Original Article

Development of a Transition Process Scale for High-risk Infant’s Caregiver

Abstract

Background: Transition into parenthood is a major developmental life event and is very significant because development in infanthood is affected by the transition process of mothers parenting an infant. This study aimed to develop the assessment tool for transition process of high risk infant’s caregiver in Korea.

Methods: The participants were 246 mothers of premature infant born with gestational age (< 37 weeks) or low birth weight (< 2500 gm), of less than 24 months of age. Preliminary items were derived from transition process scale for parent of children with autism. Factor analysis was performed to test construct validity of the scale, the correlation between transition processes and parenting efficacy was used for testing predictive validity.

Results: The final scale was composed of 23 items divided into 5 factors: wandering (7 items), devotion (5 items), acceptance (4 items), denial (4 items), frustration (3 items). The total variance for validity described by the 5 factors was 60.8% and the reliability of the scale was total Cronbach’s α 0.90 and wandering 0.85, devotion 0.78, acceptance 0.72, denial 0.72, and frustration 0.71. Correlation between transition process and parenting efficacy was statistically significant; wandering(r=-0.61, P <.001), devotion (r=-0.60, P<.001), acceptance (r=0.30, P <.001), denial (r=-0.31, P <.001) and frustration (r= -0.27, P <.001).

Conclusion: This final assessment scale will be used to investigate high-risk infant caregiver’s transition process and provide basic data for program development to provide differentiated support and care at each process.

 

Bacharach VR, Baumeister AA (1998). Effects of maternal intelligence, marital status, income, and home environment on cognitive devel¬opment of low birth weight infants. J Pediatr Psychol, 23(3):197-205.

Melnyk BM, Alpert-Gillis L, Feinstein NF, Fair¬banks E, Schultz-Czarniak J, Hust D, Sherman L, LeMoine, C, Moldenhauer Z, Small L, Bender N, Sinkin RA (2001). Improving cog¬nitive development of low-birth-weight premature infants with the COPE program: A pilot study of the benefit of early NICU inter¬vention with mothers. Res Nurs Health, 24: 373–89.

Ogi S, Arisawa K, Takahashi T, Akiyama T, Goto Y, Fukuda M, Saito H (2001). The develop¬mental effects of an early intervention program for very low birth infants. No To Hattatsu, 33(1): 31-6. (In Japanese)

Ahn YM, Lee SM (2004). The effects of the inte¬grated NICU hospitalization education on ma¬ternal attachment, maternal self-esteem, and postpartum depression in the mothers of high-risk infants. J Korean Acad Child Health Nurs, 10(3): 340-49. (In Korean)

Gianni ML, Picciolini O, Ravasi M, Gardon L, Vegni C, Fumagalli M, Mosca F (2006). The effects of an early developmental mother child intervention program on neurodevelopment outcome in very low birth weight infants: A pi¬lot study. Early Hum Dev, 82: 691-95.

Kwon HK, Kwon MK (2007). Effect of dis-charge education program for mothers of premature infants on maternal role confidence and parenting stress. J Korean Acad Child Health Nurs, 13(1): 58-65. (In Korean)

Orton J, Spittle A, Doyle L, Anderson P, Boyd R (2009). Do early intervention programs im¬prove cognitive and motor outcomes for pre¬term infants after discharge? A systematic re¬view. Dev Med Child Neurol, 51: 851-59. DOI:10.1111/j.1469-8749.2009.03414.x

Nordhov SM, Rønning JA, Dahl LB, Ulvund SE, Tunby J, Kaaresen, PI (2010), Early interven¬tion improves cognitive outcomes for preterm infants: Randomized controlled trial. Pediatrics, 126(5), e1088-1094.

Beckwith L, Cohen SE, Hamilton CE (1999). Ma¬ternal sensitivity during infancy and subse¬quent life events relate to attachment represen¬tation at early adulthood. Dev Psychol, 35(3):693-700.

Barba E, Selder F (1995). Life transitions theory. Nursing Leadership Forum, 1, 4-11.

Mercer R (2004). Becoming a mother versus ma¬ternal role attainment. J Nurs Scholarsh, 36: 226-32.

Fontenot HB (2007). Transition and adaptation to adoptive motherhood, J Obstet Gynecol Neonatal Nurs, 36(2): 175-82. DOI:10.1111/j.1552-6909.2007.00134.x

McHaffie, H .E. (1990). Mother s of very low birth weight babies: How do they adjust? J Adv Nurs, 15: 6-11.

