Virtual Family-Centered Rounds in the Neonatal Intensive Care Unit: A Randomized Controlled Pilot Trial

Autor: Jacob Williams, Kristin R. Hoffman, Hadley S. Sauers-Ford, Jaskiran Ranu, Daniel J. Tancredi, Jennifer L. Rosenthal
Rok vydání: 2021
Předmět:
Telemedicine
medicine.medical_specialty
Comparative Effectiveness Research
Neonatal intensive care unit
Clinical Trials and Supportive Activities
Pilot Projects
Reproductive health and childbirth
patient-centered care
neonatology
Pediatrics
Article
law.invention
Paediatrics and Reproductive Medicine
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
Clinical Research
030225 pediatrics
Intervention (counseling)
Intensive Care Units
Neonatal
Neonatal
Medicine
Humans
030212 general & internal medicine
Neonatology
clinical rounds
Pediatric
business.industry
Prevention
Pilot trial
Attendance
Infant
Newborn
Infant
Newborn
Confidence interval
Intensive Care Units
Good Health and Well Being
Caregivers
Pediatrics
Perinatology and Child Health
Physical therapy
Teaching Rounds
Feasibility Studies
Female
telemedicine
Patient Safety
business
Zdroj: Academic pediatrics, vol 21, iss 7
Acad Pediatr
Popis: Objectives To measure the feasibility, reach, and potential impact of a virtual family-centered rounds (FCR) intervention in the neonatal intensive care unit. Methods We conducted a randomized controlled pilot trial with a 2:1 intervention-to-control arm allocation ratio. Caregivers of intervention arm neonates were invited to participate in virtual FCR plus standard of care. We specified 5 feasibility objectives. We profiled intervention usage by neonatal and maternal characteristics. Exploratory outcomes included FCR caregiver attendance, length of stay, breast milk feeding at discharge, caregiver experience, and medical errors. We performed descriptive analyses to calculate proportions, means, and rates with 95% confidence intervals (CI). Results We included 74 intervention and 36 control subjects. Three of the five feasibility objectives were met based on the point estimates. The recruitment and intervention uptake objectives were not achieved. Among intervention arm subjects, recruitment of a caregiver occurred for 47 (63.5%, 95% CI 51.5%–74.4%) neonates. Caregiver use of the intervention occurred for 36 (48.6%, 95% CI 36.8%–60.6%) neonates in the intervention arm. Feasibility objectives assessing technical issues, burden, and data collection were achieved. Among the attempted virtual encounters, 95.0% (95% CI 91.5%–97.3%) had no technical issues. The survey response rate was 87.5% (95% CI 78.2%–93.8%). Intervention arm neonates had 3.36 (95% CI 2.66%–4.23) times the FCR caregiver attendance rate of subjects in the control arm. Conclusions A randomized trial to compare virtual FCR to standard of care in neonatal subjects is feasible and has potential to improve patient and caregiver outcomes.
Databáze: OpenAIRE
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