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

<h4>Background</h4>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 e...

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Autores principales:	Nicole R van Veenendaal, Jennifer N Auxier, Sophie R D van der Schoor, Linda S Franck, Mireille A Stelwagen, Femke de Groof, Johannes B van Goudoever, Iris E Eekhout, Henrica C W de Vet, Anna Axelin, Anne A M W van Kempen
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6e4210bc7c5b4d70b0a8c90c28ae3921
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spelling	oai:doaj.org-article:6e4210bc7c5b4d70b0a8c90c28ae39212021-12-02T20:10:57ZDevelopment and psychometric evaluation of the CO-PARTNER tool for collaboration and parent participation in neonatal care.1932-620310.1371/journal.pone.0252074https://doaj.org/article/6e4210bc7c5b4d70b0a8c90c28ae39212021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252074https://doaj.org/toc/1932-6203<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusion</h4>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.Nicole R van VeenendaalJennifer N AuxierSophie R D van der SchoorLinda S FranckMireille A StelwagenFemke de GroofJohannes B van GoudoeverIris E EekhoutHenrica C W de VetAnna AxelinAnne A M W van KempenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252074 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Nicole R van Veenendaal Jennifer N Auxier Sophie R D van der Schoor Linda S Franck Mireille A Stelwagen Femke de Groof Johannes B van Goudoever Iris E Eekhout Henrica C W de Vet Anna Axelin Anne A M W van Kempen Development and psychometric evaluation of the CO-PARTNER tool for collaboration and parent participation in neonatal care.
description	<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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).<h4>Conclusion</h4>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.
format	article
author	Nicole R van Veenendaal Jennifer N Auxier Sophie R D van der Schoor Linda S Franck Mireille A Stelwagen Femke de Groof Johannes B van Goudoever Iris E Eekhout Henrica C W de Vet Anna Axelin Anne A M W van Kempen
author_facet	Nicole R van Veenendaal Jennifer N Auxier Sophie R D van der Schoor Linda S Franck Mireille A Stelwagen Femke de Groof Johannes B van Goudoever Iris E Eekhout Henrica C W de Vet Anna Axelin Anne A M W van Kempen
author_sort	Nicole R van Veenendaal
title	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_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_sort	development and psychometric evaluation of the co-partner tool for collaboration and parent participation in neonatal care.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/6e4210bc7c5b4d70b0a8c90c28ae3921
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Development and psychometric evaluation of the CO-PARTNER tool for collaboration and parent participation in neonatal care.

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