Abstract：
BACKGROUND: While there are several parenting programs for NICU caregivers, no studies, to our knowledge, have developed parenting programs aimed at preventing child maltreatment that specifically address these parental factors: parental stress, parental self-efficacy, and positive parent-infant interaction.
OBJECTIVE: The objectives of this study were to: 1) Identify adaptations and/or augmentations needed to optimize SafeCare® for NICU caregivers, and 2) Examine the acceptability and preliminary effects of the adapted SafeCare NICU (SCNC) program with NICU caregivers.
METHODS: This study consisted of two phases: formative (phase one) and pilot (phase two). For phase one, 5 NICU former caregivers and 5 NICU staff were interviewed to make relevant, NICU-specific adaptations for SCNC. Phase two consisted of a pilot study, where 13 current NICU caregivers were enrolled in the adapted SCNC program. Outcomes included acceptability and preliminary effects of parental stress, parental self-efficacy, and parent-infant interaction.
RESULTS: Adaptations to SafeCare consisted of adding a pre-session to discuss individualized experiences, incorporation of adjusted developmental milestones, a NICU-specific resource sheet, and individualized adaptations to activities based on relevant medical concerns. Out of the 13 participants, 8 completed SCNC (61.5 % retention rate). Participants indicated significant reductions in stress after SCNC (Parental stress index score = 61.7) compared to baseline (79.2, p = 0.02). Among participants who completed SCNC (n = 8), all stated they supported this program for implementation among NICU caregivers.
CONCLUSIONS: The adapted SCNC demonstrated acceptability among NICU caregivers.
OBJECTIVE: The objectives of this study were to: 1) Identify adaptations and/or augmentations needed to optimize SafeCare® for NICU caregivers, and 2) Examine the acceptability and preliminary effects of the adapted SafeCare NICU (SCNC) program with NICU caregivers.
METHODS: This study consisted of two phases: formative (phase one) and pilot (phase two). For phase one, 5 NICU former caregivers and 5 NICU staff were interviewed to make relevant, NICU-specific adaptations for SCNC. Phase two consisted of a pilot study, where 13 current NICU caregivers were enrolled in the adapted SCNC program. Outcomes included acceptability and preliminary effects of parental stress, parental self-efficacy, and parent-infant interaction.
RESULTS: Adaptations to SafeCare consisted of adding a pre-session to discuss individualized experiences, incorporation of adjusted developmental milestones, a NICU-specific resource sheet, and individualized adaptations to activities based on relevant medical concerns. Out of the 13 participants, 8 completed SCNC (61.5 % retention rate). Participants indicated significant reductions in stress after SCNC (Parental stress index score = 61.7) compared to baseline (79.2, p = 0.02). Among participants who completed SCNC (n = 8), all stated they supported this program for implementation among NICU caregivers.
CONCLUSIONS: The adapted SCNC demonstrated acceptability among NICU caregivers.
摘要：
背景：虽然有几个针对NICU护理人员的育儿计划，没有研究,根据我们的知识，制定了旨在防止儿童虐待的育儿计划，专门针对这些父母因素：父母的压力，父母自我效能感，和积极的父母与婴儿互动。
目的：本研究的目的是：1）确定为NICU护理人员优化SafeCare®所需的适应和/或增强措施，和2）检查NICU护理人员适应的SafeCareNICU（SCNC）计划的可接受性和初步效果。
方法：本研究包括两个阶段：形成阶段（第一阶段）和试点阶段（第二阶段）。对于第一阶段，5名NICU前护理人员和5名NICU工作人员接受了采访，针对SCNC的NICU特定适应。第二阶段包括一项试点研究，其中13名目前的NICU护理人员被纳入适应的SCNC计划。结果包括可接受性和父母压力的初步影响，父母自我效能感，和父母与婴儿的互动。
结果：对SafeCare的适应包括增加一个会前讨论个性化体验，纳入调整后的发展里程碑，NICU特定的资源表，以及根据相关医疗问题对活动的个性化适应。在13名参与者中，8个完成SCNC（保留率为61.5%）。参与者表示，与基线（79.2，p=0.02）相比，SCNC后压力显着降低（父母压力指数评分=61.7）。在完成SCNC的参与者中(n=8)，所有人都表示，他们支持在NICU护理人员中实施该计划。
结论：适应的SCNC证明了NICU护理人员的可接受性。
目的：本研究的目的是：1）确定为NICU护理人员优化SafeCare®所需的适应和/或增强措施，和2）检查NICU护理人员适应的SafeCareNICU（SCNC）计划的可接受性和初步效果。
方法：本研究包括两个阶段：形成阶段（第一阶段）和试点阶段（第二阶段）。对于第一阶段，5名NICU前护理人员和5名NICU工作人员接受了采访，针对SCNC的NICU特定适应。第二阶段包括一项试点研究，其中13名目前的NICU护理人员被纳入适应的SCNC计划。结果包括可接受性和父母压力的初步影响，父母自我效能感，和父母与婴儿的互动。
结果：对SafeCare的适应包括增加一个会前讨论个性化体验，纳入调整后的发展里程碑，NICU特定的资源表，以及根据相关医疗问题对活动的个性化适应。在13名参与者中，8个完成SCNC（保留率为61.5%）。参与者表示，与基线（79.2，p=0.02）相比，SCNC后压力显着降低（父母压力指数评分=61.7）。在完成SCNC的参与者中(n=8)，所有人都表示，他们支持在NICU护理人员中实施该计划。
结论：适应的SCNC证明了NICU护理人员的可接受性。
