ABSTRACT
BACKGROUND: As a result of the COVID-19 pandemic, Mellow Parenting proposed online strategies for some of their interventions. One such intervention was Mellow Bumps - becoming Online Mellow Bumps. The objective of this study was to evaluate the implementation of antenatal parenting intervention Mellow Bumps in an online format and determine if this can be done safely and without detriment to pregnant women in Turkey. METHOD: The study used an exploratory study design to investigate routine evaluation data collected pre- and post-intervention. Outcomes were online feasibility, mental health symptoms (depression, anxiety and stress), maternal subjective well-being, perceived quality of relationship with baby, maternal confidence and maternal social connectivity. 128 mums-to-be took part in the intervention between January 2021 and May 2021 from a total of 21 different provinces in Turkey. RESULTS: 57 pre- and post-intervention responses were eligible for analysis. This gives a response rate of 44.5% for evaluation, though the intervention completion rate was high at 89.5%, suggesting the intervention is engaging and accessible. Improvements were found for maternal stress levels, maternal subjective well-being and perceived relationship with baby. Improvements were also found for maternal confidence and maternal social connectivity. CONCLUSIONS: This is the first study to evaluate the antenatal parenting intervention Mellow Bumps in an online format, namely Online Mellow Bumps. The online format makes the programme accessible for at-risk mothers and families, with the potential to continue reaching wider audiences beyond the pandemic who otherwise might struggle to access support. The findings show that the online group can be effective in improving mental health symptoms and mental well-being, supporting expectant mothers before the baby is born. Future research using a control group, a larger and more inclusive sample, and assessing the longer-term effects on parent and child would be beneficial.
Subject(s)
COVID-19 , Parenting , Female , Humans , Infant , Pregnancy , Feasibility Studies , Pandemics , Parenting/psychology , Pilot Projects , TurkeyABSTRACT
Attachment is a pattern of interaction and communication established and developed between mother and baby. For the growth of mentally and physically healthy individuals, the mother is expected to create a suitable attachment starting before the birth and to maintain it afterwards. It is also necessary for the baby to establish appropriate and safe attachment towards the mother in a similar manner. There are several factors that affect the attachment. Also, some studies show that children with attachment problems also have problems in their future lives. Healthcare professionals need to be aware of these factors and evaluate the child in terms of healthy parental communication and child development in well-child visits. As a result of these evaluations, multidisciplinary approaches to the mother-child pair can be established and the child's health is protected mentally and physically for healthy generations.
Baglanma, anne ve bebegi arasinda her iki yönde gelisen ve kurulan bir iletisim ve etkilesim örüntüsüdür. Ruhen ve bedenen saglikli bireylerin yetismesi için, annenin bebegi ile dogum öncesinden baslayan ve dogum sonrasi da devam eden uygun baglanma olusturmasi ve sürdürmesi beklenirken, benzer sekilde bebegin de annesi ile uygun ve güvenli baglanma kurmasi gerekmektedir. Baglanmayi etkileyen birçok etmen bulunmaktadir. Baglanmada sorun yasayan çocuklarin ileriki yasamlarinda sorunlar oldugunu gösteren çalismalar da bulunmaktadir. Saglik çalisanlarinin, bu etmenlerin farkinda olmasi ve saglikli çocuk izlemlerinde, çocugu saglikli ebeveyn iletisimi ve gelisimi açisindan degerlendirilmesi gerekmektedir. Bu degerlendirme sonucunda, anne-çocuk ikilisine çok disiplinli yaklasimlar yapilabilir ve saglikli nesiller için çocugun sagligi ruhen ve bedenen korunmus olur.
ABSTRACT
The quality of life determination of children with chronic disease is closely related to treatment success. Quality of life assessment studies revealed that it was not limited to the individual, the quality of life of the family members also had to be assessed. Along with the child being diagnosed with chronic illness, some changes occur in the family structure, and in family roles. Quality of life assessment studies in healthy siblings generally indicate a global influence. These children live in different senses such as closure, aggression, depression, anxiety, guilt, and isolation. Psychosocial impact (short or long-term) of healthy siblings have been associated with disease type, severity, disease duration, age, sex, and ability to cope. Further comprehensive studies among healthy siblings of children with chronic disease about quality of life are needed. Building support groups (especially family support groups) to express feelings and thoughts freely for healthy siblings can positively affect the well-being and self-esteem of the child.
