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Prematurity and parental self-efficacy: the Preterm Parenting & Self-Efficacy Checklist
Claire Pennell1, Koa Whittingham, Roslyn Boyd
1School of Psychology, The University of Queensland, Australia.
Insights
Parental self-efficacy in parents of preterm infants was assessed using a new, validated measure. Contrary to expectations, preterm infants' parents showed similar self-efficacy and psychological symptoms compared to term infants' parents.
Area of Science:
- Psychology
- Neonatal Care
- Parenting Research
Background:
- Limited research exists on parental self-efficacy in parents of preterm infants.
- Existing measures of parental self-efficacy lack domain specificity and theoretical grounding for this population.
- Parental self-efficacy is crucial for navigating the challenges of parenting preterm infants.
Purpose of the Study:
- To compare parental self-efficacy in parents of term, preterm, and very preterm infants.
- To develop and validate a domain-specific measure of parental self-efficacy for preterm infants.
- To investigate whether parental self-efficacy mediates the relationship between psychological symptoms and parental competence.
Main Methods:
- Development and validation of the Preterm Parenting & Self-Efficacy Checklist.
- 155 parents (very preterm, preterm, term infants) completed the new checklist and other psychological measures.
- Statistical analyses examined group differences and mediation effects.
Main Results:
- The Preterm Parenting & Self-Efficacy Checklist demonstrated adequate validity and reliability.
- No significant differences were found in overall parental self-efficacy or psychological symptoms between parents of very preterm, preterm, and term infants.
- Parental self-efficacy significantly mediated the relationship between psychological symptoms and perceived parental competence.
Conclusions:
- The developed checklist is a reliable and valid tool for assessing parental self-efficacy in preterm populations.
- Parental self-efficacy plays a mediating role in the connection between parental psychological distress and competence.
- Findings suggest a need for targeted support to bolster parental self-efficacy in caring for preterm infants.
Abstract:
There is a lack of research investigating parental self-efficacy in parents of infants born preterm as well as a paucity of parental self-efficacy measures that are domain-specific and theoretically grounded. This study aimed to compare parental self-efficacy in parents of infants born term, preterm and very preterm as well as to test whether parental self-efficacy mediates the relationship between psychological symptoms and parental competence. In order to achieve this, a new measure of parental self-efficacy and parental competence relevant for the preterm population and consistent with Bandura's (1977, 1986, 1989) conceptualisation of self-efficacy was developed. Participants included 155 parents, 83 of whom were parents of very preterm (GA<32 weeks), 40 parents of preterm (GA<37 weeks) and 32 parents of term born infants. Parents completed the Preterm Parenting & Self-Efficacy Checklist (the new measure), Family Demographic Questionnaire, Depression Anxiety Stress Scale and Self-Efficacy Questionnaire. This initial study indicates that the Preterm Parenting & Self-Efficacy Checklist has adequate content validity, construct validity, internal consistency and split half reliability. Contrary to expectations, parents of very preterm infants did not report significantly lower overall levels of parental self-efficacy or significantly higher levels of psychological symptoms compared to parents of preterm and term infants. Parental self-efficacy about parenting tasks mediated the relationship between psychological symptoms and self perceived parental competence as predicted. Clinical implications of the results and suggestions for future research are discussed.
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