National Evaluation of the Close Collaboration With Parents Training

NCT04635150 | Completed

• 1 other identifier: K37/12
• Study Type: interventional
• Target: 768
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of this study was to evaluate the effects of an educational intervention for neonatal staff on parent-infant physical closeness during their infant's stay in the Neonatal Intensive Care Unit (NICU) and parents' and staff perception on family centered care in the unit. This pre-post intervention study was carried out in nine hospitals in Finland in 2012 through 2018. Data was collected by using daily parental diaries, daily text message questions to parents and an audit interview for the staff.

Conditions

Parent-Child Relations; Parenting; Infant, Newborn, Disease

Keywords

NICU; Family centered care; Parent-infant closeness; Skin-to-skin

Outcome Measures

Primary Outcomes (4)

• Parental Closeness Diary of parents' presence

  Daily Closeness Diary including space for both mothers and fathers to indicate their presence in the neonatal unit (minutes/per day in 5-minute accuracy) to be filled in during all hospital days of the infant (up to 3 months).

  During the time the infant was cared for in the neonatal unit (up to 3 months), applicable to both cohorts of infants: those recruited before and after the intervention.

• Parental Closeness Diary of parent-infant skin-to-skin contact

  Daily Closeness Diary including space for both mothers and fathers to indicate skin-to-skin contact with their infant (minutes/per day in 5-minute accuracy) to be filled in during all hospital days of the infant (up to 3 months). Skin-to-skin contact is defined as the infant is lying naked on a parent's chest.

  During the time the infant was cared for in the neonatal unit (up to 3 months), applicable to both cohorts of infants: those recruited before and after the intervention. .

• Daily text message questions to both mothers and fathers/partners about parents' satisfaction to family centered care

  Both parents received one question (randomly out of 9 questions) every evening at 9 pm to report their satisfaction about the specific issue during that day.

  During the time the infant was cared for in the neonatal unit (up to 3 months), applicable to both cohorts of infants: those recruited before and after the intervention.

• Web questions for the staff about the quality of family centered care they have provided during their work shift

  Each staff member responded to one web question (randomly out of 8 questions) after each workshift about the quality of family centered care they had provided that day.

  Three months before and three months after the intervention.

Study Arms (1)

Post-intervention parents and staff

EXPERIMENTAL

An educational intervention for the multidisciplinary staff of a neonatal intensive care unit.

Behavioral: Close Collaboration with Parents

Interventions

Close Collaboration with Parents BEHAVIORAL

Close Collaboration with Parents Training Program is an educational intervention for multidisciplinary NICU staff initially developed and implemented at Turku University Hospital to promote FCC. The intervention consists of four phases lasting 4 to 5 months each. First the healthcare staff learn to observe infant behavior. This phase aims at identifying the individual needs and features of each infant. After that, the staff observe infant behavior with the parents and learn to actively listen to parents' perceptions about their infant. During the phase III, staff learn to know the individual story of the family and their infant, which supports partnership between staff and parents. Finally, staff learn to integrate parents in decision-making and collaboratively plan the transition to home. The training is delivered through facilitator-network model in which local mentors are trained by the trainer mentors and supervisors.

Post-intervention parents and staff

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Every parent of an infant estimated to stay in the NICU longer than three days was approached.

You may not qualify if:

• Infant had major congenital anomalies or syndromes,
• Parents spoke neither Finnish or Swedish,
• Family lived outside the catchment area of the hospital.
• All staff members working at bedside and leadership.

Sponsors & Collaborators

• Turku University Hospital: lead
• University of Turku: collaborator

Related Publications (1)

• He FB, Axelin A, Ahlqvist-Bjorkroth S, Raiskila S, Loyttyniemi E, Lehtonen L. Effectiveness of the Close Collaboration with Parents intervention on parent-infant closeness in NICU. BMC Pediatr. 2021 Jan 11;21(1):28. doi: 10.1186/s12887-020-02474-2.

  PMID: 33430816 DERIVED

MeSH Terms

Conditions

Disease

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: Pre-post intervention study with different cohorts before and after the intervention.

Study Record Dates

• First Submitted: November 12, 2020
• First Posted: November 18, 2020
• Study Start: May 30, 2012
• Primary Completion: September 30, 2018
• Study Completion: September 30, 2018
• Last Updated: November 18, 2020

Record last verified: 2020-11

Data Sharing

• IPD Sharing: Will not share