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Using FRAME Documentation to Achieve RE-AIM Goals During Iterative, Stakeholder-Engaged Refinement of a Family

Ashley M Weber1, Tamilyn Bakas1, Richard Bailey2

  • 1University of Cincinnati College of Nursing, Cincinnati, Ohio, USA.

Journal of Advanced Nursing
|November 18, 2024
PubMed

Insights

This study identified needed adaptations for the PREEMIE PROGRESS (PP) intervention by engaging parents and professionals. Incorporating these changes systematically improves care for very preterm infants in the NICU.

Area of Science:

  • Neonatal care
  • Intervention adaptation
  • Qualitative research

Background:

  • The PREEMIE PROGRESS (PP) intervention trains parents in family management skills for very preterm infants in the NICU.
  • Optimizing interventions requires stakeholder input for successful implementation and effectiveness.

Purpose of the Study:

  • To co-identify necessary adaptations for the video-based PREEMIE PROGRESS (PP) intervention.
  • To enhance family management skills training for parents of very preterm infants in the NICU.

Main Methods:

  • A descriptive qualitative study using the RE-AIM and FRAME frameworks.
  • Semistructured interviews with 36 stakeholders (researchers, clinicians, technology experts, parents).
  • Weekly design team and monthly parent partnership meetings informed adaptation decisions.

Main Results:

  • Stakeholders suggested 98 adaptations; 33% were completed, and 53.6% were tabled for future phases.
  • Content adaptations were most frequent (71.4%), primarily targeting effectiveness and implementation.
  • Most adaptations (81.4%) were directed at the parent (intervention recipient) level.

Conclusions:

  • The RE-AIM framework facilitated systematic identification of adaptations to improve PP.
  • Engaging stakeholders and using FRAME documentation supports adaptation and reduces the evidence-to-practice gap for nurses.
Abstract

Keywords:
acceptabilityadaptationsimplementation scienceintervention developmentneonatal intensive care unitpreterm infant

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