Paternal Involvement in Nursing Guidance and Breastfeeding Self-Efficacy in Mothers of High-Risk Newborns

N/AActive Not RecruitingNCT07834008

Taipei Medical University Shuang Ho Hospital80 enrolled

Overview

This study aims to evaluate whether a structured nursing guidance program that increases fathers' participation in the care of hospitalized high-risk newborns improves maternal outcomes compared with routine nursing care. Parents of high-risk newborns admitted to a neonatal intermediate care unit will be enrolled. Families in the control group will receive routine nursing education provided during hospitalization. Families in the intervention group will receive a structured nursing guidance program that includes step-by-step parent education, written educational materials, instructional videos, and active father participation in breastfeeding support and infant care. The study will compare the two groups on maternal breastfeeding self-efficacy, perceived spousal support, perceived nursing support, parental stress, breastfeeding-related anxiety, and breastfeeding practices at hospital discharge and one month after discharge. The findings may help develop family-centered nursing interventions that enhance paternal involvement and improve breastfeeding outcomes for families with high-risk newborns.

Study Type

INTERVENTIONAL

Allocation

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Prematurity Low Birth Weight Respiratory Distress Syndrome, Newborn

Interventions

step-by-step parent educationBEHAVIORAL

Parents will receive structured, step-by-step education on breastfeeding and infant care. The education will be provided through nursing guidance, written educational materials, and instructional videos to facilitate parents' understanding and application of recommended breastfeeding and infant-care practices.

active father participation in breastfeeding supportBEHAVIORAL

Fathers will be actively involved in the breastfeeding process and infant care. They will be encouraged to provide practical, emotional, and informational support to mothers, thereby helping mothers establish and maintain breastfeeding and share responsibilities for infant care.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 100 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Both parents must be 18 years of age or older. * Both parents must live in the same residence. * Both parents must be able to communicate in Mandarin Chinese or Taiwanese. * Their child must be a high-risk newborn admitted to the neonatal intermediate care ward for at least three days. * Their child must not have returned home after admission to the neonatal intermediate care ward.

Outcomes

Primary Outcomes

Maternal Breastfeeding Self-Efficacy Score measured by the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF)

Maternal breastfeeding self-efficacy will be assessed using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), a 14-item self-report questionnaire. Each item is rated on a 5-point Likert scale from 1 (not at all confident) to 5 (always confident). Total scores range from 14 to 70, with higher scores indicating greater maternal breastfeeding self-efficacy.

Time frame: At the baseline, pre-intervention, and 1 month after hospital discharge.

Secondary Outcomes

Maternal Perceived Spousal Support Score measured by the Spousal Parenting Support Scale

Maternal perceived spousal support will be assessed using the Spousal Parenting Support Scale (maternal version), a 22-item questionnaire assessing the mother's perception of her spouse's support in parenting and caregiving. Each item is rated on a 5-point Likert scale from 1 (never) to 5 (always). Total scores range from 22 to 110, with higher scores indicating greater perceived spousal support.