TY - JOUR
T1 - Virtual Family-Centered Rounds in the Neonatal Intensive Care Unit
T2 - A Randomized Controlled Pilot Trial
AU - Rosenthal, Jennifer
AU - Sauers-Ford, Hadley S.
AU - Williams, Jacob
AU - Ranu, Jaskiran
AU - Tancredi, Daniel J
AU - Hoffman, Kristin R.
N1 - Funding Information:
Funding statement: This work was supported by a pilot research grant from the University of California Davis Center for Healthcare Policy and Research and Center for Health Technology; the National Center for Advancing Translational Sciences , National Institutes of Health [grant number UL1 TR001860 and linked award KL2 TR001859]; and the Eunice Kennedy Shriver National Institute of Child Health and Human Development , National Institutes of Health [grant number K23HD101550 to Dr. Rosenthal]. The content is solely the authors’ responsibility and does not necessarily represent the official views of the National Institutes of Health.
Publisher Copyright:
© 2021 Academic Pediatric Association
PY - 2021/9/1
Y1 - 2021/9/1
N2 - Objectives: To measure the feasibility, reach, and potential impact of a virtual family-centered rounds (FCR) intervention in the neonatal intensive care unit. Methods: We conducted a randomized controlled pilot trial with a 2:1 intervention-to-control arm allocation ratio. Caregivers of intervention arm neonates were invited to participate in virtual FCR plus standard of care. We specified 5 feasibility objectives. We profiled intervention usage by neonatal and maternal characteristics. Exploratory outcomes included FCR caregiver attendance, length of stay, breast milk feeding at discharge, caregiver experience, and medical errors. We performed descriptive analyses to calculate proportions, means, and rates with 95% confidence intervals (CI). Results: We included 74 intervention and 36 control subjects. Three of the five feasibility objectives were met based on the point estimates. The recruitment and intervention uptake objectives were not achieved. Among intervention arm subjects, recruitment of a caregiver occurred for 47 (63.5%, 95% CI 51.5%–74.4%) neonates. Caregiver use of the intervention occurred for 36 (48.6%, 95% CI 36.8%–60.6%) neonates in the intervention arm. Feasibility objectives assessing technical issues, burden, and data collection were achieved. Among the attempted virtual encounters, 95.0% (95% CI 91.5%–97.3%) had no technical issues. The survey response rate was 87.5% (95% CI 78.2%–93.8%). Intervention arm neonates had 3.36 (95% CI 2.66%–4.23) times the FCR caregiver attendance rate of subjects in the control arm. Conclusions: A randomized trial to compare virtual FCR to standard of care in neonatal subjects is feasible and has potential to improve patient and caregiver outcomes.
AB - Objectives: To measure the feasibility, reach, and potential impact of a virtual family-centered rounds (FCR) intervention in the neonatal intensive care unit. Methods: We conducted a randomized controlled pilot trial with a 2:1 intervention-to-control arm allocation ratio. Caregivers of intervention arm neonates were invited to participate in virtual FCR plus standard of care. We specified 5 feasibility objectives. We profiled intervention usage by neonatal and maternal characteristics. Exploratory outcomes included FCR caregiver attendance, length of stay, breast milk feeding at discharge, caregiver experience, and medical errors. We performed descriptive analyses to calculate proportions, means, and rates with 95% confidence intervals (CI). Results: We included 74 intervention and 36 control subjects. Three of the five feasibility objectives were met based on the point estimates. The recruitment and intervention uptake objectives were not achieved. Among intervention arm subjects, recruitment of a caregiver occurred for 47 (63.5%, 95% CI 51.5%–74.4%) neonates. Caregiver use of the intervention occurred for 36 (48.6%, 95% CI 36.8%–60.6%) neonates in the intervention arm. Feasibility objectives assessing technical issues, burden, and data collection were achieved. Among the attempted virtual encounters, 95.0% (95% CI 91.5%–97.3%) had no technical issues. The survey response rate was 87.5% (95% CI 78.2%–93.8%). Intervention arm neonates had 3.36 (95% CI 2.66%–4.23) times the FCR caregiver attendance rate of subjects in the control arm. Conclusions: A randomized trial to compare virtual FCR to standard of care in neonatal subjects is feasible and has potential to improve patient and caregiver outcomes.
KW - clinical rounds
KW - neonatology
KW - patient-centered care
KW - pediatric
KW - telemedicine
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U2 - 10.1016/j.acap.2021.03.007
DO - 10.1016/j.acap.2021.03.007
M3 - Article
C2 - 33746043
AN - SCOPUS:85113610714
VL - 21
SP - 1244
EP - 1252
JO - Academic Pediatrics
JF - Academic Pediatrics
SN - 1876-2859
IS - 7
ER -