WELCOME: Digital transition of premature and newborn infants with special care needs to postdischarge care - study

Laura Sehn1,2, Melanie Otter3, Julia Will3

  • 1Clinical Nursing Research and Quality Management Unit, LMU Hospital, Munich, Germany laura.sehn@med.uni-muenchen.de.

BMJ Open
|October 15, 2025
PubMed

Insights

Telehealth interventions improve care for premature infants transitioning home. The WELCOME study assesses this approach

Area of Science:

  • Neonatal care
  • Digital health interventions
  • Healthcare delivery

Background:

  • Transitioning premature infants home presents challenges for parents due to insufficient care education.
  • This can increase readmission rates and healthcare costs.
  • Telehealth offers a promising solution to enhance care for critically ill newborns.

Purpose of the Study:

  • To evaluate the feasibility and effectiveness of the WELCOME study's telehealth intervention for parents of premature infants.
  • To improve parental self-efficacy and health literacy.
  • To reduce 30-day readmissions and emergency care utilization.

Main Methods:

  • A two-center randomized controlled trial (RCT) involving 240 families with premature infants.
  • Intervention group receives standard care plus video consultations, digital assessments, and 24/7 educational resources.
  • Control group receives standard post-discharge care.

Main Results:

  • The intervention is anticipated to be feasible with high acceptance and low dropout rates.
  • Expected improvements in parental self-efficacy and health literacy.
  • Primary outcomes focus on 30-day readmission and emergency care use; secondary outcomes include child development and parental health.

Conclusions:

  • The WELCOME study protocol aims to demonstrate the effectiveness of telehealth in neonatal care.
  • Successful implementation could inform standard post-discharge care for premature infants.
  • This multimethod telehealth study provides insights into improving neonatal outcomes and parental support.
Abstract