TY - JOUR
KW - Adult
KW - Anxiety/diagnosis/psychology/therapy
KW - Australia
KW - Canada
KW - Delivery of Health Care, Integrated/methods
KW - Female
KW - Humans
KW - Infant, Newborn
KW - Intensive Care Units, Neonatal
KW - New Zealand
KW - Parents/psychology
KW - Patient Care Team
KW - Stress, Psychological/diagnosis/psychology/therapy
KW - Treatment Outcome
KW - FICare
KW - NICU
KW - Preterm infant
KW - Anxiety
KW - stress
AU - C. Cheng
AU - L. S. Franck
AU - X . Y. Ye
AU - S. A. Hutchinson
AU - S. K. Lee
AU - K. O'Brien
A1 - 
AB - Objective: To identify how Family Integrated Care (FICare) affected maternal stress and anxiety. Study Design: This secondary analysis of the FICare cluster randomised controlled trial included infants born between 1 April 2013 and 31 August 2015 at ≤33 weeks' gestation. Mothers completed the PSS:NICU and STAI questionnaires at enrolment and study day 21. Results: 1383 mothers completed the surveys at one or both time-points. The mean PSS:NICU and STAI scores at day 21 were significantly lower in the FICare mothers than controls (PSS:NICU mean [standard deviation] FICare 2.32 [0.75], control 2.48 [0.78], p = 0.0005; STAI FICare 70.8 [20.0], control 74.2 [19.6], p = 0.0004). The sights and sounds, looks and behaviour, and parental role PSS:NICU subscales and the state and trait STAI subscales were all significantly different between FIC are and controls at day 21. The magnitude of change in all stress and anxiety subscales was greater in the FICare group than controls. These differences remained significant after adjustment for confounders with the greatest change in the parental role (least-squares mean [95% confidence interval] FICare -0.65 [-0.72, 0.57], control -0.31 [-0.38, -0.24], p < 0.0001) and state anxiety subscales. Conclusion: FICare is effective at reducing NICU-related maternal stress and anxiety.
AD - Department of Paediatrics, Sinai Health System , Toronto, Ontario, Canada.; Family Health Care Nursing, University of California San Francisco , San Francisco, CA, USA.; Maternal-Infant Care Research Centre, Mount Sinai Hospital , Toronto, Ontario, Canada.; Maternal-Infant Care Research Centre, Mount Sinai Hospital , Toronto, Ontario, Canada.; Department of Paediatrics, Sinai Health System , Toronto, Ontario, Canada.; Maternal-Infant Care Research Centre, Mount Sinai Hospital , Toronto, Ontario, Canada.; Department of Paediatrics, University of Toronto , Toronto, Ontario, Canada.; Department of Obstetrics and Gynaecology and Dalla Lana School of Public Health, University of Toronto , Toronto, Ontario, Canada.; Department of Paediatrics, Sinai Health System , Toronto, Ontario, Canada.; Maternal-Infant Care Research Centre, Mount Sinai Hospital , Toronto, Ontario, Canada.; Department of Obstetrics and Gynaecology and Dalla Lana School of Public Health, University of Toronto , Toronto, Ontario, Canada.
BT - Journal of reproductive and infant psychology
C5 - Healthcare Disparities; Measures
CP - 2
DO - 10.1080/02646838.2019.1659940
IS - 2
JF - Journal of reproductive and infant psychology
LA - eng
M1 - Journal Article
N2 - Objective: To identify how Family Integrated Care (FICare) affected maternal stress and anxiety. Study Design: This secondary analysis of the FICare cluster randomised controlled trial included infants born between 1 April 2013 and 31 August 2015 at ≤33 weeks' gestation. Mothers completed the PSS:NICU and STAI questionnaires at enrolment and study day 21. Results: 1383 mothers completed the surveys at one or both time-points. The mean PSS:NICU and STAI scores at day 21 were significantly lower in the FICare mothers than controls (PSS:NICU mean [standard deviation] FICare 2.32 [0.75], control 2.48 [0.78], p = 0.0005; STAI FICare 70.8 [20.0], control 74.2 [19.6], p = 0.0004). The sights and sounds, looks and behaviour, and parental role PSS:NICU subscales and the state and trait STAI subscales were all significantly different between FIC are and controls at day 21. The magnitude of change in all stress and anxiety subscales was greater in the FICare group than controls. These differences remained significant after adjustment for confounders with the greatest change in the parental role (least-squares mean [95% confidence interval] FICare -0.65 [-0.72, 0.57], control -0.31 [-0.38, -0.24], p < 0.0001) and state anxiety subscales. Conclusion: FICare is effective at reducing NICU-related maternal stress and anxiety.
PY - 2021
SN - 1469-672X; 0264-6838
SP - 166
EP - 179
EP - 
T1 - Evaluating the effect of Family Integrated Care on maternal stress and anxiety in neonatal intensive care units
T2 - Journal of reproductive and infant psychology
TI - Evaluating the effect of Family Integrated Care on maternal stress and anxiety in neonatal intensive care units
U1 - Healthcare Disparities; Measures
U2 - 31502862
U3 - 10.1080/02646838.2019.1659940
VL - 39
VO - 1469-672X; 0264-6838
Y1 - 2021
Y2 - Apr
ER -