Impact of Virtual Visit on Mothers' Attachment and Satisfaction

NCT05402787 | Unknown

• 1 other identifier: E-16214662-050.01.04-6777-02
• Study Type: interventional
• Target: 62
• Locations: 0 countries
• Sites: N/A

Brief Summary

Virtual visit, which is frequently used in the field of health in line with the latest technological developments, is accepted as a unique opportunity that allows babies and their families to connect in real time. Studies have reported that virtual visits increase mothers' sense of closeness to their babies and have positive effects on the attachment process (Dunham and Marin 2020; Flacking et al. 2014; Joshi et al. 2016). It is clearly emphasized that healthy and securely attached babies have positive effects on health. This study was designed as a randomized controlled experimental study in order to determine the effect of virtual visit applied to mothers whose babies are in the neonatal intensive care unit on their attachment and satisfaction. Research Hypotheses: H0: There is no difference between the attachment and satisfaction of mothers whose babies were hospitalized in the neonatal intensive care unit, and those who did not receive virtual visits. H1: Attachment and satisfaction of mothers whose babies are hospitalized in the neonatal intensive care unit with virtual visits are higher than mothers who do not receive virtual visits.

Conditions

Virtual; Attachment; Satisfaction

Keywords

Virtual visit; Attachment; Satisfaction; Newborn

Outcome Measures

Primary Outcomes (2)

• Evaluation of attachment in study and control groups

  The Maternal Attachment Scale is a four-dimensional, one-dimensional, 26-item scale with each item ranging from 'always' to 'never'. Each item includes direct statements and always=4 points, often=3 points, sometimes=2 points. , is calculated as never = 1 point. The lowest score to be obtained from the scale is 26, and the highest score is 104. A high score indicates high maternal attachment.

  Change between attachment status before the first virtual visit (24 hours after birth), at least one week after admission to one month)., and one month after discharge.

• Evaluation of family satisfaction in neonatal intensive care in study and control groups

  The EMPATHIC-30 ((EMpowerment of Parents in THe Intensive Care ) scale is 6-point Likert-type (1= strongly disagree; 6 = strongly agree) and consists of five domains: knowledge (5 items), care and treatment (8 items) , organization (5 items), parent involvement (6 items) and professional attitude of staff (6 items) Scores ≤3 in each item are considered "Negative" while ≥4 points are considered "Positive" Average scores for each area ; (total score / total number of items in each field) formula

  Change between satisfaction before the first virtual visit (24 hours after birth) and at least one week after admission to one month

Study Arms (2)

Experimental

EXPERIMENTAL

The virtual visit will be started within the first 24 hours after birth. Mothers in this group will be informed about how the virtual visit will be. The virtual visit will be made online through the Whatshup video call program. The virtual visit will be twice a day, starting 24 hours after birth until the baby's first meeting with the mother. The first virtual visit to be made during the day will be aimed at understanding the mother's feelings, increasing her motivation and informing about the clinical condition of the baby. In the second interview, it will be supported to provide approximately 10 minutes of visual and audio communication that will help the mother to establish a connection with her baby. During the virtual visiting hour, the videos of the baby will be sent to the mother so that the mother can watch it. In each visit, it will be ensured that the mother sees her baby in every situation by paying attention to the fact that the baby is in a different situation.

Other: Virtual visit

Control Groups

NO INTERVENTION

The mothers in the control group will be followed in line with the hospital's routine health monitoring and information.

Interventions

Virtual visit OTHER

A virtual visit will be made to mothers whose babies are hospitalized in the neonatal intensive care unit

Experimental

Eligibility Criteria

• Age: 19 Years - 65 Years
• Gender Eligibility Details: Mothers of infants hospitalized in the neonatal intensive care unit
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Premature (\>32 and and \<35 GW) of the newborn
• To be admitted to the neonatal intensive care unit within the first 24 hours after birth
• Absence of visible congenital anomaly (Cleft palate, cleft lip, craniofacial anomaly such as facial muscle paralysis etc.)
• Hospitalization of the newborn in the neonatal intensive care unit for at least 1 week and the continuation of the virtual visit
• Absence of a diagnosed psychiatric history of the mother
• Mother's willingness to participate in the study
• The mother has a primiparous and singleton baby
• Mother is over 18 years old
• The mother can speak and understand Turkish well and be literate
• Pregnancy not realized by assisted reproductive technique
• The mother who has a smart phone, computer, tablet and wireless internet will be included in the study.

You may not qualify if:

• Premature (\<32 and \>35 GW) of the newborn
• Not being admitted to the neonatal intensive care unit within the first 24 hours after birth
• Congenital anomaly in the newborn (Craniofacial anomaly such as cleft palate, cleft lip, paralysis of facial muscles)
• Discharge of the newborn before 1 week
• Mother's unwillingness to participate in the study
• Mother's illiteracy
• The mother has a multiparous or multiple baby
• The mother has a diagnosed psychiatric history
• Mother is 18 years or younger
• The mother did not have a smart phone, computer, tablet or wireless internet at the time of the study
• Pregnancy with assisted reproductive technique
• The mother's incomplete filling of the questionnaires

Sponsors & Collaborators

• Sakarya University: lead

Related Publications (13)

• Çınar N, Köse D. Aile -Bebek Bağlanma Süreci, Aile Temelli Sağlık Yaklaşımı, Ed: S.Kuğuoğlu, B.C. Demirbağ, 2015.

