Sunday, November 2, 2003

This presentation is part of : Infant Care: Models and Innovations

Development of a Home-Based Parenting Intervention Program for Low Birth-Weight Infants

Kyung Ja Han, RN, PhD, College of Nursing, College of Nursing, Seoul National University, Seoul, South Korea
Learning Objective #1: Develop home-based parenting program for the healthy development of low birth weight infants
Learning Objective #2: Evaluate the parenting program for the healthy development of low birth weight infants

Development of a home-based parenting intervention program for low-birth-weight infants£ª Purpose: The purpose of this study was to develop parenting intervention program and determine the effects of the program for low-birth weight infants and their mothers. Study design: Quasi-experimental design conducted for this study. Nine dyads for experimental group and twelve dyads for control group discharged from neonatal intensive care unit of university hospital in Seoul were recruited for the study. For the intervention group, programmed education and support including NNNS demonstration which is focused on maternal sensitivity on infant's behavior, rearing environment, mother-infant interaction and infant care were given to subject. Results: 1) On the Beck depression inventory, mothers of intervention group were shown a decreasing trends in depressive symptom vs mothers of control group although there were statistically no significant difference between two groups at each time. 2) There were statistically no significant differences in maternal self esteem and infant care burden between two groups at each time. 3) There was significant difference between two groups in HOME at 3 month of corrected age. 4) Intervention group were shown significantly high quality of mother-infant interaction compared with it in control group. 5) There was no statistical difference in general infants' developmental quotient between two groups. Conclusion: The intervention program of this study was very effective on enhancing the parenting for the mothers of low-birth weight infants, resulting in health promotion of low-birth weight infants. NNNS demonstration appeared to be very efficient intervention for the mothers improving quality of mother-infant interaction as well as assessing the infant behavior. The home based parenting intervention program of this study will be highly contributed to the child heath care delivery system in Korea where there is lack of continuous follow-up program for low-birth weight infants after discharge from NICU.

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