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Telehealth Listening Visits for emotionally distressed mothers of hospitalized newborns: Proof-of-concept

PROBLEM: Newborn admission to the neonatal intensive care unit (NICU) is stressful. Yet in clinical practice, at best, NICU mothers are screened for depression and if indicated, referred to a mental-health specialist. At worst, no action is taken. Listening Visits, an empirically supported nurse-del...

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Autores principales: Segre, Lisa S., McCabe, Jennifer E., Chuffo Davila, Rebecca, Arndt, Stephan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9768023/
https://www.ncbi.nlm.nih.gov/pubmed/36569622
http://dx.doi.org/10.3389/fpsyt.2022.1032419
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author Segre, Lisa S.
McCabe, Jennifer E.
Chuffo Davila, Rebecca
Arndt, Stephan
author_facet Segre, Lisa S.
McCabe, Jennifer E.
Chuffo Davila, Rebecca
Arndt, Stephan
author_sort Segre, Lisa S.
collection PubMed
description PROBLEM: Newborn admission to the neonatal intensive care unit (NICU) is stressful. Yet in clinical practice, at best, NICU mothers are screened for depression and if indicated, referred to a mental-health specialist. At worst, no action is taken. Listening Visits, an empirically supported nurse-delivered intervention addressing emotional distress, can be conveniently provided by a NICU nurse. Prompted by the need to minimize face-to-face contacts during the pandemic, the primary purpose of this small pilot trial was to assess the feasibility of having nurses provide Listening Visits to NICU mothers over Zoom. Secondarily, we assessed pre-to post-Listening Visits depression symptom scores as a preliminary evaluation of the effectiveness of this type of support. MATERIALS AND METHODS: Nine NICU mothers with mildly to moderately severe depression symptoms received up to six Listening Visits sessions from a NICU nurse via Zoom. Participants completed the Inventory Depression and Anxiety Symptoms-General Depression scale (IDAS-GD) at study entry and 4- and 8-weeks post enrollment. They completed the Client Satisfaction Questionnaire (CSQ) at the 8-week assessment. RESULTS: Using an intent-to-treat approach, the effect of time from the mixed model analysis of IDAS-GD was statistically significant (F(2,26) = 10.50, p < 0.001), indicating improvement in IDAS-GD scores from baseline to follow-up. The average CSQ score was high (M = 29.0, SD = 3.3), with 75% of participants rating the quality of help they received as “excellent”. DISCUSSION: In this pilot trial, we learned it is feasible to provide Listening Visits over Zoom, that this mode of delivery is associated with a significant decrease in depression symptom scores, and that women value this approach. CLINICAL TRIAL REGISTRATION: [https://clinicaltrials.gov/], identifier [#201805961].
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spelling pubmed-97680232022-12-22 Telehealth Listening Visits for emotionally distressed mothers of hospitalized newborns: Proof-of-concept Segre, Lisa S. McCabe, Jennifer E. Chuffo Davila, Rebecca Arndt, Stephan Front Psychiatry Psychiatry PROBLEM: Newborn admission to the neonatal intensive care unit (NICU) is stressful. Yet in clinical practice, at best, NICU mothers are screened for depression and if indicated, referred to a mental-health specialist. At worst, no action is taken. Listening Visits, an empirically supported nurse-delivered intervention addressing emotional distress, can be conveniently provided by a NICU nurse. Prompted by the need to minimize face-to-face contacts during the pandemic, the primary purpose of this small pilot trial was to assess the feasibility of having nurses provide Listening Visits to NICU mothers over Zoom. Secondarily, we assessed pre-to post-Listening Visits depression symptom scores as a preliminary evaluation of the effectiveness of this type of support. MATERIALS AND METHODS: Nine NICU mothers with mildly to moderately severe depression symptoms received up to six Listening Visits sessions from a NICU nurse via Zoom. Participants completed the Inventory Depression and Anxiety Symptoms-General Depression scale (IDAS-GD) at study entry and 4- and 8-weeks post enrollment. They completed the Client Satisfaction Questionnaire (CSQ) at the 8-week assessment. RESULTS: Using an intent-to-treat approach, the effect of time from the mixed model analysis of IDAS-GD was statistically significant (F(2,26) = 10.50, p < 0.001), indicating improvement in IDAS-GD scores from baseline to follow-up. The average CSQ score was high (M = 29.0, SD = 3.3), with 75% of participants rating the quality of help they received as “excellent”. DISCUSSION: In this pilot trial, we learned it is feasible to provide Listening Visits over Zoom, that this mode of delivery is associated with a significant decrease in depression symptom scores, and that women value this approach. CLINICAL TRIAL REGISTRATION: [https://clinicaltrials.gov/], identifier [#201805961]. Frontiers Media S.A. 2022-12-07 /pmc/articles/PMC9768023/ /pubmed/36569622 http://dx.doi.org/10.3389/fpsyt.2022.1032419 Text en Copyright © 2022 Segre, McCabe, Chuffo Davila and Arndt. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Segre, Lisa S.
McCabe, Jennifer E.
Chuffo Davila, Rebecca
Arndt, Stephan
Telehealth Listening Visits for emotionally distressed mothers of hospitalized newborns: Proof-of-concept
title Telehealth Listening Visits for emotionally distressed mothers of hospitalized newborns: Proof-of-concept
title_full Telehealth Listening Visits for emotionally distressed mothers of hospitalized newborns: Proof-of-concept
title_fullStr Telehealth Listening Visits for emotionally distressed mothers of hospitalized newborns: Proof-of-concept
title_full_unstemmed Telehealth Listening Visits for emotionally distressed mothers of hospitalized newborns: Proof-of-concept
title_short Telehealth Listening Visits for emotionally distressed mothers of hospitalized newborns: Proof-of-concept
title_sort telehealth listening visits for emotionally distressed mothers of hospitalized newborns: proof-of-concept
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9768023/
https://www.ncbi.nlm.nih.gov/pubmed/36569622
http://dx.doi.org/10.3389/fpsyt.2022.1032419
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