Effects of early intervention on parenting stress after preterm birth: A meta‐analysis.

Background: Preterm infants have a higher risk of development disorders. Prematurity can be considered a source of stress, in both children and their parents, due to the high number of interventions that they require. Early intervention (EI) programmes have shown to have a positive influence on the...

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Published in:Child: Care, Health & Development Vol. 47; no. 3; pp. 400 - 411
Main Authors: Girabent‐Farrés, Montserrat, Jimenez‐Gónzalez, Amanda, Romero‐Galisteo, Rita Pilar, Amor‐Barbosa, Marta, Bagur‐Calafat, Caritat
Format: meta analysis research systematic review tables/charts Journal Article
Published: Wiley-Blackwell May2021
Online Access:View this record in EBSCOhost
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      dt: May2021
      vid: 47
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/cch.12853
        149695187
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        atl: Effects of early intervention on parenting stress after preterm birth: A meta‐analysis.
      aug:
        au:
          Girabent‐Farrés, Montserrat
          Jimenez‐Gónzalez, Amanda
          Romero‐Galisteo, Rita Pilar
          Amor‐Barbosa, Marta
          Bagur‐Calafat, Caritat
        affil: Department of Physiotherapy, School of Health Sciences, TecnoCampus‐Pompeu Fabra University, Barcelona, Spain
      sug:
        subj:
          Early Intervention Evaluation
          Stress, Psychological Prevention and Control
          Parents Psychosocial Factors
          Childbirth, Premature
          Human
          Systematic Review
          Meta Analysis
          Medline
          PubMed
          Effect Size
          Data Analysis Software
          Descriptive Statistics
          Confidence Intervals
          Statistical Significance
      ab: Background: Preterm infants have a higher risk of development disorders. Prematurity can be considered a source of stress, in both children and their parents, due to the high number of interventions that they require. Early intervention (EI) programmes have shown to have a positive influence on the neurodevelopment of children with neurological risk. On the other hand, parenting stress has a negative influence on the development of any child. This systematic review aimed to identify the effect of EI programmes on decreasing parenting stress suffered by parents of preterm babies. Methods: Systematic review and meta‐analysis of experimental studies in accordance with the PRISMA declaration guidelines were applied in this work. Results: Fifteen randomized clinical trials were included whose methodological quality was assessed using the PEDro scale. Stress data extraction was meta‐analysed using the inverse variance method in a random effects model. Statistical heterogeneity was assessed with the I2 heterogeneity statistic. The domains most commonly reported in the trials were the childcare‐related stress (Child Domain), personal discomfort (Parent Domain) and computation of both (Total Stress). The results showed significant (P < 0,05) and clinically relevant differences in favour of the EI programme group at 18 months and 5 years. Conclusions: This review found moderate to strong evidence of the impact of EI programmes on the reduction of parenting stress in parents of preterm babies. These findings offer useful insights regarding the delivery of current support and the development of future family interventions. Finally, recommendations are provided for future intervention evaluation studies in this area.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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