A randomized controlled trial to assess the impact of psychoeducation on the quality of life of parents with children with congenital heart defects—Quantitative component

Author:

Rodrigues Marisa Garcia123ORCID,Rodrigues José Daniel3,Moreira Jorge Antunes1,Clemente Fátima245,Dias Cláudia Camila67,Azevedo Luís Filipe789,Rodrigues Pedro Pereira7810,Areias José Carlos11,Areias Maria Emília1112

Affiliation:

1. Department of Pediatric Cardiology University Hospital Center of São João (CHUSJ) Porto Portugal

2. Department of Gynecology‐Obstetrics and Pediatrics Faculty of Medicine of Porto University (FMUP) Porto Portugal

3. Center for Health Technology and Services Research (CINTESIS) – EvidenS&HTA FMUP Porto Portugal

4. Neonatal Intensive Care Unit, Neonatology Department CHUSJ Porto Portugal

5. São João Newborn Individualized Developmental Care and Assessment Program (NIDCAP) Training Center CHUSJ Porto Portugal

6. Knowledge Management Unit and Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS) FMUP Porto Portugal

7. RISE@CINTESIS FMUP Porto Portugal

8. Department of Community Medicine, MEDCIDS FMUP Porto Portugal

9. Clinical and Health Services Research (PDICSS) FMUP Porto Portugal

10. Health Data Science (PDCDS) FMUP Porto Portugal

11. Cardiovascular R&D Unit (UnIC) FMUP Porto Portugal

12. University Institute of Health Sciences (IUCS) Gandra Portugal

Abstract

AbstractPurposeTo develop, implement and assess the results of psychoeducation to improve the QoL of parents with CHD newborns.MethodsParticipants were parents of inpatient newborns with the diagnosis of non‐syndromic CHD. We conducted a parallel RCT with an allocation ratio of 1:1 (intervention vs. control), considering the newborns, using mixed methods research. The intervention group received psychoeducation (Parental Psychoeducation in CHD [PPeCHD]) and the usual routines, and the control group received just the regular practices. The allocation concealment was assured. PI was involved in enrolling participants, developing and implementing the intervention, data collection and data analysis. We followed the Consolidated Standards of Reporting Trials (CONSORT) guidelines.ResultsParents of eight newborns were allocated to the intervention group (n = 15 parents) and eight to the control group (n = 13 parents). It was performed as an intention‐to‐treat (ITT) analysis. In M2 (4 weeks), the intervention group presented better QoL levels in the physical, psychological, and environmental domains of World Health Organization Quality of Life instrument (WHOQOL‐Bref). In M3 (16 weeks), scores in physical and psychological domains maintained a statistically significant difference between the groups.ConclusionsThe PPeCHD, the psychoeducational intervention we developed, positively impacted parental QoL. These results support the initial hypothesis. This study is a fundamental milestone in this research field, adding new essential information to the literature.

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health,Developmental and Educational Psychology,Pediatrics, Perinatology and Child Health

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