HUG Research


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

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Published Articles Reviewing Literature Used to Develop HUG Your Baby:

The HUG: An Innovative Approach to Nursing Care

…published in MCN, 2007, 32(4):210-214. 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.

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

…published in Journal of Perinatal Education, 2008, 17(2):14-20. 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.

Author: Jan Tedder, BSN, FNP

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

…published in the Journal of Perinatal Education, 2015, 24(4). Research confirms that one reason women abandon breastfeeding is because 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.

Authors: Jan Tedder, BSN, FNP, IBCLC

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

…published in the Japanese Journal of Nursing Education, 2013, 54(12):1114-1118. 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.

Authors: Yoko Shimpuku, RN,CNM PHN,PhD, and Jan Teder, 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

…published in the International Journal of Childbirth Education, 2012, 27(3):65-68. This research shows that

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.”
  • Learn more about this research . . . 

Researcher: Jan Tedder, BSN, FNP

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

…published in the Journal of Perinatal Education, 2013, 22(2):113-110. This study confirms that when fathers with preterm infants are taught the HUG Your Baby material their knowledge of infant behavior increases. Learn more about this research.

Researchers: M. Kadivar and  Maryam Mozafarinia, RN, MSN  

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

…published in Japanese Journal of Maternal Health, 2017, 56(4), 618-625. This study, conducted by a Japanese Certified HUG Teacher, used the HUG Your Baby online  course in Japanese as well as 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.

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

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

… published Japanese Journal of Academic Midwifery,(2017), 31(2), 187-194.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.) . Link to article (The abstract is in English and the article is in Japanese.)

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

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

…Published in Journal of Perinatal Education 2018, 27(2). The purpose of this study is to explore the effectiveness of the “HUG Your Baby: Helping Parents Understand Their Infant” web-based course as a tool to increase student nurses’ ability and confidence in: recognizing infant behaviors, interpreting those behaviors, and teaching parents to respond appropriately to infant behaviors.

Researcher: Kathy Alden, PhD, UNC-Chapel Hill School of Nursing, Chapel Hill, NC

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

…Published in Clinical Lactation. (2018). 9(3), 108-116. Hoping to help parents better understand how child development impacts breastfeeding, 138 New Mexico WIC professionals recently completed HUG Your Baby’s Roadmap to Breastfeeding Success—a two-hour online program. After completing the course, 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. 

Researcher: Jan Tedder, BSN, FNP, IBCLC and Elsa Quintana, IBCLC

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

…Published in Journal of Pediatric Health Care. (2018). XX, 1-7. Parents of preterm hospitalized infants often experience emotional liability.  Because a Special Care Nursery is a stressful and intimidating environment, prompt attention should be given to reducing parental stress and increasing parental confidence in preparation to care for their child post-discharge. 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.

Researcher: LaMonica Hunter, DNP, Stephanie Blake, DNP, Catherine Simmons, DNP, Anne Derouin, DNP, Duke faculty; Duke University School of Nursing

Research in Progress:

Research on the Implementation and Feasibility of the HUG Program in a Faith-based Community Parenting Program

This study, conducted by a DNP (Doctorate of Nursing Practice) student, will use HUG Your Baby concepts and resources with teen mothers. Sponsored by the Catholic Charities, this program will include classroom teaching of teens who will see the HUG DVD and receive the HUG handout. The study will look at teen’s understanding of their baby and confidence to be a new mother.

Researcher: Kati Hughes, RN, DNP candidate, College of Nursing, University of Toledo, Toledo Ohio.

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

Effects of The HUG Educational Program on Stress of Fathers of Preterm Infants

… concludes that fathers exposed to The HUG experience decreased parental stress.

Researcher: Maryam Mozafarinia, RN, MSN

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