Interventions to improve quantitative measures of parent satisfaction in neonatal care: a systematic review
| Autor: | Derek Bell, Susanna Sakonidou, Neena Modi, Izabela Andrzejewska, Chris Gale, James Webbe |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
MEDLINE Psychological intervention CINAHL Pediatrics neonatology RJ1-570 law.invention outcomes research 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law 030225 pediatrics Intervention (counseling) medicine 030212 general & internal medicine business.industry Infant Care patient perspective Family medicine Pediatrics Perinatology and Child Health Outcomes research business Cohort study |
| Zdroj: | BMJ Paediatrics Open, Vol 4, Iss 1 (2020) BMJ Paediatrics Open |
| ISSN: | 2399-9772 |
| DOI: | 10.1136/bmjpo-2019-000613 |
| Popis: | ObjectiveInterventions improving parent satisfaction can reduce parent stress, may improve parent-infant bonding and infant outcomes. Our objective was to systematically review neonatal interventions relating to parents of infants of all gestations where an outcome was parent satisfaction.MethodsWe searched the databases MEDLINE, EMBASE, PsychINFO, Cochrane Central Register of Controlled Trials, CINAHL, HMIC, Maternity and Infant Care between 1 January 1946 and 1 October 2017. Inclusion criteria were randomised controlled trials (RCT), cohort studies and other non-randomised studies if participants were parents of infants receiving neonatal care, interventions were implemented in neonatal units (of any care level) and ≥1 quantitative outcome of parent satisfaction was measured. Included studies were limited to the English language only. We extracted study characteristics, interventions, outcomes and parent involvement in intervention design. Included studies were not sufficiently homogenous to enable quantitative synthesis. We assessed quality with the Cochrane Collaboration risk of bias tool (randomised) and the ROBINS-I tool (Risk Of Bias In Non-randomised Studies - of Interventions) (non-randomised studies).ResultsWe identified 32 studies with satisfaction measures from over 2800 parents and grouped interventions into 5 themes. Most studies were non-randomised involving preterm infants. Parent satisfaction was measured by 334 different questions in 29 questionnaires (only 6/29 fully validated). 18/32 studies reported higher parent satisfaction in the intervention group. The intervention theme with most studies reporting higher satisfaction was parent involvement (10/14). Five (5/32) studies reported involving parents in intervention design. All studies had high risk of bias.ConclusionsMany interventions, commonly relating to parent involvement, are reported to improve parent satisfaction. Inconsistency in satisfaction measurements and high risk of bias makes this low-quality evidence. Standardised, validated parent satisfaction measures are needed, as well as higher quality trials of parent experience involving parents in intervention design.PROSPERO registration numberCRD42017072388. |
| Databáze: | OpenAIRE |
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