HUG Research


HUG Your Baby designated an “Evidence-Based” Program. 

Click here for more information.

Published Articles Reviewing Literature Used to Develop HUG Your Baby:

The HUG: An Innovative Approach to Nursing Care

This article describes the background used to develop The HUG. The three HUG Strategies: “Start Here, not There”, “See, then Share”, and “Gaze, then Engage”, are also discussed. Read article here.

Tedder, J. & Register, N. (2007). The HUG: An innovative approach to pediatric nursing care. MCN The American Journal of Maternal Child Nursing, 43(4), 210-214.

Contact authors: Jan Tedder, BSN, FNP and Nancy Register, MSN, FNP

Give The HUG: An Innovative Approach to Helping Parents Understand the Language of Their Newborn

This article describes the medical and child development background used to develop HUG Your Baby. Case studies demonstrate the use of these concepts and materials with young families. Read article here. 

Tedder, J. (2008). Give The HUG: An innovative approach to helping parents understand the language of their newborn. Journal of Perinatal Education, 17(2), 14-20.

Contact author: Jan Tedder, BSN, FNP

Roadmap to Breastfeeding Success: Teaching Child Development to Extend Breastfeeding Duration

Many women abandon breastfeeding when they misunderstand normal changes in child development. This article reviews the developmental events from birth to one year, that when misunderstood, can impact breastfeeding duration. Resources to educate new families are offered. Read this article. 

Tedder, J. (2015). The Roadmap to Breastfeeding Success: Teaching Child development to extend breastfeeding duration. Journal of Perinatal Education. 24(4), 239-248.

Contact author: Jan Tedder, BSN, FNP, IBCLC

Published Research on HUG Your Baby

Teaching for Birth and Beyond: Incorporating Online Learning about Newborn Behavior into the Training of Childbirth, Lactation, and Doula Professionals

100% of participants confirm (among other things) that:

  • “This program gave me helpful tools and strategies for teaching parents about newborn behavior.”
  • “This online learning format was easy to follow.”
  • “I would recommend this course to colleagues.”

Tedder, J. (2012). Teaching for birth and beyond: Online program incorporated into a birthing and parenting certification. International Journal of Childbirth Education, 27(3), 65-68.

Contact author: Jan Tedder, BSN, FNP

Supporting Fathers in a NICU: Effects of the HUG Your Baby Program on Fathers’ Understanding of Preterm Infant Behavior 

This study confirms that when fathers with preterm infants are taught the HUG Your Baby material their knowledge of infant behavior increases. Summary of research.  Learn more about this research. 

Kadivar, M. & Mozafarinia, M. (2013). Supporting fathers in a NICU: Effects of the HUG Your Baby program on father’s understanding of preterm infant behavior. Journal of Perinatal Education22(2), 113-119.

Contact researchers: M. Kadivar and  Maryam Mozafarinia, RN, MSN  

Development of Web-Based Comprehensive Educational Programme for Nurses to Facilitate Mother-Infant Bonding

This study used the Japanese HUG Your Baby online course with another intervention tool developed by the researcher to increase nurses’ capacity to enhance mother-infant bonding in the hospital setting. The researcher described steps to incorporating program into the post-partum nurses’ training and practice. Learn more about this research.

Ota, Y. & Takahashi, M. (2016). Nurses’ support to facilitate mother-infant attachment during the early postpartum period. Japanese Journal of Maternal Health,56(4), 618-625.

Contact researcher: Yasue Ota; Juntendo Un. Faculty of Health Care, Chiba, Japan.

This project, sponsored by the Catholic Charities, used HUG Your Baby concepts and resources with teen mothers. Researcher successfully developed a “Toolkit” that increased attendance to a parenting program and enhanced volunteer’s confidence to teach HUG Your Baby.  Click Hughes HUG Toolkit to view document.

Hughes, K. (2017). Development of a Toolkit for implementation and Evaluation of the “HUG Your Baby” Program in a Non-profit Community Setting. Global Nursing e-Repository. May.

Contact researcher: Kati Hughes, RN, DNP

HUG Your Baby: Web-Based Program to Help Nursing Students Understand and Teach Parents about Infant Behavior

This research confirmed that the introductory two-hour online HUG course increased student nurses’ knowledge of infant behavior and their confidence to teach new parents about: recognizing infant behaviors, interpreting those behaviors, and responding appropriately to infant behaviors.

Alden, K. (2018). A Web-based Module to Enhance BSN Students’ Knowledge and Confidence in Teaching Parents about Newborn Behavior. Journal of Perinatal Education. 27(2), 104-114

Contact researcher: Kathy Alden, PhD

Online Education for WIC Professionals: Teaching Child Development to Extend Breastfeeding Duration

After completing HUG Your Baby’s Roadmap to Breastfeeding Success’ two-hour online program, participants demonstrated increased knowledge of how child development impacts breastfeeding, expressed a stronger intention to teach parents about normal child behavior, and reported greater confidence to do so. The course was viewed as evidence-based, its online format was well-received, and participants would recommend it to colleagues. 

Tedder, J. & Quintana, E. (2018). Online education for WIC professionals: Teaching child development to extend breastfeeding duration. Clinical Lactation, 9(3), 108-118.

Contact researchers: Jan Tedder, BSN, FNP, IBCLC and Elsa Quintana, IBCLC

Implementing a Parent Education Program [HUG] in the Special Care Nursery

This pilot study demonstrated a statistically significant decrease in maternal stress and a statistically significant increase in maternal confidence for postpartum mothers of preterm infants born at less than 35 weeks gestation who received HUG Your Baby teaching. Read more here.