  BACKGROUND

• Cinar N, Kose D, Altinkaynak S. The relationship between maternal attachment, perceived social support and breast-feeding sufficiency. J Coll Physicians Surg Pak. 2015 Apr;25(4):271-5.

  PMID: 25899193 BACKGROUND

• Dunham MM, Marin T. NICU Maternal-Infant Bonding: Virtual Visitation as a Bonding Enhancement Tool. J Perinat Neonatal Nurs. 2020 Apr/Jun;34(2):171-177. doi: 10.1097/JPN.0000000000000484.

  PMID: 32332447 BACKGROUND

• Flacking R, Lehtonen L, Thomson G, Axelin A, Ahlqvist S, Moran VH, Ewald U, Dykes F; Separation and Closeness Experiences in the Neonatal Environment (SCENE) group. Closeness and separation in neonatal intensive care. Acta Paediatr. 2012 Oct;101(10):1032-7. doi: 10.1111/j.1651-2227.2012.02787.x. Epub 2012 Aug 2.

  PMID: 22812674 BACKGROUND

• Forcada-Guex M, Borghini A, Pierrehumbert B, Ansermet F, Muller-Nix C. Prematurity, maternal posttraumatic stress and consequences on the mother-infant relationship. Early Hum Dev. 2011 Jan;87(1):21-6. doi: 10.1016/j.earlhumdev.2010.09.006. Epub 2010 Oct 15.

  PMID: 20951514 BACKGROUND

• İşler A. Prematüre bebeklerde anne-bebek ilişkisinin başlatılmasında yenidoğan hemşirelerinin rolü. Perinatoloji Dergisi 2007;15 (1): 1-6.

  BACKGROUND

• Joshi A, Chyou PH, Tirmizi Z, Gross J. Web Camera Use in the Neonatal Intensive Care Unit: Impact on Nursing Workflow. Clin Med Res. 2016 Mar;14(1):1-6. doi: 10.3121/cmr.2015.1286. Epub 2016 Feb 10.

  PMID: 26864509 BACKGROUND

• Köse D, Çınar N, Altınkaynak S. Yenidoğanın anne ve baba bağlanma süreci. STED Dergisi 2013; 226: 239-245.

  BACKGROUND

• Menekşe ve Çınar N, Anne Bebek Bağlanması, İçinde Anne v eÇocuk Sağlığı İlk 1000 gün (Eds. Nursan Çınar, Sevil Şahin), Akademisyen Kitabevi,2020, 425-451.

  BACKGROUND

• Mercer RT. Becoming a mother versus maternal role attainment. J Nurs Scholarsh. 2004;36(3):226-32. doi: 10.1111/j.1547-5069.2004.04042.x.

  PMID: 15495491 BACKGROUND

• Nacar EH, Gökkaya F. Bağlanma ve maternal bağlanma konusunda bir derleme. Cyprus Turkish Journal of Psychiatry & Psychology 2019; 1 (1): 50-56.

  BACKGROUND

• Pisoni C, Garofoli F, Baiardini I, Tzialla C, Stronati M. The development of parents-infant relationship in high-risk pregnancies and preterm birth. Journal of Pediatric and Neonatal Individualized Medicine 2014b;3 (2): 1-7.

  BACKGROUND

• Scatliffe N, Casavant S, Vittner D, Cong X. Oxytocin and early parent-infant interactions: A systematic review. Int J Nurs Sci. 2019 Sep 12;6(4):445-453. doi: 10.1016/j.ijnss.2019.09.009. eCollection 2019 Oct 10.

  PMID: 31728399 BACKGROUND

MeSH Terms

Conditions

Personal Satisfaction

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Dilek Menekşe, Asist. prof.

  Sakarya University

  STUDY DIRECTOR

• Öznur Tiryaki, Asist. prof.

  Sakarya University

  PRINCIPAL INVESTIGATOR

• Nursan Çınar, Prof.Dr.

  Sakarya University

  PRINCIPAL INVESTIGATOR

• Seda Tecik, Res.Asist.

  Sakarya University

  PRINCIPAL INVESTIGATOR

• Hatice Solak, Nurse

  Sakarya Training and Research Hospital

  PRINCIPAL INVESTIGATOR

• Meltem Karabay, Asist.Prof

  Sakarya University

  PRINCIPAL INVESTIGATOR

• İbrahim Caner, Prof.Dr.

  Sakarya University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Dilek Menekşe, Asist.prof.

CONTACT

05543485913; dkose@sakarya.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Single-blind (researchers are not blinded) randomization will be provided as the virtual visitation to mothers will be implemented by researchers. The statistician was also blinded for the data analysis purpose
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Model Details: Randomized Controlled Trial

Study Record Dates

• First Submitted: April 8, 2022
• First Posted: June 2, 2022
• Study Start: June 20, 2022
• Primary Completion: June 20, 2022
• Study Completion: May 1, 2023
• Last Updated: June 2, 2022

Record last verified: 2022-05