alpha=0.91; high test-retest correlation coefficients supporting stability over time and ability to detect change in stress).

    “The primary outcome is parenting stress measured by the self-reported PSI-4-SF (36 items, Cronbach’s alpha=0.91).69–74”

    From Coached, Coordinated, Enhanced Neonatal Transition (CCENT): Protocol for a multicentre pragmatic randomised controlled trial of transition-to-home support for parents of high-risk infants (2021) · cites this paper as [72]

    The Parenting Stress Index section (p. 4) says the PSI evaluates child-rearing stress and is valid and reliable as a research instrument. The paper does not identify the instrument as the PSI-4-SF or support the attributed 36-item count, Cronbach’s alpha of 0.91, or test–retest claims. (LLM, conf=0.88)

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Research works printed but not linked: 8

  1. Abidin, R. R. (1986). Parenting stress index. Charlottesville, VA: Pediatric Psychology Press.
  2. Als, H. (1982). Toward a synactive theory of development: Promise for the assessment and support of infant individuality. Infant Mental Health Journal, 3(4), 229-243.
  3. Als, H. A. (1983). Infant individuality: Assessing patterns of very early development. In R. L. Tyson (Ed.), Frontiers of infant psychiatry (pp. 363-378). New York: Basic Books.
  4. Barnard, K. E. (1994). What the feeding scale measures. In G. A. Sumner & A. Spietz (Eds.), NCAST: Caregiver/ parent-child interaction manual (pp. 103-126). Seattle, Washington: NCAST Publications.
  5. Barnard, K. E., & Sumner, G. A. (2002). Promoting awareness of the infant's behavioral patterns: Elements of anticipatory guidance for parents. In J. Gomes-Pedro, J. K. Nugent, J. G. Young, & T. B. Brazelton (Eds.), The infant and family in the twenty-first century (pp. 139-157). New York: Brunner-Routledge.
  6. Cardone, I. A., & Gilkerson, L. (1990). Family adminis- tered neonatal activities: An exploratory method for the integration of parental perceptions and newborn behavior. Infant Mental Health Journal, 11(2), 127-141.
  7. Heinicke, C., Beckwith, L., & Thompson, A. (1988). Early intervention in the family system: A frame- work and review. Infant Mental Health Journal, 9(3), 111-141.
  8. Parker-Lowen, D. L., & Lytton, H. (1987). Effects of short-term interaction coaching with mothers of preterm infants. Infant Mental Health Journal, 8(3), 277-286.

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Authors
Browne, J. V., & Talmi, A.
Affiliations
  • University of Colorado Denver (US)
  • University of Colorado Health (US)
Corresponding author
Browne, Joy V.
ORCID
Venue
Journal of Pediatric Psychology
Publisher
Oxford University Press (OUP)
Published
2005-03-03
Volume
30
Issue
8
Pages
667-677
ISSN
  • 0146-8693 (ISSN-L)
  • 1465-735X
DOI
10.1093/jpepsy/jsi053
OpenAlex
W2117879256
Cited by
192
References
57
Citations by year
2026: 1 · 2025: 3 · 2024: 10 · 2023: 9 · 2022: 10 · 2021: 9 · 2020: 18 · 2019: 15 · 2018: 6 · 2017: 9 · 2016: 12 · 2015: 11 · 2014: 15 · 2013: 10 · 2012: 13
FWCI
3.18
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Pediatric Psychology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Health Sciences › Health Professions › Pharmacy › Infant Health and Development
  • Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
Keywords
family intervention, parent-infant relationship, neonatal intensive care unit, preterm infants, maternal stress, parenting knowledge, parent-infant interaction, infant cues, maternal sensitivity, infant reflexes, teaching materials
MeSH terms
Adolescent, Adult, Developmental Disabilities, Female, Health Education, Humans, Infant, Newborn, Infant, Premature, Intensive Care Units, Neonatal, Health Knowledge, Attitudes, Practice, Mother-Child Relations, Mothers, Oklahoma, Poverty, Stress, Psychological, Multivariate Analysis, Parenting, Infant Behavior

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