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IRCT20241225064162N4 IRCT 2026-07-31 Tehran University of Medical Sciences The Effect of Letter-Writing on Resilience and Post-Traumatic Growth Among Mothers of Preterm Infants Hospitalized in the Neonatal Intensive Care Unit The Effect of Letter-Writing on Resilience and Post-Traumatic Growth Among Mothers of Preterm Infants Hospitalized in the Neonatal Intensive Care Unit 2026-07-23 anticipated 60 Recruiting https://irct.ir/trial/90897 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: In this study, block randomization will be used to allocate participants to the intervention and control groups. Participants will be conveniently selected from the study site, and then block randomization will be performed to minimize bias and ensure balance in the number of individuals in each group. Blocks with a fixed size (e.g., 4 participants) will be created, and the allocation order within each block will be randomly determined using a random number table. In the first phase, participants will be allocated to the control group, and after completing this group, randomization for the intervention group will be conducted. N/A The Effect of Letter-Writing on Resilience and Post-Traumatic Growth Among Mothers of Preterm Infants Hospitalized in the Neonatal Intensive Care Unit. Intervention group :To implement the intervention, on the second day of hospitalization, a personalized notebook will be provided to each mother in the intervention group, and the researcher will teach the mothers how to write the letters. The mothers will then be asked to write a letter to their child every day for eight days, from the third to the tenth day of hospitalization, in a quiet environment of their choice (which may be the mothers’ room, at the infant’s bedside, or at home). The letters may be written at any time of the day or night, according to the mother’s preference; however, mothers will be encouraged to write when they are feeling better. The content of the letters may include an expression of feelings, a description of events, or hopes and wishes. After completion of the intervention, with the mothers’ consent, a copy of the letters will be made, and the notebook will be given to the mothers as a keepsake. The mothers will then be asked to complete the questionnaires again.. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information.
public Saleheh Tajalli
School of Nursing and Midwifery, Tehran University of Medical Sciences, Eastern Nosrat St., Tohid Sq., Tehran, Iran
Tehran Iran (Islamic Republic of) 1419733171 098 21 6692 7171 saleheh_tajalli@yahoo.com Tehran University of Medical Sciences scientific Saleheh Tajalli
School of Nursing and Midwifery, Tehran University of Medical Sciences, Eastern Nosrat St., Tohid Sq., Tehran, Iran
Tehran Iran (Islamic Republic of) 1419733171 +98 21 6692 7171 saleheh_tajalli@yahoo.com Tehran University of Medical Sciences Iran (Islamic Republic of) Mothers who are literate in Persian (able to read and write) or able to communicate in Persian Willingness to participate in the study and provision of written informed consent This is the infant’s first hospitalization Mothers of preterm infants with a gestational age of 34 weeks or less, born by either cesarean section or vaginal delivery, who are admitted to the Neonatal Intensive Care Unit no limit no limit Both Maternal diagnosis of pathological depression or a self-reported history of psychiatric disorders Concurrent participation in other intervention programs or research studies N/A Intervention group :To implement the intervention, on the second day of hospitalization, a personalized notebook will be provided to each mother in the intervention group, and the researcher will teach the mothers how to write the letters. The mothers will then be asked to write a letter to their child every day for eight days, from the third to the tenth day of hospitalization, in a quiet environment of their choice (which may be the mothers’ room, at the infant’s bedside, or at home). The letters may be written at any time of the day or night, according to the mother’s preference; however, mothers will be encouraged to write when they are feeling better. The content of the letters may include an expression of feelings, a description of events, or hopes and wishes. After completion of the intervention, with the mothers’ consent, a copy of the letters will be made, and the notebook will be given to the mothers as a keepsake. The mothers will then be asked to complete the questionnaires again. To determine and compare level of resilience and post-traumatic growth before, immediately after, and four weeks after the letter writing in intervention and control groups. Timepoint: To determine and compare level of resilience and post-traumatic growth before, immediately after, and four weeks after the letter writing in intervention and control groups. Method of measurement: Maternal resilience, using the 10-item Connor–Davidson Resilience Scale ؛ Maternal post-traumatic growth, using the Post-Traumatic Growth Inventory developed by Tedeschi and Calhoun. To determine and compare level of resilience and post-traumatic growth before, immediately after, and four weeks after the letter writing in intervention group compared to control group. Timepoint: To determine and compare level of resilience and post-traumatic growth before, immediately after, and four weeks after the letter writing in intervention group compared to control group. Method of measurement: Maternal resilience, using the 10-item Connor–Davidson Resilience Scale ؛ Maternal post-traumatic growth, using the Post-Traumatic Growth Inventory developed by Tedeschi and Calhoun. Tehran University of Medical Sciences Approved 2026-07-10 Joint Institutional Ethics Committee of the School of Nursing and Midwifery and the School of Rehabi Mirkhani Ave.,Nosrat St.,Tehran,Iran Tehran Tehran Iran (Islamic Republic of)