Evidence map›Paper›PMID 41932697›Full record

SynthesisBMJ paediatrics open2026

Impact of parent education programmes on confidence and self-efficacy in parents of preterm infants: a systematic review.

Puja Padbidri, Veena Joshi, Hollie Hix-Small, Pooja Bhavarth Dekhane

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ paediatrics open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Puja PadbidriPediatrics, Dr. D. Y. Patil Medical College Hospital and Research Center, Dr. D. Y Patil Vidyapeeth (Deemed to University), Pimpri, Maharashtra, India.ORCID http://orcid.org/0000-0002-4239-5122
Veena JoshiCentral Research Facility, Dr. D. Y. Patil Medical College Hospital and Research Center, Dr. D. Y Patil Vidyapeeth (Deemed to University), Pimpri, Maharashtra, India.ORCID http://orcid.org/0000-0002-7512-7722
Hollie Hix-SmallCollege of Education, Portland State University, Portland, Oregon, USA.ORCID http://orcid.org/0000-0002-6986-3221
Pooja Bhavarth DekhanePediatrics, Dr. D. Y. Patil Medical College Hospital and Research Center, Dr. D. Y Patil Vidyapeeth (Deemed to University), Pimpri, Maharashtra, India poojabdekhane@gmail.com.ORCID http://orcid.org/0009-0000-0438-9955

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFamilies of preterm infants can experience high stress during neonatal intensive care unit (NICU) hospitalisation, which interferes with the development of parenting confidence and self-efficacy through active engagement with their infants. Parent NICU support programmes provide guidance and education to build this connection. This systematic review examined the effects of parent education programmes on confidence and self-efficacy among parents of preterm infants.

designSystematic review in PubMed/Medline, PsycINFO, CINAHL, Google Scholar and Web of Science.

settingNICU.

participantsParents of preterm infants.

interventionEducation programmes offered to parents in the NICU.

main outcome measuresQuantitative surveys measuring parent confidence or self-efficacy.

results14 studies met inclusion criteria from an initial 220 identified. Five were randomised controlled trials and nine were non-randomised studies. Programmes combining information delivery with opportunities for parent-infant engagement were most effective. Infant access and time to practise skills were key factors in transferring programme knowledge to increase parent confidence and self-efficacy. While 6 of the 14 studies did not show statistically significant differences between groups, all interventions demonstrated improvements in parental confidence or self-efficacy from baseline. Vast variability in duration of intervention, proper descriptions of facilitator trainings, methodological limitations and potential confounding factors reduced the overall quality of evidence to a low level.

conclusionBoth unit-specific programmes developed within individual NICUs and commercially available, copyrighted parent education programmes hold value. They are generally effective in building parent confidence and self-efficacy among parents of preterm infants. Integrating either type of programme into standard NICU care may hold promise for strengthening parental competence and promoting family-centred outcomes. Clarity on content/topics of programmes, duration and level of facilitator trainings can strengthen the process of supporting parents in the NICU, even in low resource settings. PROSPERO REGISTRATION NUMBER: CRD42024524063.

Indexed as

Infant, PrematureParentingParentsSelf EfficacyHumansInfant, NewbornIntensive Care Units, NeonatalInfantMothersNeonatologyPsychology

Identifiers

PMID41932697
PMCPMC13052596

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.