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SUPPORTED研究方案:一项针对早产婴儿父亲的丹麦多中心综合干预措施

Protocol for the SUPPORTED study: a Danish multicentre complex intervention for first-time fathers of preterm infants.

作者信息

Holm Kristina Garne, Hägi-Pedersen Mai-Britt, Haslund-Thomsen Helle, Nilsson Ingrid, Aagaard Hanne, Maastrup Ragnhild, Ejlertsen Camilla, Petersen Mette, Feenstra Maria Monberg, Kristensen Ingeborg, Brødsgaard Anne

机构信息

Hans Christian Andersen Children's Hospital, Odense University Hospital, Odense C, Denmark

Faculty of Health Sciences, University of Southern Denmark, Odense M, Denmark.

出版信息

BMJ Open. 2025 Sep 15;15(9):e100258. doi: 10.1136/bmjopen-2025-100258.

DOI:10.1136/bmjopen-2025-100258
PMID:40954083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12439153/
Abstract

INTRODUCTION

Fathers of preterm infants wish to be actively involved and attentive in caring for their children. The positive impacts of paternal caregiving on preterm infants' cognitive and social development have been recognised. Awareness of the need to support fathers during early parenthood is increasing, but fathers may feel excluded when their infants are in the neonatal intensive care unit. Here, we present the protocol for a study involving the development and national implementation of a complex intervention supporting first-time fathers of preterm infants in early parenthood.

METHODS AND ANALYSIS

The study adheres to the Medical Research Council framework for complex interventions. A multicentre, prospective, non-blinded, quasi-experimental design will be applied to evaluate the effect of a clinical and technology-based intervention targeting both nurses and the fathers. Outcomes from participants enrolled during the control (2023-2024) and intervention (2025-2026) periods, comprising 295 fathers and their partners, will be compared. Effects on parental confidence, stress, depression and mood and family and reflective functioning as well as infants' emotional and social development will be assessed. A comprehensive process evaluation will be applied using both qualitative and quantitative methods.

ETHICS AND DISSEMINATION

The study has been registered at Clinicaltrials.org [no. NCT0 6 116 747 (The SUPPORTED study - First-time Fathers of Preterm Infants), approved on 3 November 2023]. The Danish Data Protection Agency has approved the study (P-2022-792). The findings will be disseminated through peer-reviewed publications.

TRIAL REGISTRATION NUMBER

NCT06116747.

摘要

引言

早产婴儿的父亲希望积极参与并悉心照料自己的孩子。父亲照料对早产婴儿认知和社会发展的积极影响已得到认可。人们越来越意识到在为人父母的早期阶段需要支持父亲,但当他们的婴儿在新生儿重症监护病房时,父亲可能会感到被排斥。在此,我们介绍一项研究方案,该研究涉及开发并在全国实施一项复杂干预措施,以支持早产婴儿的初为人父者在为人父母的早期阶段。

方法与分析

该研究遵循医学研究理事会关于复杂干预措施的框架。将采用多中心、前瞻性、非盲、准实验设计来评估一项针对护士和父亲的基于临床和技术的干预措施的效果。将比较在对照期(2023 - 2024年)和干预期(2025 - 2026年)招募的295名父亲及其伴侣的参与结果。将评估对父母信心、压力、抑郁和情绪以及家庭和反思功能以及婴儿情感和社会发展的影响。将使用定性和定量方法进行全面的过程评估。

伦理与传播

该研究已在Clinicaltrials.org注册[编号:NCT0 6 116 747(SUPPORTED研究 - 早产婴儿的初为人父者),于2023年11月3日获批]。丹麦数据保护局已批准该研究(P - 2022 - 792)。研究结果将通过同行评审出版物进行传播。

试验注册号

NCT06116747。

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本文引用的文献

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World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Participants.《世界医学协会赫尔辛基宣言:涉及人类受试者的医学研究伦理原则》
JAMA. 2025 Jan 7;333(1):71-74. doi: 10.1001/jama.2024.21972.
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Introducing the revised framework for developing and evaluating complex interventions: A challenge and a resource for nursing research.引入修订后的复杂干预措施开发和评估框架:对护理研究的挑战和资源。
Int J Nurs Stud. 2024 Jun;154:104748. doi: 10.1016/j.ijnurstu.2024.104748. Epub 2024 Mar 2.
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A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance.
开发和评估复杂干预措施的新框架:对医学研究委员会指南的更新。
Int J Nurs Stud. 2024 Jun;154:104705. doi: 10.1016/j.ijnurstu.2024.104705. Epub 2024 Feb 24.
4
Parental stress and mental health outcomes following very preterm birth: A systematic review of recent findings.极早早产儿出生后父母的压力与心理健康结局:近期研究结果的系统评价
J Affect Disord. 2024 Jun 15;355:513-525. doi: 10.1016/j.jad.2024.03.154. Epub 2024 Mar 29.
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Mentalizing in first-time fathers: reflective functioning as a mediator between attachment representation and sensitivity.新手爸爸的心理化:反应性作为依恋表象与敏感性之间的中介
Attach Hum Dev. 2023 Oct;25(5):544-565. doi: 10.1080/14616734.2023.2258354. Epub 2023 Nov 7.
6
Paternal bonding in pregnancy and early parenthood: a qualitative study in first-time fathers.孕期及初为人父早期的父子联结:一项针对初为人父者的定性研究
J Reprod Infant Psychol. 2025 Jun;43(3):665-680. doi: 10.1080/02646838.2023.2252890. Epub 2023 Aug 31.
7
Becoming Dad: Expectant Fathers' Attachment Style and Prenatal Representations of the Unborn Child.成为父亲:准父亲的依恋风格与未出生胎儿的产前表征
Children (Basel). 2023 Jul 8;10(7):1187. doi: 10.3390/children10071187.
8
Parents' Experience in an Italian NICU Implementing NIDCAP-Based Care: A Qualitative Study.意大利一家实施基于新生儿个体化发育护理与评估计划(NIDCAP)护理的新生儿重症监护病房(NICU)中家长的经历:一项定性研究
Children (Basel). 2022 Dec 7;9(12):1917. doi: 10.3390/children9121917.
9
How to support fathers of preterm infants in early parenthood - An integrative review.如何在早期育儿阶段支持早产儿的父亲 - 一项综合回顾。
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J Neonatal Nurs. 2021 Dec;27(6):439-443. doi: 10.1016/j.jnn.2021.06.004. Epub 2021 Jun 19.