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Virtual family-centered hospital rounds in the neonatal intensive care unit: protocol for a cluster randomized
Jennifer L Rosenthal1,2, Daniel J Tancredi3, James P Marcin3,4
1Department of Pediatrics, University of California Davis, 2516 Stockton Blvd, Sacramento, CA, 95817, USA. rosenthal@ucdavis.edu.
Insights
Virtual family-centered rounds using telehealth can improve parental and infant outcomes in the neonatal intensive care unit (NICU). This study will assess the impact of this innovative approach on family engagement and care quality.
Area of Science:
- Neonatal Intensive Care Unit (NICU) care
- Telehealth applications in pediatrics
- Family-centered care models
Background:
- Family-centered rounds are a best practice for hospitalized children.
- Traditional rounds limit family participation due to physical presence requirements.
- Telehealth offers a solution to virtually include family members in hospital rounds.
Purpose of the Study:
- To evaluate the impact of virtual family-centered hospital rounds in the NICU.
- To assess the effect on parental and neonatal outcomes.
- To explore implementation factors using the RE-AIM framework.
Main Methods:
- A two-arm cluster randomized controlled trial.
- Randomizing families of hospitalized infants to virtual rounds (intervention) or usual care (control).
- Measuring outcomes including attendance, parent experience, family-centered care, parent activation, quality of life, length of stay, feeding, and growth.
Main Results:
- This section will report findings after study completion.
- The study is not yet recruiting.
Conclusions:
- Findings will enhance understanding of virtual family-centered rounds in the NICU.
- Implementation evaluation will identify contextual factors influencing intervention success.
Background:
Family-centered rounds is recognized as a best practice for hospitalized children, but it has only been possible for children whose families can physically be at the bedside during hospital rounds. The use of telehealth to bring a family member virtually to the child's bedside during hospital rounds is a promising solution. We aim to evaluate the impact of virtual family-centered hospital rounds in the neonatal intensive care unit on parental and neonatal outcomes.
Methods:
This two-arm cluster randomized controlled trial will randomize families of hospitalized infants to have the option to use telehealth for virtual hospital rounds (intervention) or usual care (control). The intervention-arm families will also have the option to participate in hospital rounds in-person or to not participate in hospital rounds. All eligible infants who are admitted to this single-site neonatal intensive care unit during the study period will be included. Eligibility requires that there be an English-proficient adult parent or guardian. We will measure participant-level outcome data to test the impact on family-centered rounds attendance, parent experience, family-centered care, parent activation, parent health-related quality of life, length of stay, breastmilk feeding, and neonatal growth. Additionally, we will conduct a mixed methods implementation evaluation using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework.
Discussion:
The findings from this trial will increase our understanding about virtual family-centered hospital rounds in the neonatal intensive care unit. The mixed methods implementation evaluation will enhance our understanding about the contextual factors that influence the implementation and rigorous evaluation of our intervention.
Trial Registration:
ClinicalTrials.gov Identifier: NCT05762835. Status: Not yet recruiting. First posted: March 10, 2023; last update posted: March 10, 2023.
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