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Investigating Father or Partner Involvement in Family Integrated Care in Neonatal Units: Protocol for a Prospective,

Rupa Rubinstein1,2, Katie Gallagher3, John Ho4

  • 1Neonatal Unit, Homerton Healthcare NHS Foundation Trust, London, United Kingdom.

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|March 25, 2024
PubMed
Summary

This study explores enhanced family-integrated care (FICare) for fathers of premature infants, aiming to improve parental mental health (MH). Findings may inform inclusive care guidelines for nonbirthing parents and their hospitalized newborns.

Keywords:
FICareNICUNICU admissionNU admissionbabiesbabycoupleengagementfamily carefamily integrated carefathersinfancyinfantinfantsneonatalneonatal intensive care unitneonateneonatespartnerpediatricpediatricsprematurepremature infants, mental health

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Area of Science:

  • Neonatal care
  • Parental mental health
  • Family-integrated care

Background:

  • Neonatal unit (NU) admissions for premature infants can negatively impact parental mental health (MH), causing depression, stress, and anxiety.
  • Fathers experience similar MH symptoms to mothers, yet research on their well-being in neonatal care is limited.
  • Family-integrated care (FICare) involves parents as partners in their newborn's care, improving infant outcomes and maternal MH.

Purpose of the Study:

  • To investigate the impact of enhanced father or partner engagement in FICare on their mental health up to 6 weeks postdischarge.
  • To assess the effect of FICare on maternal mental health.

Main Methods:

  • A 2-phase study in 2 neonatal units (NUs) assessing enhanced FICare (information booklet, workbook, classes, peer support) alongside standard practices.
  • Father/partner MH assessed via qualitative interviews and validated questionnaires (GAD-7, PHQ-9, PSS:NICU) from NU admission to 6 weeks postdischarge.
  • Maternal MH assessed via focus groups and the same questionnaires; data analyzed using descriptive statistics, comparative tests, and thematic analysis.

Main Results:

  • The study is ongoing, with data collection projected to end in July 2024.
  • Systematic reviews on fathers' FICare experiences and MH outcomes are being conducted concurrently.
  • A maximum of 20 parents per phase will be studied, with infants born before 33 weeks' gestation.

Conclusions:

  • The study aims to demonstrate the feasibility of a father/partner-sensitive FICare model and its positive impact on parental mental health.
  • It will assess the feasibility of providing FICare for extremely premature infants requiring intensive care.
  • Findings may support the development of inclusive FICare guidelines for nonbirthing parents and their extremely premature infants.