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An intervention program for families with irritable infants.

Maureen R Keefe1, Gail A Barbosa, Ann Froese-Fretz

  • 1University of Utah College of Nursing, Salt Lake City, USA. Maureen.keefe@nurs.utah.edu

MCN. the American Journal of Maternal Child Nursing
|July 8, 2005
PubMed
Summary

The REST routine home-based nursing intervention significantly reduced infant crying time and irritability in colicky infants compared to routine care. Families reported benefits from nurse home visits, highlighting the program

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Area of Science:

  • Pediatric Nursing
  • Infant Behavioral Health
  • Family Support Programs

Background:

  • Excessive infant irritability and colic are common challenges for families.
  • Existing interventions often lack a structured, individualized approach.
  • Home-based nursing support can provide crucial assistance to families with infants.

Purpose of the Study:

  • To evaluate the REST routine, a home-based nursing intervention for excessive infant irritability.
  • The program integrates infant behavior assessment, pattern recognition, and individualized schedules.
  • It also includes specific management strategies and comprehensive parent education and support.

Main Methods:

  • A two-site clinical trial involving 164 healthy, full-term infants aged 2-6 weeks with unexplained irritability.

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  • Infants were randomized into either routine care or the REST routine home-based intervention group.
  • A posttest-only group of older infants (n=43) was also included.

    • Main Results:

    • Infants in the REST routine group cried an average of 1.3 hours/day post-intervention, versus 3 hours/day in the control group (p=.02).
    • Infant irritability resolved (<1 hour crying) in 62% of the treatment group by 8 weeks, compared to 29% in the control group (p=.04).
    • Families in both groups valued the home visits from nurses.

    Conclusions:

    • The REST routine demonstrates effectiveness in reducing infant crying and irritability.
    • Home-based nursing interventions provide significant benefits to families with colicky infants.
    • Further research should explore program individualization and alternative delivery models.