The Effect of Kangaroo Care on Parents' Perceived Parenting Self-Efficacy, Infant Attachment and Newborn Vital Signs

Not Applicable

Recruiting

• Conditions: Kangaroo Care; Mother-Infant Interaction; Premature Infant; Fathers
• Interventions: Other: Kangaroo care practice by both mother and father; Other: Kangaroo care practice only mother

• Registration Number: NCT06320587
• Lead Sponsor: Saglik Bilimleri Universitesi

Brief Summary

This study was planned to determine the effect of kangaroo care applied by parents of premature newborns in the neonatal intensive care unit on the newborn's vital signs, perceived parenting self-efficacy level and attachment to the baby.

Detailed Description

The research is a randomized controlled trial and an experimental research design will be used. The research will be carried out with two groups as experimental (newborns given kangaroo care by both mother and father) and control (newborns given kangaroo care only by the mother) groups.

Study Timeline

• Status Verified: 2024-02
• Study Start: 2024-02-01
• Study First Submitted: 2024-02-12
• Study First Submitted QC: 2024-03-19
• Last Update Submitted: 2024-03-19
• Study First Posted: 2024-03-20
• Last Update Posted: 2024-03-20
• Primary Completion: 2024-03-30
• Study Completion: 2024-05-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• Parents who volunteered to participate in the research
• Parents who are Turkish citizens and speak Turkish
• Preterm baby born between 28-37 weeks staying in the neonatal intensive care unit
• The mother and father do not have any obstacles in taking care of the kangaroo.
• Mothers and fathers who can come to the hospital regularly on the specified days will be included in the study.

Exclusion Criteria

• Not volunteering to participate in the research
• Parent's inability to speak Turkish
• Presence of a life-threatening major malformation or serious perinatal complication in the premature baby
• Babies with umbilical catheters and central venous catheters will not be included in the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Experimental group	Kangaroo care practice by both mother and father	Newborns in this group will be given kangaroo care by both their mother and father.
Control group	Kangaroo care practice only mother	Newborns in this group will be given kangaroo care by only the mother.

Primary Outcome Measures

Name	Time	Method
Postnatal Paternal-Infant Attachment Questionnaire	It will be filled in before kangaroo care and after 5 weeks of kangaroo care.	It will be applied to measure fathers' attachment levels to their babies. The lowest score that can be obtained from the scale is 18 and the highest score is 90.A high score from the scale indicates high bonding.
Perceived Father Parenting Self-Efficacy Form	It will be filled in before kangaroo care and after 5 weeks of kangaroo care.	It is aimed to determine the change in fathers' perceived parenting self-efficacy levels. The lowest score that can be obtained from the form is 0 and the highest score is 10. As the score increases, the degree of self effiacy in father increases.
Physiological parameters of the premature infant: peak heart rate (BPM)	Change from baseline at 5 weeks.	It shows heart rate per minute of the infant. The normal peak heart rate should be between 100-160 BPM.
Mother-To-Infant Bonding Scale	It is designed to be applied from the first day after birth. It will be filled in before kangaroo care and after 5 weeks of kangaroo care.	It will be applied to evaluate the mother's attachment level to her baby. The lowest score that can be obtained from the scale is 0 and the highest score is 24. The higher the score from the scale, the more it indicates a mother-infant attachment problem.
Perceived Mother Parenting Self-Efficacy Scale	It will be filled in before kangaroo care and after 5 weeks of kangaroo care.	It will be applied to measure mothers' perceived parenting self-efficacy. The scale consists of 3 sub-dimensions. These; care procedures, the belief in developing positive baby behaviors, the belief in recognizing the baby's behavior, and mother-baby interaction. The lowest score that can be obtained from the scale is 18 and the highest score is 72.As the score obtained increases, the degree of self-efficacy in mothers increases.
Physiological parameters of the premature infant: body temperature (°C)	Change from baseline at 5 weeks.	It shows body temperature of the infant. The normal body temperature of premature babies should be between 36,5 °C and 37,4 °C.
Physiological parameters of the premature infant:Respiration rate (RPM)	Change from baseline at 5 weeks.	It shows respiratory rate per minute of the infants. The normal respiratory rate of premature babies should be in the range of 40-60 RPM.
Physiological parameters of the premature infant: oxygen saturation (%)	Change from baseline at 5 weeks.	Oxygen saturation measures the percentage of oxyhemoglobin in the blood. The normal oxygen saturation should be between % 88 - % 100.

Trial Locations

Locations (1)

Ankara Etlik City Hospital; 🇹🇷 Ankara, Turkey