UNASSIGNED: We tested a novel nurse-guided mHealth care program, Preparing Heart and Mind™ (PHM™), with the objectives of examining feasibility and estimating the effect of the intervention on parents\' emotional distress.
UNASSIGNED: This pilot study design randomized participants using a 2:1 intervention to control ratio. Analysis involved description of retention, and intervention attendance and engagement, and adjusted linear mixed models to estimate group differences in depressive (CES-D), anxiety (STAI-S), and traumatic stress (IES-r) symptoms.
UNASSIGNED: The sample included 55 parents (n=38 PHM™ group, n=17 control). Complete retention of 37 (67%) parents included 29 (76%) in the PHM™ group and 8 (47%) control. Most attrition was due to infant death (7 parents), transplant referral (2 parents), or postnatal diagnostic ineligibility (4 parents). For the PHM™ group, ≥96% of parents attended pre- and postnatal sessions and most (65%) messaged with the nurse. mHealth engagement was highest prenatally, with handling uncertainty the most viewed topic (average 94% pages viewed). In linear mixed models analyses, the PHM™ group had on average 4.84 points lower depression (95% CI: -10.68-1.04), 6.56 points lower anxiety (-14.04-0.92), and 6.28 points lower trauma (-14.44-1.88) scores by study end.
UNASSIGNED: Findings suggest that a nurse-guided mHealth approach is feasible and may contribute to a clinically important reduction in parents\' emotional distress.
■我们测试了一个新颖的护士指导的m保健计划,准备心脏和心灵™(PHM™),目的是检查可行性并评估干预对父母情绪困扰的影响。
■这项初步研究设计了使用2:1干预与对照比例的随机参与者。分析涉及保留描述,以及干预出勤和参与,和调整的线性混合模型来估计抑郁的群体差异(CES-D),焦虑(STAI-S),和创伤应激(IES-R)症状。
■样本包括55个父母(n=38PHM™组,n=17对照)。37(67%)父母的完全保留包括PHM™组中的29(76%)和8(47%)对照。大多数减员是由于婴儿死亡(7名父母),移植转诊(2名父母),或产后诊断不合格(4名父母)。对于PHM™组,≥96%的父母参加了产前和产后会议,大多数(65%)与护士联系。m健康参与度最高,处理不确定性最多的主题(平均94%的页面浏览)。在线性混合模型分析中,PHM™组的抑郁症平均低4.84点(95%CI:-10.68-1.04),6.56分降低焦虑(-14.04-0.92),到研究结束时,创伤评分降低6.28分(-14.44-1.88)。
■研究结果表明,护士指导的移动健康方法是可行的,可能有助于临床上重要的减少父母的情绪困扰。