The purpose of this longitudinal, descriptive study is to examine, for premature infants, patterns and mediators of heart rate variability (HRV) and adaptive feeding behavior through the first 4 post-term months. The study aims are to explore: (a) the pattern of change of infant HRV, infant adaptive feeding behavior, and mother adaptive feeding behavior just before discharge from the special-care nursery and at I and 4 months; (b) examine the mediating effect of the adaptiveness of mothers' feeding behavior on the contribution to HRV and to the adaptiveness of the infant's feeding behavior, of infant biologic condition, and mothers' depressive symptoms; and (c) explore the longitudinal effect of the adaptiveness of mothers' interactive feeding behavior on the adaptiveness of infant feeding behavior and HRV. A convenience sample of 64 premature infants and their mothers will participate in this study. A Holter monitor will be used to collect HRV data, which will be decomposed into parasympathetic components with spectral analysis. Videotaped feeding interactions will be analyzed using the Parent Child Early Relational Assessment. Mothers' depressive symptoms will be assessed with the Center for Epidemiological Studies- Depression Scale. Infant biologic condition will be estimated with the Neonatal Health Index. Regression analysis will be used to address the study aims.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
1F31NR007703-01A2
Application #
6551672
Study Section
National Institute of Nursing Research Initial Review Group (NRRC)
Program Officer
Bryan, Yvonne E
Project Start
2002-08-26
Project End
Budget Start
2002-08-26
Budget End
2003-08-25
Support Year
1
Fiscal Year
2002
Total Cost
$28,113
Indirect Cost
Name
University of Wisconsin Madison
Department
Type
Schools of Nursing
DUNS #
161202122
City
Madison
State
WI
Country
United States
Zip Code
53715
Brown, Lisa F; Pridham, Karen A; Brown, Roger (2014) Sequential observation of infant regulated and dysregulated behavior following soothing and stimulating maternal behavior during feeding. J Spec Pediatr Nurs 19:139-48
Brown, Lisa F; Thoyre, Suzanne; Pridham, Karen et al. (2009) The mother-infant feeding tool. J Obstet Gynecol Neonatal Nurs 38:491-503
Brown, Lisa (2007) Heart rate variability in premature infants during feeding. Biol Res Nurs 8:283-93
Pridham, Karen; Steward, Deborah; Thoyre, Suzanne et al. (2007) Feeding skill performance in premature infants during the first year. Early Hum Dev 83:293-305