How to measure patient and family important outcomes in extremely preterm infants: A scoping review
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Updated: May 8, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Anne Synnes1, Mei Mei Lam2, M Florencia Ricci3
1Department of Pediatrics, BC Women's Hospital and BC Children's Hospital Research Institute, University of British Columbia, Vancouver, British Columbia, Canada.
Insights
This study identified valid, parent-friendly tools to measure key outcomes in preterm children at 18-24 months, including child well-being and caregiver mental health, aiding future research.
Area of Science:
- Neonatal research
- Pediatric outcomes assessment
- Child development
Background:
- Parents of preterm infants identified seven key outcome domains for assessment at 18-24 months: child well-being, quality of life/function, socio-emotional/behavioral outcomes, respiratory, feeding, sleeping, and caregiver mental health.
- Standardized measurement of these outcomes is crucial for audit and research in this vulnerable population.
Purpose of the Study:
- To identify the most suitable and validated tools for measuring parent-identified outcomes in children born preterm at 18-24 months of age.
- To establish a consensus on preferred measurement tools for use in clinical audits and research.
Main Methods:
- Seven working groups conducted literature reviews to identify potential measurement tools for the seven outcome domains.
- Expert and parent consensus was achieved through workshops and questionnaires, requiring 80% agreement on preferred tools.
Main Results:
- Consensus was reached on seven brief, cost-effective, and parent-friendly validated measures available in English or French.
- These selected tools are suitable for inclusion in a minimum dataset and as alternative measures for funded research.
Conclusions:
- Validated questionnaires and tools are available to measure parent-identified outcomes in young preterm children.
- This study facilitates future research and data collection on outcomes critical to families of preterm infants.
Aim:
Parents of children born preterm have identified outcomes to be measured for audit and research at 18-24 months of age: child well-being, quality of life/function, socio-emotional/behavioural outcomes, respiratory, feeding, sleeping, and caregiver mental health. The aim was to identify the best tools to measure these seven domains.
Methods:
Seven working groups completed literature reviews and evaluated potential tools to measure these outcomes in children aged 18-24 months. A group of experts and parents voted on the preferred tools in a workshop and by questionnaire. Consensus was 80% agreement.
Results:
Consensus was obtained for seven brief, inexpensive, parent friendly valid measures available in English or French for use in a minimum dataset and potential alternative measures for use in funded research.
Conclusion:
Valid questionnaires and tools to measure parent-identified outcomes in young preterm children exist. This study will facilitate research and collection of data important to families.
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