Winter Leanne, Sanders Matthew R, N Boyd Roslyn, Pritchard Margo, Gray Peter H, Whittingham Koa, Forrest Kylee, Webb Lachlan, Marquart Louise, Colditz Paul B
University of Queensland.
University of Queensland, Mater Mothers' Hospital, and Australian Catholic University, Brisbane, Australia.
Infant Ment Health J. 2018 Nov;39(6):699-706. doi: 10.1002/imhj.21749. Epub 2018 Oct 19.
Preventive parenting interventions can experience challenges in maximizing dosage, or the amount of intervention received by parents. This study examined the associations of baseline mother, father, and very preterm infant (VPT; <32 weeks) characteristics with satisfactory intervention attendance of the family within a randomized controlled trial of Baby Triple P for Preterm Infants (Colditz et al., 2015). Mothers (n = 160) and fathers (n = 115) completed questionnaires prior to the randomization of family units (n = 160) to receive the intervention. Satisfactory session attendance (seven or eight sessions of eight in total) was achieved by 114 families (71.25%). In the logistic model for mothers, satisfactory attendance of the family was more likely when infants were extremely low birth weight (ELBW), odds ratio (OR) = 2.81, 95% confidence interval (CI) [1.16, 6.80], when the mother had a university, OR = 11.38, 95% CI [4.03, 32.19], or trade-certificate-level education, OR = 4.97, 95% CI [1.93, 12.84], or when she was not under financial stress, OR = 3.53, 95% CI [1.34, 9.28]. A similar pattern of results was found in the model for fathers. Session attendance of preventive parenting interventions for VPT infants may be improved by increasing the engagement of parents with infants not born ELBW, who have lower education, or are experiencing financial stress.
预防性育儿干预措施在使剂量最大化(即父母接受的干预量)方面可能会面临挑战。本研究在一项针对早产儿的“积极育儿计划强化版”随机对照试验(科尔迪茨等人,2015年)中,考察了母亲、父亲及极早产儿(孕周<32周)的基线特征与家庭干预出席情况达标的关联。母亲(n = 160)和父亲(n = 115)在家庭单位(n = 160)随机分组接受干预之前完成了问卷调查。114个家庭(71.25%)的干预课程出席情况达标(总共八节课程中出席七节或八节)。在母亲的逻辑模型中,当婴儿为超低出生体重时,家庭出席情况达标的可能性更大,比值比(OR)= 2.81,95%置信区间(CI)[1.16, 6.80];当母亲拥有大学学历时,OR = 11.38,95% CI [4.03, 32.19];或拥有行业证书级别的学历时,OR = 4.97,95% CI [1.93, 12.84];或当她没有经济压力时,OR = 3.53,95% CI [1.34, 9.28]。在父亲的模型中也发现了类似的结果模式。对于孕周<32周的婴儿,可通过提高非超低出生体重、教育程度较低或有经济压力的父母对婴儿的参与度,来改善预防性育儿干预措施的课程出席情况。