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Little Bookworms: Examining participation in a NICU reading program and parental attachment and anxiety
A D Henry1,2, C A Stanton3, E J Plosa2,4
1Department of Psychology and Human Development, Vanderbilt University, Nashville, TN, USA.
Insights
Bedside reading programs in the neonatal intensive care unit (NICU) significantly reduced parental anxiety and improved maternal attachment. Parents perceived enhanced bonding with their infants through this family-centered intervention.
Area of Science:
- Neonatal Intensive Care Unit (NICU) interventions
- Parental well-being and engagement
- Attachment theory and development
Background:
- Bedside reading programs are increasingly implemented in NICUs to boost parent engagement.
- Limited research exists on the impact of these programs on parental well-being, including attachment and anxiety.
- Understanding these effects is crucial for developing effective family-centered care strategies.
Purpose of the Study:
- To examine the relationship between a parent-led bedside reading program and parental well-being in the NICU.
- Specifically, to assess the program's impact on parent/caregiver attachment, anxiety levels, and overall satisfaction.
- To evaluate the perceived benefits of the reading program on parent-infant bonding.
Main Methods:
- A sample of 60 NICU parents/caregivers participated in a parent-led bedside reading program.
- Pre- and post-intervention self-reported measures assessed anxiety and attachment.
- A Program Perceptions and Experiences survey was administered upon infant discharge.
Main Results:
- Significant decreases in parent-reported anxiety were observed from pre- to post-intervention.
- Mothers showed significant increases in overall postnatal attachment and Quality of Attachment scores.
- Fathers did not exhibit significant changes in attachment; however, participants reported enhanced infant bonding.
Conclusions:
- The bedside reading program led to reduced parental anxiety and improved maternal postnatal attachment.
- While medical improvements may contribute, participants positively viewed the program's role in enhancing bonding.
- Parental bedside reading interventions offer a feasible and potentially valuable family-centered approach for NICU families.
Abstract:
BackgroundIn recent years, bedside reading programs have multiplied as an accessible means of enhancing parent/caregiver engagement in the neonatal intensive care unit (NICU). However, little is yet known about the relationship between program participation and parent/caregiver well-being. Therefore, the aim of this study was to investigate potential relationships between a parent-led, bedside NICU reading program and parent/caregiver attachment, anxiety, and satisfaction.MethodsA sample of 60 NICU parents/caregivers participated in a parent-led, bedside reading program in 2024. They completed pre- and post-intervention self-reported measures of anxiety and attachment; upon discharge, participants also completed a Program Perceptions and Experiences survey.ResultsParent-reported anxiety was observed to decrease significantly between the pre- and post-intervention time points. Overall, postnatal attachment scores, and more specifically, Quality of Attachment sub-scale scores, were seen to significantly increase in mothers between the pre- and post-intervention periods. Conversely, no significant differences in attachment were found in fathers across time points. Program Perceptions and Experiences survey responses indicated participants enjoyed the reading program and perceived that it enhanced their feelings of attachment towards their infants.ConclusionsParticipants reported significant decreases in anxiety and significant increases in postnatal attachment over time, with more pronounced change observed in mothers compared to fathers. Though these results may also align with improving medical status and movement towards discharge, participants' positive reflections on the program, combined with the minimal time and resources required to implement it, suggest that parental bedside reading interventions for NICU parents/caregivers may be a useful avenue of family-centered intervention.
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