Section of Nursing, Department of Public Health, Aarhus University, Bartholins Allé 2, 8000, Aarhus C, Denmark.
BMC Public Health. 2018 Jul 4;18(1):832. doi: 10.1186/s12889-018-5747-4.
Support to strengthen the early parent-infant relationship is recommended to ensure the infant's future health and development. Little is known about the universal approaches taken by health visitor to support this early relationship. The aim of this study is to investigate the effects of health visitors' use of the Newborn Behavioral Observation (NBO) method among new parents.
This is a cluster-randomised community-based study implemented in four Danish municipalities. Health visitors will conduct the trial, and the geographical districts they work in will constitute the clusters as units of randomisation. The participants will be approximately 2800 new families, randomised into an intervention or a comparison group according to their health visitor. The families are recruited at the first postpartum home visit. Parents in both groups receive care as usual: parents in the intervention group also receive the standardised NBO method in home visits performed from 3 weeks to 3 months postpartum. Data consist of self-reported parent questionnaires and video recordings of a selected group of vulnerable first-time mothers recorded 4 months postpartum. The self-reported data are obtained: at baseline 1 week postpartum and then at follow-up 3, 9 and 18 months postpartum. Data will be analysed using the intention-to-treat method and the analyses will include comparison of change in the primary variables across time supplemented by multiple regression analysis. The primary study outcomes are measured by the following factors: parental confidence, infants' socio-emotional development and mother-infant relationship. Other measures include parental mood and stress, breastfeeding duration and utility of the health visitor services. Data collection among the health visitors in both groups will serve to monitor any change in practice regarding the work with early parent-infant interactions.
This protocol describes an evaluation of the NBO method used universally in health visiting practice. The intervention seeks to support early parenting by increasing parents' understanding of their infants' cues. The NBO is currently implemented in Denmark even though an evaluation of the NBO has yet to be made in a community setting in Denmark and internationally. The study may contribute to building an increasingly evidence-based practice for health visitors.
ClinicalTrials.gov ID: NCT03070652 . Registered February 22, 2017.
为确保婴儿未来的健康和发展，建议提供支持以加强早期母婴关系。但对于健康访视员支持这种早期关系所采取的普遍方法知之甚少。本研究旨在调查健康访视员在新父母中使用新生儿行为观察（NBO）方法的效果。
这是一项在丹麦四个市实施的基于社区的集群随机对照研究。健康访视员将进行试验，他们工作的地理区域将作为随机分组的单位。参与者将是大约 2800 个新家庭，根据他们的健康访视员随机分为干预组或对照组。家庭在产后第一次家访时招募。两组家庭都接受常规护理：干预组的父母还在产后 3 周到 3 个月期间的家访中接受标准化的 NBO 方法。数据包括自我报告的父母问卷和产后 4 个月记录的一组脆弱初产妇的视频记录。自我报告的数据在以下时间点获得：基线 1 周产后，然后在 3、9 和 18 个月产后进行随访。将使用意向治疗方法分析数据，分析包括比较主要变量随时间的变化，并补充多元回归分析。主要研究结果通过以下因素衡量：父母信心、婴儿的社会情感发展和母婴关系。其他措施包括父母的情绪和压力、母乳喂养持续时间以及健康访视员服务的实用性。两组健康访视员的数据收集将用于监测与早期母婴互动工作相关的任何实践变化。
本方案描述了对 NBO 方法在健康访视实践中普遍应用的评估。该干预旨在通过增加父母对婴儿暗示的理解来支持早期育儿。NBO 目前在丹麦实施，尽管尚未在丹麦和国际上的社区环境中对 NBO 进行评估。该研究可能有助于为健康访视员建立越来越多的循证实践。
ClinicalTrials.gov 标识符：NCT03070652。于 2017 年 2 月 22 日注册。
