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Journal of Pediatric Psychology Advance Access originally published online on March 3, 2005
Journal of Pediatric Psychology 2005 30(8):667-677; doi:10.1093/jpepsy/jsi053
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© The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org

Family-Based Intervention to Enhance Infant–Parent Relationships in the Neonatal Intensive Care Unit

Joy V. Browne, PhD, RN and Ayelet Talmi, PhD

University of Colorado, Health Sciences Center and Center for Family and Infant Interaction

All correspondence concerning this article should be addressed to Ayelet Talmi, Center for Family and Infant Interaction, The Children’s Hospital, 1056 East 19th Avenue B310, Denver, Colorado 80218. E-mail: ayelet.talmi{at}uchsc.edu.

Objective To examine how family-based interventions in the neonatal intensive care unit (NICU) may change parental knowledge and behaviors and decrease stress. Methods Eighty-four high-risk mother–infant dyads were randomly assigned to two intervention and one control groups. Group 1 (n = 28) participated in a demonstration of infant reflexes, attention, motor skills, and sleep-wake states. Group 2 (n = 31) viewed educational materials. Group 3 (n = 25), controls, participated in an informal discussion. Parent–infant interactions (Nursing Child Assessment Feeding Scale) were videotaped. Mothers completed measures of stress (Parenting Stress Index) and knowledge of infant cues (Knowledge of Preterm Infant Behavior Scale). Results Mothers in both intervention groups evidenced greater knowledge and more contingent and sensitive interactions with their infants than did the control group. Stress also differed across groups, and all mothers reported scores above norms. Conclusions In a high-risk sample, short-term, family-based NICU interventions may enhance mothers’ knowledge, sensitivity, contingency, and stress.

Key words: NICU intervention; parent–infant interaction; parenting behaviors; preterm infants.


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