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Development and psychometric evaluation of the CO-PARTNER tool for collaboration and parent participation in neonatal care

BACKGROUND: Active parent participation in neonatal care and collaboration between parents and professionals during infant hospitalization in the neonatal intensive care unit (NICU) is beneficial for infants and their parents. A tool is needed to support parents and to study the effects and implemen...

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Autores principales: van Veenendaal, Nicole R., Auxier, Jennifer N., van der Schoor, Sophie R. D., Franck, Linda S., Stelwagen, Mireille A., de Groof, Femke, van Goudoever, Johannes B., Eekhout, Iris E., de Vet, Henrica C. W., Axelin, Anna, van Kempen, Anne A. M. W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8189480/
https://www.ncbi.nlm.nih.gov/pubmed/34106929
http://dx.doi.org/10.1371/journal.pone.0252074
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author van Veenendaal, Nicole R.
Auxier, Jennifer N.
van der Schoor, Sophie R. D.
Franck, Linda S.
Stelwagen, Mireille A.
de Groof, Femke
van Goudoever, Johannes B.
Eekhout, Iris E.
de Vet, Henrica C. W.
Axelin, Anna
van Kempen, Anne A. M. W.
author_facet van Veenendaal, Nicole R.
Auxier, Jennifer N.
van der Schoor, Sophie R. D.
Franck, Linda S.
Stelwagen, Mireille A.
de Groof, Femke
van Goudoever, Johannes B.
Eekhout, Iris E.
de Vet, Henrica C. W.
Axelin, Anna
van Kempen, Anne A. M. W.
author_sort van Veenendaal, Nicole R.
collection PubMed
description BACKGROUND: Active parent participation in neonatal care and collaboration between parents and professionals during infant hospitalization in the neonatal intensive care unit (NICU) is beneficial for infants and their parents. A tool is needed to support parents and to study the effects and implementation of parent-partnered models of neonatal care. METHODS: We developed and psychometrically evaluated a tool measuring active parent participation and collaboration in neonatal care within six domains: Daily Care, Medical Care, Acquiring Information, Parent Advocacy, Time Spent with Infant and Closeness and Comforting the Infant. Items were generated in focus group discussions and in-depth interviews with professionals and parents. The tool was completed at NICU-discharge by 306 parents (174 mothers and 132 fathers) of preterm infants. Subsequently, we studied structural validity with confirmatory factor analysis (CFA), construct validity, using the Average Variance Extracted and Heterotrait-Monotrait ratio of correlations, and hypothesis testing with correlations and univariate linear regression. For internal consistency we calculated composite reliability (CR). We performed multiple imputations by chained equations for missing data. RESULTS: A 31 item tool for parent participation and collaboration in neonatal care was developed. CFA revealed high factor loadings of items within each domain. Internal consistency was 0.558 to 0.938. Convergent validity and discriminant validity were strong. Higher scores correlated with less parent depressive symptoms (r = -0.141, 95%CI -0.240; -0.029, p = 0.0141), less impaired parent-infant bonding (r = -0.196, 95%CI -0.302; -0.056, p<0.0001), higher parent self-efficacy (r = 0.228, 95%CI 0.117; 0.332, p<0.0001), and higher parent satisfaction (r = 0.197, 95%CI 0.090; 0.308, p = 0.001). Parents in a family integrated care model had higher scores than in standard care (beta 6.020, 95%CI 4.144; 7.895, p<0.0001) and mothers scored higher than fathers (beta 2.103,95%CI 0.084; 4.121, p = 0.041). CONCLUSION: The CO-PARTNER tool explicitly measures parents’ participation and collaboration with professionals in neonatal care incorporating their unique roles in care provision, leadership, and connection to their infant. The tool consists of 31 items within six domains with good face, content, construct and structural validity.
