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Afande Mukhola B, Kivuti-Bitok LW, Chepchirchir A. Challenges Faced by Mothers Practicing Kangaroo Mother Care (KMC) in a Resource-Limited Setting During the COVID-19 Pandemic: Insights From the Voices of Mothers of Preterm Babies and Their Suggested Solutions. Glob Pediatr Health 2023; 10:2333794X231213472. [PMID: 38024463 PMCID: PMC10666549 DOI: 10.1177/2333794x231213472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 10/16/2023] [Accepted: 10/25/2023] [Indexed: 12/01/2023] Open
Abstract
Objectives. We investigated the challenges faced by mothers of preterm babies practicing KMC during the Covid-19 pandemic and documented the mothers' suggestions of possible interventions. Methods. We conducted a cross-sectional descriptive study at the New Born Unit of Kenyatta National Hospital(KNH). We interviewed 82 mothers using a researcher-administered questionnaire with closed and open-ended questions. Qualitative data generated from open-ended questions was analyzed thematically. Results. KMC was majorly affected by; fear of the baby contracting COVID-19, fear of contracting COVID-19, and social distancing restrictions. The mothers' suggested interventions included; the need for more KMC rooms, provision of appropriate clothing, strict application of COVID-19 prevention guidelines, and greater support of practice by the family. Conclusion. The mother's pivotal role as a partner in decision-making in regard to the improvement of KMC during pandemics and possibly other settings was demonstrated. Targeted interventions should incorporate the suggestions from the mothers.
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Lund HN, Pedersen IN, Johnsen SP, Heymann-Szlachcinska AM, Tuszewska M, Bizik G, Larsen JI, Kulhay E, Larsen A, Grønbech B, Østermark H, Borup H, Valentin JB, Mainz J. Music to improve sleep quality in adults with depression-related insomnia (MUSTAFI): study protocol for a randomized controlled trial. Trials 2020; 21:305. [PMID: 32245512 PMCID: PMC7118840 DOI: 10.1186/s13063-020-04247-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Accepted: 03/12/2020] [Indexed: 12/31/2022] Open
Abstract
Background Insomnia is a common sleep disorder for adults with depression, with major impact on their quality of life. Previous trials suggest that listening to music may be helpful in the treatment of sleep disturbances in healthy populations, including students and elderly. In addition, small studies with clinical populations of traumatized refugees, adults with chronic insomnia and adults with depression insomnia add to the evidence base. However, the impact of music listening in the treatment of depression related insomnia is not well documented. Objective To examine the efficacy of music listening on sleep quality, symptoms of depression, and quality of life in adults with depression-related insomnia. Method A single-center randomized controlled trial (RCT) in a two-arm parallel-group design is conducted and reported according to the CONSORT guidelines. The trial consists of an experimental group and a standard care control group. Both groups receive standard treatment for depression following Danish clinical guidelines in an outpatient psychiatry unit. The experimental group listens to music for a minimum of 30 minutes at bedtime for 4 weeks. Discussion This trial will provide information on the efficacy of music intervention as a non-pharmacological intervention in the treatment of depression-related insomnia. This study will provide novel knowledge concerning music medicine as an evidence-based treatment for depression. Trial Registration Clinicaltrials.gov. ID NCT03676491, registered on 19 September 2018.
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Affiliation(s)
- Helle Nystrup Lund
- Unit for Psychiatric Research, Aalborg University Hospital, Mølleparkvej 10, 9000, Aalborg, Denmark.
| | - Inge Nygaard Pedersen
- The Music Therapy Clinic, Aalborg University Hospital, Mølleparkvej 10, 9000, Aalborg, Denmark
| | - Søren Paaske Johnsen
- Danish Center for Clinical Health Services Research (DACS), Department of Clinical Medicine, Aalborg University and Aalborg University Hospital, Aalborg, Denmark
| | | | - Maryla Tuszewska
- Department for Child and Adolescent Psychiatry, Aalborg University Hospital, Mølleparkvej 10, 9000, Aalborg, Denmark
| | - Gustav Bizik
- Unit for Depression, Aalborg University Hospital, Mølleparkvej 10, 9000, Aalborg, Denmark
| | - Jens Ivar Larsen
- Unit for Depression, Aalborg University Hospital, Mølleparkvej 10, 9000, Aalborg, Denmark
| | - Eszter Kulhay
- Unit for Depression, Aalborg University Hospital, Mølleparkvej 10, 9000, Aalborg, Denmark
| | - Anelia Larsen
- Unit for Depression, Aalborg University Hospital, Mølleparkvej 10, 9000, Aalborg, Denmark
| | - Bettina Grønbech
- Unit for Psychiatric Research, Aalborg University Hospital, Mølleparkvej 10, 9000, Aalborg, Denmark
| | - Helle Østermark
- Unit for Psychiatric Research, Aalborg University Hospital, Mølleparkvej 10, 9000, Aalborg, Denmark
| | - Heidi Borup
- Unit for Bipolar Disorders, Aalborg University Hospital, Mølleparkvej 10, 9000, Aalborg, Denmark
| | - Jan Brink Valentin
- Danish Center for Clinical Health Services Research (DACS), Department of Clinical Medicine, Aalborg University and Aalborg University Hospital, Aalborg, Denmark
| | - Jan Mainz
- Psychiatry Management, Aalborg University Hospital, Aalborg, Mølleparkvej 10, 9000, Aalborg, Denmark.,Department for Community Mental Health, Haifa University, Haifa, Israel
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