Hunter, L., Blake, S., Simmons, C., Thompson, J. & Derouin, A. (2018). Implementing a parent education program in the Special Care Nursery. Journal of Pediatric Health Care, Aug. 23, 1-7.

Contact researchers: LaMonica Hunter, DNP, Stephanie Blake, DNP, Catherine Simmons, DNP, Anne Derouin, DNP, Duke faculty;

HUG Your Baby: Evidence Based Support Tool for Early Child Rearing

This article reviews components of HUG Your Baby program, Japanese nursing faculty’s response to this program, and the potential of the HUG Your Baby’ program to positively impact young Japanese families. Learn more about this research.

Shimpuku, Y. and Tedder, J. (2103). HUG Your Baby: Evidence-based support tool for early child rearing. (2013). Japanese Journal of Nursing Education 54(12): 1114-1118.

Contact authors: Yoko Shimpuku, RN,CNM PHN,PhD, and Jan Teder, BSN, FNP, IBCLC

Developing the Japanese HUG (Help-Understanding-Guidance) Your Baby Program

This article is an overview of bringing HUG Your Baby to Japan. It describes the program, what materials are translated into Japanese and the research underway to access the impact of HUG Your Baby on Japanese families. (Results of research with parents is upcoming.) Summary of article here.  Link to article (The abstract is in English and the article is in Japanese.)

Iida, M., Shimpuku, Y., Tanimoto, K., Matsunaga, M. & Horiuchi, S. (2017). Developing the Japanese HUG (Help-Understanding-Guidance) Your Baby” program. Journal of Japanese Academic Midwifery 31(2), 187-194.

Contact authors: Mariko Iida, Yoko Shimpuku, Kimie Tanimoto, Mayumi Matsunaga, Shigeko Horiuchi

Research in Progress:

Increasing Exclusive Breastfeeding in a Latino Population

The purpose of this quality improvement project is to improve exclusive breastfeeding rates for Latina women in a NC County, by piloting the use of HUG Your Baby in collaboration with Breastfeeding Peer Counselors in the WIC setting.

Researcher: LaKasha Carter, UNC-CH School of Nursing, Chapel Hill, NC

The Impact of HUG Your Baby on Mothers and Fathers in Japan

This study seeks to identify how use of HUG Your Baby will impact the confidence and knowledge of today’s young Japanese families. The researcher, a Certified HUG Teacher, is teaching expectant parents an “Understanding your Newborn” class where parents see the HUG DVD translated into Japanese. These parents also receive information on and the handout in Japanese, “Roadmap to Breastfeeding Success”   and several translated HUG Your Baby newsletters.

Researcher: Yoko Shimpuku, RN,CNM PHN,PhD

Using HUG Your Baby with Young Families in Turkey

Negarin Akbari is a nurse with NICU expertise. She is the second Certified HUG Teacher from Iran and is beginning a PhD program in nursing at University of Istanbul. She will be incorporating evaluating HUG Your Baby into her work with young families in Turkey and evaluating the impact of this teaching.

Researcher:  Negarin Akbari RN, PhD candidate, Istanbul University, Turkey

Impact of Incorporating HUG Your Baby’s Information on Breastfeeding into a Childbirth Education Class.

Mothers who receive prenatal education on breastfeeding are more likely to meet their breastfeeding goals. ABSN student is exploring the impact of adding HUG Your Baby breastfeeding education to a childbirth education class.

Researcher: Molly Rippee, UNC Chapel Hill ABSN student

Completed HUG Evaluation Published in Blogs:

Italian Infant Massage Specialists Benefit from HUG Your Baby Training

92 Italian professionals have completed the Italian HUG Your Baby online course. A course evaluation confirms that this program is well-received and enhances professionals’ knowledge of child development and parent education. Learn more about this project.

Authors: Jan Tedder, BSN, FNP, IBCLC and Benedetta Costa, PT from Genoa, Italy

HUG Your Baby: An Evidence-Based Strategy for Teaching Community-based Professionals How to Help Parents Understand the Language of their Newborn

The purpose of this project was to assess the effectiveness of HUG Your Baby’s one-day community-wide training and to tease out the difference between a professional’s ability to explain information and their ability to demonstrate that information. Results include:

  • Participants reported a 48% increase in confidence in their ability to explain newborn behavior to parents.
  • Participants reported a 32% increase in their confidence to demonstrate newborn behavior to parents.
  • Comparing initial learning to a one month followup revealed a persisting increase in knowledge of newborn behavior.
  • Learn more about this project . . .

Researchers: Gale Touger, BSN, FNP, and  Maryam Mozafarinia, RN, MSN

Teaching Parents about Newborn Behavior: A Program to Enhance Home Visitors’ Knowledge of Babies and Confidence to Teach

Followup was conducted with home visiting educators from the Parents As Teachers (PAT) program. Findings include:

  • Educators participating in this educational program showed increased confidence to teach parents (significant at 95%).
  • Educators participating in this program showed increased knowledge about infant behavior (significant at 90-95%).
  • 95% of educators participating in this program rated high satisfaction with the program.
  • 92% of parents  participating in this program stated that it gave them information and skills that would improve their parenting.
  • Learn more about this project . . . 

Researchers:Jan Tedder, FNP, IBCLC, Jane Morrow, PhD, Maryam Mozafarinia, RN, MSN.

© HUG Your Baby 2019