ArticleFrontiers in pediatrics2026
Association between discharge teaching quality and caregiving competence among parents of preterm infants at NICU discharge: the mediating role of internal locus of control.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To examine the association between discharge teaching quality and caregiving competence among parents of preterm infants at neonatal intensive care unit (NICU) discharge, and to test whether internal locus of control mediates this association. Methods: In this cross-sectional study, 409 parents of preterm infants discharged from the NICU of a tertiary hospital in Shandong Province, China, were recruited by convenience sampling between May and October 2025. On the day of discharge, participants completed a demographic questionnaire, the Quality of Discharge Teaching Scale-Parent Version (QDTS-PV), the Internal Locus of Control Scale (ILCS; Levenson IPC subscale I), and the Infant Parenting Inventory (IPI). Pearson correlation analysis was used to examine bivariate associations. Hierarchical multiple regression and PROCESS Model 4 with 5,000 bootstrap samples were used to test the mediating role of internal locus of control. Results: The average score of caregiving competence was (121.18 ± 24.70). Pearson correlation analysis showed that discharge teaching quality and internal locus of control were significantly positively correlated with caregiving competence; discharge teaching quality was significantly positively correlated with internal locus of control (all Conclusion: Internal locus of control partially mediates the relationship between discharge teaching quality and caregiving competence. These findings suggest that strengthening parents' internal control beliefs may be an important psychological pathway through which high-quality discharge teaching supports caregiving competence, providing a useful reference for developing targeted discharge education strategies.
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