Original Article: PDF OnlyEffect of the COPE Program on Self-Efficacy in Mothers of Preterm Infants A Pretest-Posttest Quasi-Experimental StudyHirter, Kathrin MSc in Practice Development and Innovation, RN; Dinten-Schmid, Barbara MAS in Applied Ethics, RN; Alexander, Avian Priv Doz, Dr med; Feinstein, Nancy PhD, RN; Spichiger, Elisabeth PhD, RN; Nelle, Mathias Priv Doz, Dr med, Habil, MD; Stoffel Zürcher, Liliane MScN Author Information Head Office of Nursing, Department of Nursing Development, Inselspital University Hospital Bern, Bern, Switzerland (Ms Hirter and Dr Spichiger); Department of Neonatology, University Hospital Zurich, Zurich, Switzerland (Ms Dinten-Schmid); Medical University Graz, Graz, Austria (Dr Avian); COPE for HOPE Inc, Hammondsport, New York (Dr Feinstein); Children's Hospital Böblingen, Böblingen, Germany (Dr Nelle); and Department of Neonatology, University Children's Hospital Bern, Bern, Switzerland (Ms Stoffel Zürcher). Corresponding Author: Kathrin Hirter, MSc in Practice Development and Innovation, RN, Head Office of Nursing, Department of Nursing Development, Inselspital University Hospital of Bern, Freiburgstrasse 16, CH 3010 Bern, Switzerland ([email protected]). The authors thank the NICU nurses for parent recruitment, particularly Therese Kohler and Maya Christen; Luzia Herrmann and Susanne Draber, for supporting their study-related work; Linda Bloomfield, for entrusting them the TOPSE instrument; and Elisabeth Brügger, for her support with data entering. The authors are grateful to Prof Dr med Hans-Ulrich Bucher for consultations. Finally, the authors thank Dr Diana Staudacher for her translation work and encouraging them along the way. Disclosure: The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Each author has indicated that he or she has met the journal's requirements for Authorship. Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (www.jpnnjournal.com). Submitted for publication: March 22, 2021; accepted for publication: March 28, 2021. The Journal of Perinatal & Neonatal Nursing ():, February 09, 2022. | DOI: 10.1097/JPN.0000000000000601 Buy SDC PAP Metrics Abstract The birth of a premature infant and its subsequent hospitalization in the neonatal intensive care unit are stressful experiences for mothers. Because of uncertainty concerning interactions with a premature baby, mothers often feel helpless and only hesitantly assume their maternal role. This may have a negative impact on the mother-child interaction and prevents mothers from taking an active part in the care for their child. “Creating Opportunities for Parent Empowerment” (COPE) is a 4-phase educational intervention program aiming to systematically involve parents into caring for their premature infant. In this pretest-posttest quasi-experimental study in 2 Swiss university hospitals, we focused on maternal self-efficacy. We compared self-efficacy in mothers receiving the COPE program or standard care alone at baseline and 3 months after estimated delivery date. To measure maternal self-efficacy, we used the “Tool to measure Parenting Self-Efficacy” (TOPSE). While scores for “Emotion and Affection,” “Empathy and Understanding,” as well as “Learning and Knowledge” increased in both groups, only “Learning and Knowledge” scores were significantly higher in the intervention group. Given the intention of improving learning and knowledge, the COPE program might be a promising intervention contributing to enhanced maternal self-efficacy. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.