Chotrani Cheryl, Wilson Bonita, Famuyide Mobolaji, Mackowiak Benjamin, Weitkamp Joern-Hendrik
Pebbles of Hope, Herndon, USA.
University of Mississippi Medical Center, Jackson, USA.
Matern Health Neonatol Perinatol. 2025 Sep 1;11(1):26. doi: 10.1186/s40748-025-00222-x.
This pilot randomized trial study evaluated the effectiveness of the Pebbles of Hope Thrive Guide, an interactive educational course designed for parents of premature infants. The study assessed changes in breastfeeding practices, maternal nutrition, and use of Kangaroo Care among 50 mothers in total randomized to one of three groups: Supervised, Independent, or Control. The purpose of the study was to assess the provision of mother's breast milk, improved material nutrition behaviors, and adoption of Kangaroo Care among mothers that received access to the course compared to those that received standard education without Thrive Guide access. The primary outcome assessed was the provision of breast milk at three months post-intervention, while secondary outcomes included improvements in maternal confidence, changes in maternal nutrition behaviors, the adoption and frequency of providing Kangaroo Care, and the impact of educator supervision. Although the intervention improved mothers' confidence and knowledge, it did not significantly impact breast milk provision or maternal nutrition behaviors at 3 months. Breast milk provision declined across all groups, but the amount of decline was not statistically different between them. Similarly, no significant differences were observed in the number of nutritional improvements made between the two periods. However, Independent users exhibited a notable increase in Kangaroo Care frequency. Qualitative interviews highlighted the importance of ongoing support and addressing practical barriers to following nutritional guidelines. These findings suggest that further research is needed to explore the conditions that enhance long-term behavior change and to identify strategies that optimize the impact of educational interventions on caregiving practices.
这项试点随机试验研究评估了“希望之石茁壮成长指南”的有效性，这是一门为早产儿父母设计的互动式教育课程。该研究在总共50名随机分为三组之一的母亲中评估了母乳喂养行为、产妇营养和袋鼠式护理使用情况的变化：监督组、独立组或对照组。该研究的目的是评估与接受无“茁壮成长指南”的标准教育的母亲相比，接受该课程的母亲在提供母乳、改善产妇营养行为以及采用袋鼠式护理方面的情况。评估的主要结果是干预后三个月时的母乳提供情况，次要结果包括产妇信心的提高、产妇营养行为的变化、袋鼠式护理的采用和频率，以及教育者监督的影响。尽管干预提高了母亲的信心和知识，但在三个月时对母乳提供或产妇营养行为没有显著影响。所有组的母乳提供量都下降了，但下降幅度在各组之间没有统计学差异。同样，两个时期之间在营养改善数量方面没有观察到显著差异。然而，独立使用者的袋鼠式护理频率显著增加。定性访谈强调了持续支持以及解决遵循营养指南的实际障碍的重要性。这些发现表明，需要进一步研究以探索促进长期行为改变的条件，并确定优化教育干预对护理实践影响的策略。
