Care Outcomes in Preterm Infants Following the Implementation of Family-centered Interventions

NCT ID: NCT05765136

Last Updated: 2023-03-13

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

UNKNOWN

Total Enrollment

30000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-09-01

Study Completion Date

2023-05-31

Brief Summary

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The proposed study evaluates the effects of two family-centered interventions on the length of stay and outpatient visits and growth of preterm infants.The interventions are 1) the Close Collaboration with Parents training for the staff and 2) moving from traditional neonatal intensive care unit architecture to single-family room architecture.

Detailed Description

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The Close Collaboration with Parents training targeted to the health care team of neonatal intensive care units to facilitate parental involvement in infant care and to support parenting. The training program involves a structured education process, where trained mentors educate staff in neonatal units. The duration of the training program is 18 months per unit. The training program has been implemented in eleven neonatal units in Finland since 2009; another 12 units haver not gone through the training.

The other intervention, single-family room architecture, provides facilities for parents to stay in the room of their infant throughout there 24 hour day. This intervention has been carried out in four neonatal units in Finland since 2014; in one by restructuring the existing unit, and in three by building a new unit/hospital.

In this study, the investigators are going to use national, population-based registers (the Medical Birth Register, the small Preterm Infant Register and the Hospital Discharge Register) governed by the Finnish National Institute for Health and Welfare. These registers have been widely used for observational studies, and contain data on all newborn infants in the country.

There are currently 23 neonatal units in Finland. Three units have undergone both interventions, nine units have undergone one intervention, and 12 units have undergone neither. Preterm infants (born before 35 gestational weeks) discharged from any unit will be divided into those who have been cared for all, part or no time in a hospital with an intervention, separately for each intervention. The outcome measures of interest will be related to health care utilization such as the length of stay and unscheduled outpatient visits, and to clinical outcomes such as postnatal growth parameters.

Conditions

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Prematurity

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Close collaboration group

Preterm infants born in hospitals where the Close Collaboration with Parents training program has been successfully implemented

No interventions assigned to this group

Single-family room group

Preterm infants born in hospitals that have implemented an architectural change to single-family room design

No interventions assigned to this group

Control group

Preterm infants born in hospitals that have not gone through any of the two aforementioned interventions (single-family room architecture or Close Collaboration with Parents training program)

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Preterm infants (gestational age \<35 weeks) born in Finland between 2006 and 2020

Exclusion Criteria

* Missing data on key variables (gestational age, place of birth, length of stay)
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Turku

OTHER

Sponsor Role lead

Responsible Party

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Professor Liisa Lehtonen

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Liisa Lehtonen, Professor

Role: PRINCIPAL_INVESTIGATOR

Turku University Hospital and University of Turku

Locations

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University of Turku

Turku, , Finland

Site Status RECRUITING

Countries

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Finland

Central Contacts

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Kjell Helenius, MD, PhD

Role: CONTACT

+358405597347

Facility Contacts

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Liisa Lehtonen, Professor

Role: primary

+35823130253

Kjell Helenius, MD, PhD

Role: backup

+35823133422

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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VVM_LOS_2021

Identifier Type: -

Identifier Source: org_study_id

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