Effect of Intelligent Intervention Strategies on Self-efficacy and Hospital Readiness of Parents of Preterm Infants

NCT06635473 | Not Yet Recruiting DMC

• 1 other identifier: SUMC
• Study Type: interventional
• Target: 84
• Locations: 0 countries
• Sites: N/A

Brief Summary

1. 1.Construct intelligent management intervention plan for parents of preterm infants from hospital to family based on the medical and health system suitable for China's national conditions.
2. 2.Clinical randomized controlled trials were conducted to verify and evaluate the feasibility and application effect of the intervention program.

Conditions

Premature Delivery

Outcome Measures

Primary Outcomes (2)

• Parental readiness for discharge

  The Discharge Readiness Scale - Parent Edition This scale was developed by Weiss Equals in 2006 to assess the discharge readiness of parents of hospitalized children aged 0-18 years. The scale consists of 5 dimensions and 29 items. The scale was scored on a Likert 10-level scale, with scores ranging from 0 to 10 for each item (" complete "to" incomplete ") and an overall score ranging from 0 to 290. The higher the score, the higher the parents' readiness to leave the hospital. Cronbach's α coefficient of the total volume table was 0.85, and Cronbach's α coefficient of each dimension (personal status of parents, personal status of children, knowledge, coping ability and expected support) was 0.71, 0.70, 0.85, 0.86 and 0.84, respectively, indicating good reliability. Chinese scholar Chen et al. Sinicized the scale and verified its good reliability and validity.

  Upon admission and 24 hours before discharge

• Parents' self-efficacy

  First developed by German clinical and health psychologist Ralf Schwarzer in 1981, the General self-efficacy Scale has been translated into at least 25 languages and is widely used internationally. In this study, the Chinese version of GSEA was adopted, which was jointly revised by Zhang Jianxin and Schwarzer, and has been proved to have good reliability and validity. The scale has one dimension, a total of 10 items, grades 1 to 4, the test subjects according to their actual situation, "completely correct" counts for 4 points, "mostly correct" counts for 3 points, "somewhat correct" counts for 2 points, "completely incorrect" counts for 1 point, all items are positive, the lowest theoretical score is 10 points. The highest score was 40, and the higher the score, the better the general sense of self-efficacy.

  The day of admission, 24 hours before discharge, and 1 month after discharge

Secondary Outcomes (5)

• Anxiety

  The day of admission, 24 hours before discharge, and 1 month after discharge

• Growth and development indicators of premature infants

  1 week, 1 month, 3 months after discharge

• Readmission rate of preterm infants

  One month after discharge

• Parental care ability

  The day of admission, 24 hours before discharge, and 1 month after discharge

• Breastfeeding situation

  1 week, 1 month, 3 months after discharge

Study Arms (2)

control group

NO INTERVENTION

Routine nursing, discharge education

intervention group

EXPERIMENTAL

Intelligent interventions to enhance parents' hospital discharge readiness and self-efficacy.

Behavioral: Information support; Behavioral: Stress and coping; Behavioral: Specialist guidance; Other: Social support and interaction; Behavioral: Parentage development

Interventions

Information support BEHAVIORAL

The experimental group was given intervention measures. According to the general data survey, discharge readiness and self-efficacy assessment, parents were divided into low, middle and high discharge readiness groups and low, middle and high self-efficacy groups, respectively, using WeChat mini programs to push different content.

intervention group

Stress and coping BEHAVIORAL

According to the results of self-efficacy and anxiety assessment, different interventions were based on different scores. Give encouragement and affirmation to parents with low anxiety and high self-efficacy. Parents with high anxiety and low self-efficacy should push stress relief methods such as mindfulness relaxation therapy in time. And through the wechat mini program to provide parents to respond to the pressure of the problem, the medical staff to give timely feedback.

intervention group

Specialist guidance BEHAVIORAL

Carry out offline science popularization education and specialized training, and highly qualified specialist doctors and nurses will train parents, and parents will be assessed after training, and personalized guidance will be given according to the weak points of each parent\'s assessment.

intervention group

Social support and interaction OTHER

Support and encouragement for parents continue from admission to discharge, so that parents feel that even after discharge, there are people to accompany and support them.

intervention group

Parentage development BEHAVIORAL

Since parents and children are separated during the hospitalization of preterm infants, we will create an environment where parents still play the role of parents, and stimulate parental competence through kangaroo care, parental touch, and breastfeeding.

intervention group

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

Sponsors & Collaborators

• Shantou University Medical College: lead

Related Publications (1)

• Lin K, Zhang S, Zhang Z, Zheng W, Chen Z, Lin Z, Zhang H, Lin N. Implementing intelligent nursing interventions to enhance self-efficacy and hospital readiness in parents of preterm infants: a randomised controlled trial protocol. BMJ Open. 2025 Aug 13;15(8):e101498. doi: 10.1136/bmjopen-2025-101498.

  PMID: 40812802 DERIVED

MeSH Terms

Conditions

Premature Birth

Interventions

Coping Skills; Drug Interactions

Condition Hierarchy (Ancestors)

Obstetric Labor, Premature; Obstetric Labor Complications; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases

Intervention Hierarchy (Ancestors)

Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities; Pharmacological Phenomena; Pharmacological and Toxicological Phenomena; Physiological Phenomena

Central Study Contacts

Kang Lin

CONTACT

+8613411968515; 23klin@stu.edu.cn

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Professor

Study Record Dates

• First Submitted: September 29, 2024
• First Posted: October 10, 2024
• Study Start: November 1, 2024
• Primary Completion: October 31, 2025
• Study Completion: October 31, 2025
• Last Updated: October 10, 2024

Record last verified: 2024-09

Data Sharing

• IPD Sharing: Will not share