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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Developing a core outcome set for assessing interventions and care for parents after neonatal death in high-income
Anna Davies1, Charlotte Williams2,3, Christy Burden2,3
1Academic Women's Health Unit, Translational Health Sciences, University of Bristol, Bristol, UK Anna.davies@bristol.ac.uk.
Insights
Developing a Core Outcome Set (COS) to standardize the evaluation of support for parents after neonatal death. This will help identify effective interventions and improve care for bereaved families.
Area of Science:
- Perinatal health research
- Clinical trial methodology
- Patient-centered outcomes research
Background:
- Neonatal death significantly impacts parental mental health, finances, and relationships.
- There is a growing need for evidence-based interventions to support grieving parents.
- Core Outcome Sets (COSs) are crucial for standardizing outcome evaluation in research.
Purpose of the Study:
- To develop a Core Outcome Set (COS) for evaluating interventions and care for parents following neonatal death in high-income countries.
- To facilitate future evidence syntheses and identify effective support strategies.
- To ensure consistent and meaningful outcome measurement in research.
Main Methods:
- A six-phase approach involving a parent involvement group and steering committee.
- Systematic review of quantitative studies, qualitative interviews with bereaved parents, and stakeholder think-aloud interviews.
- International Delphi surveys and consensus meetings to agree on final outcomes and measurement tools.
Main Results:
- The study outlines a comprehensive methodology for COS development.
- Stakeholder input is integrated throughout the process to ensure relevance and applicability.
- Ethical approval has been obtained, and dissemination plans are in place.
Conclusions:
- The developed COS will standardize outcome assessment in neonatal death research.
- This will enable robust evidence synthesis and inform the development of effective parental support interventions.
- The study emphasizes the importance of patient and stakeholder involvement in research.
Introduction:
Neonatal death exerts long-lasting impact on parents' mental health, finances and relationships, and the wider family. There is national and international momentum to evaluate interventions to support parents after the death of a baby. Core Outcome Sets (COSs) provide a minimum set of outcomes, agreed by stakeholders to be important, which should be evaluated in all studies to support evidence syntheses and identification of the most effective interventions. We aim to develop a COS for assessing interventions and care after neonatal death in high-income countries, to support future evidence syntheses and enable the identification of effective interventions and care for parents.
Methods And Analysis:
We will develop the COS in six phases. A parent involvement group and stakeholder steering committee have been established and have informed each planned phase: (1) systematic review of quantitative studies evaluating care and interventions provided after neonatal death, to describe interventions, outcomes and outcome measurement tools used to assess intervention effectiveness; (2) qualitative interviews with parents who have experienced neonatal death to identify outcomes important and relevant to them; (3) think-aloud interviews with stakeholders (bereaved parents, healthcare professionals and other stakeholders) to develop and refine an online survey; (4) real-time online international Delphi survey with bereaved parents, healthcare professionals and other stakeholders to shortlist outcomes for consideration in the COS; (5) adapted nominal group online consensus meetings with parents, healthcare professionals and other stakeholders to agree final COS and (6) identification of a preliminary set of measurement tools.
Ethics And Dissemination:
Ethical approval has been granted for all activities to be undertaken by the University of Bristol Health Sciences Faculty Research Ethics Committee (reference: 15121). We will disseminate the findings via peer-reviewed publications and relevant academic and professional conferences.
Prospero Registration Number:
CRD42020151365.
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