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Effects of early intervention on parenting stress after preterm birth: A meta-analysis

Montserrat Girabent-Farrés1, Amanda Jimenez-Gónzalez2, Rita Pilar Romero-Galisteo3

  • 1Department of Physiotherapy, School of Health Sciences, TecnoCampus-Pompeu Fabra University, Barcelona, Spain.

Child: Care, Health and Development
|February 9, 2021
PubMed

Insights

Early intervention (EI) programs significantly reduce parenting stress for parents of preterm infants. These programs positively impact child development and family well-being.

Area of Science:

  • Neonatal care
  • Developmental psychology
  • Family studies

Background:

  • Preterm infants face elevated risks for developmental disorders.
  • Prematurity and intensive medical interventions cause significant stress for infants and parents.
  • Parenting stress negatively impacts child development.

Purpose of the Study:

  • To systematically review the impact of early intervention (EI) programs on reducing parenting stress in parents of preterm infants.
  • To synthesize evidence on EI's effectiveness in mitigating stress related to preterm birth.

Main Methods:

  • Systematic review and meta-analysis of 15 randomized clinical trials.
  • PRISMA guidelines followed for study selection and data extraction.
  • PEDro scale used for methodological quality assessment; inverse variance method for meta-analysis.

Main Results:

  • Early intervention programs demonstrated significant and clinically relevant reductions in parenting stress.
  • Positive effects were observed across childcare-related stress (Child Domain) and personal discomfort (Parent Domain).
  • Significant differences favoring EI programs were noted at 18 months and 5 years post-intervention.

Conclusions:

  • Moderate to strong evidence supports the efficacy of EI programs in reducing parenting stress for parents of preterm infants.
  • Findings provide valuable insights for current support systems and future family interventions.
  • Recommendations are offered for the evaluation of future intervention studies.
Abstract

Keywords:
early interventionparenting stress disorderpreterm birthsystematic review

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