Evaluating Parent Engagement, Attachment, Stress, and Satisfaction With Remote Rounding in the NICU

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-01

Study Completion Date

2020-06-30

Brief Summary

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The admission of a newborn child to the neonatal intensive care unit (NICU) is among the most distressing situations that parents can face. There are many sources of parental stress including loss of control and competing demands outside of the NICU involving work and other children. During a prolonged admission it is often difficult for families to be present at bedside rounds on a daily basis and thus more difficult to discuss and collaborate with families in the care of their child. Healthcare has been slower than many other fields to adapt to the availability of new technology. This study hypothesizes that the use of wireless technology to allow parents to remotely participate on rounds would improve parental stress and satisfaction, in addition to improving engagement and attachment to their infant.

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Detailed Description

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Every year 10 to 15 percent of infants born in the United States, totaling roughly half a million babies, are admitted to a Neonatal Intensive Care Unit (NICU). Although survival rates are generally high, as many as half of these infants require a prolonged hospital stay. For parents, the admission of a newborn to the NICU is among the most emotionally distressing situations that they can face. A prolonged hospital stay can further impact the mother and family physically, psychologically, and financially.

During admission in the NICU it is often difficult for families to be present at bedside rounds on a daily basis due to transportation challenges or competing demands of work and care for siblings. Conflicting schedules between families and doctors make it more difficult to discuss and collaborate with families in the care of their child. The investigators hypothesize that this deficiency of communication and perceived loss of control can have significant impacts on maternal stress, satisfaction, engagement, and attachment.

Outside of the medical field, technology continues to advance as rapidly as ever. The medical field continues to struggle with adapting and using new technology and continue to lag behind many other fields. In recent years telemedicine has been used to facilitate patient care delivery, improve accessibility of health care services, and reduce healthcare costs however this use remains largely in the outpatient sector.

In the Neonatal Intensive Care Unit, Telemedicine has been used by one group to improve parent satisfaction in a variety of areas. A pilot study of the concept of remote or virtual rounding in a Pediatric Intensive Care Unit has been recently published in the literature. This project seeks to expand upon this knowledge to define and measure the impact on several aspects of neonatal care.

Conditions

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Parent Engagement Parent Attachment Parent Stress

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a single site prospective cohort study. Participants will be block randomized to standard rounding or availability of remote rounding based on their medical care team in the NICU. Parents using remote rounding will be compared to those who do not utilize remote rounding.

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Standard Bedside Rounding

Group Type NO_INTERVENTION

No interventions assigned to this group

Remote Bedside Rounding

Parents of infants on one care team will have the opportunity to participate in rounds via secure remote video software.

Group Type EXPERIMENTAL

Remote Bedside Rounding

Intervention Type BEHAVIORAL

Parents of infants on the medical team utilizing remote rounding will have the opportunity to participate in rounds by video conferencing at the infant's bedside. Participation will be tracked and surveys regarding stress, satisfaction, and attachment will be completed by parents in both groups.

Interventions

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Remote Bedside Rounding

Parents of infants on the medical team utilizing remote rounding will have the opportunity to participate in rounds by video conferencing at the infant's bedside. Participation will be tracked and surveys regarding stress, satisfaction, and attachment will be completed by parents in both groups.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. Parents with an infant admitted to the NICU/R4 with an anticipated length of stay of 2 weeks or more
2. Parent consents to study and answering questionnaires
3. English speaking
4. Infant is assigned to red or purple medical service team.
5. Infant age at enrollment: zero to 14 days old

Exclusion Criteria

1. Parents with an infant admitted to the NICU/R4 with an anticipated length of stay less than 2 weeks
2. Parent is not willing to answer questionnaires
3. Non-English speaking
4. Patient is not assigned to red or purple medical service team.
5. Discharge to other than biological parents expected

Eligible Sex

ALL

Accepts Healthy Volunteers

No