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Evaluation of an interactive educational intervention to improve nutritional practices for premature infants.

Cheryl Chotrani1, Bonita Wilson2, Mobolaji Famuyide3

  • 1Pebbles of Hope, Herndon, USA. cchotrani@pebblesofhope.org.

Maternal Health, Neonatology and Perinatology
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PubMed
Summary

The Pebbles of Hope Thrive Guide improved parental confidence but did not significantly boost breast milk provision or maternal nutrition in parents of premature infants. Kangaroo Care frequency increased for independent users.

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Area of Science:

  • Neonatal care
  • Maternal and child health
  • Behavioral science

Background:

  • Parents of premature infants require specialized support for infant care and maternal well-being.
  • Existing educational interventions may not fully address the complexities of behavior change in this population.

Purpose of the Study:

  • To evaluate the effectiveness of the Pebbles of Hope Thrive Guide, an interactive educational course, for parents of premature infants.
  • To assess the impact of the course on breastfeeding practices, maternal nutrition, and Kangaroo Care adoption.

Main Methods:

  • Pilot randomized trial involving 50 mothers divided into Supervised, Independent, and Control groups.
  • Intervention group received the Thrive Guide; control group received standard education.
  • Primary outcome: breast milk provision at 3 months; secondary outcomes: maternal confidence, nutrition behaviors, Kangaroo Care frequency.

Main Results:

  • The Thrive Guide significantly improved maternal confidence and knowledge but did not impact breast milk provision or nutrition behaviors at 3 months.
  • Breast milk provision declined across all groups without significant differences.
  • Independent users showed a notable increase in Kangaroo Care frequency.

Conclusions:

  • The educational intervention enhanced parental confidence but requires further refinement for long-term behavior change in breastfeeding and nutrition.
  • Ongoing support and addressing practical barriers are crucial for optimizing intervention effectiveness.
  • Future research should focus on strategies to sustain behavior change and improve caregiving practices for premature infants.