{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T17:52:27Z","timestamp":1761933147638,"version":"build-2065373602"},"reference-count":33,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Srisavarindhira Thai Red Cross Institute of Nursing","award":["Grants No. 036502-2"],"award-info":[{"award-number":["Grants No. 036502-2"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adolescent pregnancy constitutes a critical public health issue worldwide. Young mothers face substantial physical and psychological changes as they transition to motherhood, while limited knowledge, experience, and maturity may impair parenting and increase stress. The study aimed to evaluate the effects of the parental enhancing program with mobile application on parental stress and competence among Thai adolescent postpartum women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A quasi-experimental study using a matched control design was conducted among sixty adolescent postpartum women, aged 15\u221219. Participants were sequentially allocated to an intervention group (n\u2009=\u200930) receiving a parental enhancing program with mobile application, and a control group (n\u2009=\u200930) receiving standard postpartum care. Adolescent postpartum women in the intervention group received two sessions from the parental enhancing program before discharge with weekly follow-up through the Line Official Account\u2122. Data were collected using questionnaires, including the Edinburgh Postnatal Depression Scale (EPDS), Parenting Stress Index (PSI-4-SF), and Parenting Sense of Competence Scale (PSOC). Evaluations were conducted during the 6-week postpartum. ANCOVA was used to compare post-intervention mean scores of parental stress and competence between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All enrolled participants completed the study (Intervention: 30; Control: 30). At 6-weeks postpartum, after controlling baseline EPDS scores, the results revealed that adolescent postpartum women in the intervention group demonstrated significantly lower parental stress (F(1,57) = 14.40, partial \u03b7\u00b2\u2009=\u20090.20, 95% CI [\u221214.05, \u22124.34], p\u2009&lt;\u2009.001) and higher parental competence (F(1,57) = 8.79, partial \u03b7\u00b2\u2009=\u20090.13, 95% CI [1.90, 9.80], p\u2009&lt;\u2009.01) compared to the control group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The parental enhancing program with mobile application demonstrates promise for evidence of reducing parental stress and improving parental competence in postpartum adolescent mothers. However, further studies in randomized controlled trials are warranted to confirm its effectiveness and generalizability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec005\">\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>Thai clinical trials registry (TCTR20250309010).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0324318","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T17:47:51Z","timestamp":1761932871000},"page":"e0324318","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["The effect of parental enhancing program with mobile application on parental stress and competence among Thai adolescent postpartum women: A quasi-experimental matched control design"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1896-1032","authenticated-orcid":true,"given":"Sunee","family":"Kleebpan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0198-792X","authenticated-orcid":true,"given":"Pornpimol","family":"Apartsakun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5074-9996","authenticated-orcid":true,"given":"Pensiri","family":"Chaiyanusak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8099-883X","authenticated-orcid":true,"given":"Ellen","family":"Kitson-Reynolds","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"pone.0324318.ref001","volume-title":"Adolescent birth rate (per 1000 women)","author":"World Health Organization","year":"2024"},{"key":"pone.0324318.ref002","volume-title":"Statistics on adolescent births, Thailand 2022","author":"Department of Reproductive Health TM of PH","year":"2024"},{"key":"pone.0324318.ref003","article-title":"Teenage Pregnancies: A Worldwide Social and Medical Problem","author":"S Kirchengast","year":"2016","journal-title":"An Analysis of Contemporary Social Welfare Issues. 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