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Development of a Family-Centered Communication Tool for Kidney Health in Premature Infants: Qualitative Focus Group
Michelle C Starr1, Samantha Wallace2, Courtney Moore3
1Division of Pediatric Nephrology, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, United States.
Caregivers of premature infants are open to discussing kidney health risks during NICU stays. Developing effective communication tools is key for long-term monitoring and adherence to care plans.
Area of Science:
- Neonatology
- Pediatric Nephrology
- Health Communication
Background:
- Premature infants face significant risks of acute kidney injury (AKI) and chronic kidney disease (CKD).
- The risk of CKD in premature infants is often underestimated by healthcare teams and caregivers.
- Effective communication strategies are crucial for ensuring proper follow-up and adherence to care for these vulnerable infants.
Purpose of the Study:
- To investigate family caregiver attitudes towards kidney health and risk communication during neonatal intensive care unit (NICU) admissions.
- To understand caregiver preferences for receiving information about the risk of CKD in premature infants.
Main Methods:
- Qualitative group sessions augmented with human-centered design methods (card sorting, projective methods, experience mapping).
- Inclusion of caregivers whose premature infants experienced AKI or other kidney complications.
- Assessment of both parent preferences and clinician perspectives.
Main Results:
- Caregivers and clinicians identified barriers and facilitators for long-term kidney monitoring and risk communication.
- Caregivers prioritized the type, depth, and timing of information delivery.
- Emphasis was placed on collaboration between hospital teams and primary care providers.
Conclusions:
- Family caregivers are receptive to discussions about kidney health during neonatal admissions.
- Future work will focus on developing and testing family-centered communication tools based on caregiver preferences.
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