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首页> 外文期刊>BMC Pediatrics >The effectiveness of video interaction guidance in parents of premature infants: A multicenter randomised controlled trial
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The effectiveness of video interaction guidance in parents of premature infants: A multicenter randomised controlled trial

机译：视频互动指导对早产儿父母的有效性：一项多中心随机对照试验

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Background Studies have consistently found a high incidence of neonatal medical problems, premature births and low birth weights in abused and neglected children. One of the explanations proposed for the relation between neonatal problems and adverse parenting is a possible delay or disturbance in the bonding process between the parent and infant. This hypothesis suggests that due to neonatal problems, the development of an affectionate bond between the parent and the infant is impeded. The disruption of an optimal parent-infant bond -on its turn- may predispose to distorted parent-infant interactions and thus facilitate abusive or neglectful behaviours. Video Interaction Guidance (VIG) is expected to promote the bond between parents and newborns and is expected to diminish non-optimal parenting behaviour. Methods/design This study is a multi-center randomised controlled trial to evaluate the effectiveness of Video Interaction Guidance in parents of premature infants. In this study 210 newborn infants with their parents will be included: n?=?70 healthy term infants (>37?weeks GA), n?=?70 moderate term infants (32–37?weeks GA) which are recruited from maternity wards of 6 general hospitals and n?=?70 extremely preterm infants or very low birth weight infants (i.e. full term infants and their parents, receiving care as usual), a control group (i.e. premature infants and their parents, receiving care as usual) and an intervention group (i.e. premature infants and their parents, receiving VIG). The data will be collected during the first six months after birth using observations of parent-infant interactions, questionnaires and semi-structured interviews. Primary outcomes are the quality of parental bonding and parent-infant interactive behaviour. Parental secondary outcomes are (posttraumatic) stress symptoms, depression, anxiety and feelings of anger and hostility. Infant secondary outcomes are behavioral aspects such as crying, eating, and sleeping. Discussion This is the first prospective study to empirically evaluate the effect of VIG in parents of premature infants. Family recruitment is expected to be completed in January 2012. First results should be available by 2012. Trail registration number NTR3423
机译：背景研究始终发现，受虐待和被忽视的儿童中新生儿医疗问题，早产和低出生体重的发生率很高。对于新生儿问题和不利的育儿之间的关系，提出的一种解释是父母与婴儿之间的结合过程可能延迟或受到干扰。该假设表明，由于新生儿问题，父母与婴儿之间的深情纽带的发展受到阻碍。最佳的母婴键的破坏（继而）可能会导致畸形的母婴相互作用，从而促进虐待或忽视行为。视频互动指导（VIG）有望促进父母与新生儿之间的纽带，并有望减少非最佳的育儿行为。方法/设计本研究是一项多中心随机对照试验，旨在评估视频互动指导对早产儿父母的有效性。在这项研究中，将包括210名带着父母的新生儿：n？=？70名健康足月婴儿（GA> 37周），n？=？70足月新生儿（GA 32-37？week），这些婴儿是从产妇中招募的6家综合医院的病房和n == 70的极早产婴儿或极低出生体重的婴儿（即足月婴儿及其父母，照常接受护理），对照组（即早产婴儿及其父母，照常接受护理） ）和干预小组（即接受VIG的早产儿及其父母）。这些数据将在出生后的前六个月使用父母-婴儿互动观察，问卷调查和半结构式访谈收集。主要结果是父母之间的亲密关系和父母与婴儿互动行为的质量。父母的次要结局是（创伤后）压力症状，抑郁，焦虑以及愤怒和敌对的感觉。婴儿的次要结局是行为方面，例如哭泣，进食和睡觉。讨论这是第一个以经验评估VIG对早产儿父母的影响的前瞻性研究。预计将在2012年1月完成家庭招募。第一个结果应在2012年获得。足迹注册号NTR3423

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