Park JY, Bang KS (2013). Knowledge and needs of premature infant development and rearing for mothers with premature infants. Korean Parent Child Health J, 16(1): 17-26. (In Korean)

Pridham KF, Schroeder M, Brown R (1999). The adaptiveness of mothers’ working models of caregiving through the first year: Infant and mother contributions. Res Nurs Health, 22: 471-85.

Lee AR, Hong SW, Ju SJ (2012). Development of a scale to measure life transition process in parents of children with autism. J Korean Acad Nurs, 42(6): 861-69. http://dx.doi.org/10.4040/jkan.2012.42.6.861

Thornton R, Nardi PM (1975). The dynamics of role acquisition. Am J Soc, 80: 870-85.

Pridham K, Harrison T, Brown R, Krolikowski M, Limbo R, Schroeder M (2012). Caregiving motivations and developmentally prompted transition for mothers of prematurely born in¬fants. ANS Adv Nurs Sci, 35(3):E23-41. DOI:10.1097/ANS.0b013e3182626115

Muller-Nix C, Forcada-Guex M, Pierrehumbert B, Jaunin L, Borghini A, Ansermet F (2004). Prematurity, maternal stress and mother-child interactions. Early Hum Dev. 79(2):145-58.

Kwon MK (2011). Parenting stress and related factors of employed and non-employed moth¬ers with infants. Journal of Korean Child Care and Education, 7(2):19-41.(in Korean)

Moon YS, Han JS (2006). A study on neonatal perception and caring-confidence of normal and high-risk newborn mothers. Korean Parent Child Health, 9(2): 116-27.(in Korean)

Gray PH, Edeards DM, O'Callaghan MJ, Cuskelly M (2012). Parenting stress in mothers of pre¬term infants during early infancy. Early Hum Dev, 88:45–9. DOI:10.1016/j.earlhumdev.2011.06.014

Nunnally J (1978). Psychometric theory.2nd ed. New York, NY: McGraw-Hill.

Elek SM, Hudson DB, Bouffard C (2003). Marital and parenting satisfaction and infant care self-efficacy during the transition to parenthood: The effect of infant sex. Issues Compr Pediatr Nurs, 26: 45-57.

Ahn JY, Park SY (2002). The effects of maternal parental beliefs, efficacy and stress on moth¬er`s parenting behaviors. J Korean Home Econ Ass, 40(1):53-68 (In Korean).

Floyd F, Gilliom, LA, Costigan CL (1998). Mar¬riage and the parenting alliance; Longitudinal prediction of change in parenting perceptions and behaviors. Child Dev, 69(5): 1461-79.

Burns N, Grove SK (2009). The practices of nursing research. 6th ed. St. Louise: Saunders.

Hair JF, Anderson RE, Tatham RL, Black WC (1998). Multivariate data analysis.5th ed. New York, NY: Prentice Hall International.

Lee AR, Hong SW, Kim JS, Ju SJ (2010). Life transition of mothers of children with autism. J Korean Acad Nurs, 40: 808-19. DOI:10.4040/jkan.2010.40.6.808

Nelson AM (2002). A metasynthesis: Mothering other-than-normal children. Qual Health Res, 12: 515-30. DOI:10.1177/104973202129120043

Hines M, Balandin S, Togher L (2012). Buried by autism: Older parents' perceptions of autism. Autism, 16: 15-26. DOI:10.1177/1362361311416678

Fleischmann A (2005). The hero's story and au¬tism: Grounded theory of websites for parents of children with autism. Autism, 9: 299-316. DOI:10.1177/1362361305054410

Midence K, O'neill M (1999). The experience of parents in the diagnosis of autism: A pilot study. Autism, 3: 273-285. DOI:10.1177/1362361399003003005

Kuo CP, Chuang HL, Lee SH, Liao WC, Chang LY, Lee MC (2012). Parenting Confidence and Needs for Parents of Newborns in Taiwan. Iran J Pediatr, 22(2): 177-84.

Moon HJ (2004). Parenting stress of employed and unemployed mothers. J Korean Home Econ Ass, 42(11): 109-22. (in Korean)

Kim H, Seo SJ (2012). The relationship between maternal attachment and infant development: The mediating effect on parenting efficacy. J Future Early Child Educ, 19(1): 307-29. (in Ko¬rean)

Porter CL, Hsu HC (2003) First-time mothers' perceptions of efficacy during the transition to motherhood: links to infant temperament. J Fam Psychol, 17(1):54-64.

Files
IssueVol 45 No 2 (2016) QRcode
SectionOriginal Article(s)
Keywords
Caregiver High risk Infant Scale Transition

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
YU M. Development of a Transition Process Scale for High-risk Infant’s Caregiver. Iran J Public Health. 2016;45(2):158-169.