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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Neurodevelopmental Risk: A Tool to Enhance Conversations With Families of Infants
Monica E Lemmon1,2,3, Hanna E Huffstetler3, Pamela Donohue4,5
11 Department of Pediatrics, Duke University Medical Center, Durham, NC, USA.
Insights
This study piloted a Question Prompt List (QPL) for parents of infants at risk of neurodevelopmental impairment. The QPL improved communication by providing novel questions and facilitating better-prepared answers from clinical teams.
Area of Science:
- Pediatrics
- Developmental Neuroscience
- Clinical Communication
Background:
- Parents of at-risk infants need clear information about neurodevelopmental impairment.
- Existing data indicate parents struggle to articulate their information needs.
- Effective communication is crucial for supporting families facing developmental challenges.
Purpose of the Study:
- To pilot a Question Prompt List (QPL) for parents of infants at high risk for neurodevelopmental impairment.
- To assess the feasibility and utility of the QPL in real-time clinical settings.
- To gather preliminary data on parent and clinician experiences with the QPL.
Main Methods:
- A pilot study involving ten parents of infants at risk for neurodevelopmental impairment.
- Recording of family meetings to observe QPL use.
- Qualitative data collection through parent and clinician interviews.
- Directed content analysis of qualitative data.
Main Results:
- Clinicians acknowledged and frequently used the QPL to structure family meetings.
- All participating parents found the QPL useful and would recommend it.
- Parents reported the QPL provided new questions and led to more prepared team responses.
Conclusions:
- The Question Prompt List (QPL) shows promise as a tool to enhance communication for parents of infants at risk of neurodevelopmental impairment.
- The QPL facilitated more effective information exchange during family meetings.
- Further research is warranted to evaluate the QPL's impact on parent understanding and communication quality.
Abstract:
Parents of infants at risk of neurodevelopmental impairment require clear and individualized information about what to expect for their child, yet data suggest they have difficulty knowing how to ask for this information. Here, we pilot a Question Prompt List (QPL) with parents of infants at risk of neurodevelopmental impairment. To assess real-time use of the QPL, we recorded family meetings and collected data from parents and clinicians about the QPL experience. Qualitative data were analyzed using directed content analysis. Ten parents were enrolled. In family meetings, clinicians universally acknowledged the QPL and most used the QPL to guide meeting content. All parents who used the QPL found it useful and would recommend the tool to others. In interviews, parents described that the QPL offered novel questions and facilitated more prepared answers from the team. Future studies should test the impact of this QPL on parent understanding and communication quality.
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