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spelling pubmed-81894802021-06-16 Development and psychometric evaluation of the CO-PARTNER tool for collaboration and parent participation in neonatal care van Veenendaal, Nicole R. Auxier, Jennifer N. van der Schoor, Sophie R. D. Franck, Linda S. Stelwagen, Mireille A. de Groof, Femke van Goudoever, Johannes B. Eekhout, Iris E. de Vet, Henrica C. W. Axelin, Anna van Kempen, Anne A. M. W. PLoS One Research Article BACKGROUND: Active parent participation in neonatal care and collaboration between parents and professionals during infant hospitalization in the neonatal intensive care unit (NICU) is beneficial for infants and their parents. A tool is needed to support parents and to study the effects and implementation of parent-partnered models of neonatal care. METHODS: We developed and psychometrically evaluated a tool measuring active parent participation and collaboration in neonatal care within six domains: Daily Care, Medical Care, Acquiring Information, Parent Advocacy, Time Spent with Infant and Closeness and Comforting the Infant. Items were generated in focus group discussions and in-depth interviews with professionals and parents. The tool was completed at NICU-discharge by 306 parents (174 mothers and 132 fathers) of preterm infants. Subsequently, we studied structural validity with confirmatory factor analysis (CFA), construct validity, using the Average Variance Extracted and Heterotrait-Monotrait ratio of correlations, and hypothesis testing with correlations and univariate linear regression. For internal consistency we calculated composite reliability (CR). We performed multiple imputations by chained equations for missing data. RESULTS: A 31 item tool for parent participation and collaboration in neonatal care was developed. CFA revealed high factor loadings of items within each domain. Internal consistency was 0.558 to 0.938. Convergent validity and discriminant validity were strong. Higher scores correlated with less parent depressive symptoms (r = -0.141, 95%CI -0.240; -0.029, p = 0.0141), less impaired parent-infant bonding (r = -0.196, 95%CI -0.302; -0.056, p<0.0001), higher parent self-efficacy (r = 0.228, 95%CI 0.117; 0.332, p<0.0001), and higher parent satisfaction (r = 0.197, 95%CI 0.090; 0.308, p = 0.001). Parents in a family integrated care model had higher scores than in standard care (beta 6.020, 95%CI 4.144; 7.895, p<0.0001) and mothers scored higher than fathers (beta 2.103,95%CI 0.084; 4.121, p = 0.041). CONCLUSION: The CO-PARTNER tool explicitly measures parents’ participation and collaboration with professionals in neonatal care incorporating their unique roles in care provision, leadership, and connection to their infant. The tool consists of 31 items within six domains with good face, content, construct and structural validity. Public Library of Science 2021-06-09 /pmc/articles/PMC8189480/ /pubmed/34106929 http://dx.doi.org/10.1371/journal.pone.0252074 Text en © 2021 van Veenendaal et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
van Veenendaal, Nicole R.
Auxier, Jennifer N.
van der Schoor, Sophie R. D.
Franck, Linda S.
Stelwagen, Mireille A.
de Groof, Femke
van Goudoever, Johannes B.
Eekhout, Iris E.
de Vet, Henrica C. W.
Axelin, Anna
van Kempen, Anne A. M. W.
Development and psychometric evaluation of the CO-PARTNER tool for collaboration and parent participation in neonatal care
title Development and psychometric evaluation of the CO-PARTNER tool for collaboration and parent participation in neonatal care
title_full Development and psychometric evaluation of the CO-PARTNER tool for collaboration and parent participation in neonatal care
title_fullStr Development and psychometric evaluation of the CO-PARTNER tool for collaboration and parent participation in neonatal care
title_full_unstemmed Development and psychometric evaluation of the CO-PARTNER tool for collaboration and parent participation in neonatal care
title_short Development and psychometric evaluation of the CO-PARTNER tool for collaboration and parent participation in neonatal care
title_sort development and psychometric evaluation of the co-partner tool for collaboration and parent participation in neonatal care
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8189480/
https://www.ncbi.nlm.nih.gov/pubmed/34106929
http://dx.doi.org/10.1371/journal.pone.0252074
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