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Updated: Nov 15, 2025
Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Uptake and impact of journaling program on wellbeing of NICU parents
Laura N Russell1, Mary L Gregory2, Zachary E Warren2
1Vanderbilt University Medical Center, Nashville, TN, USA. laura.n.russell@vumc.org.
Objective:
This pilot study evaluated a brief parent journaling program in the neonatal intensive care unit (NICU).
Study Design:
Hundred NICU parents were randomized to a control group (no journal) or an intervention group (journal provided). Parents reported pre- and post-intervention anxiety and depression symptoms using the hospital anxiety and depression scale (HADS) and qualitative journal use data. The analysis included Student's paired two-tailed t-test and two-way ANOVA. This study was registered with clinicaltrials.gov on April 1, 2020, NCT04331925.
Result:
At baseline, clinically significant anxiety was more prevalent than depression (66% vs. 23%). Post-intervention scores were best predicted by baseline scores. Relative to controls, intervention group parents experienced a decrease in anxiety from baseline (t = -1.983, p = 0.056). The same effect was not seen for depression. Most intervention group parents used the journal and provided positive feedback.
Conclusion:
Journal use rates and positive feedback support the acceptability of a NICU journaling program.
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