Characteristics of intervention studies on family-centred care in neonatal intensive care units: a scoping review of randomised controlled trials

被引:0
|
作者
Lazzerini, Marzia [1 ,2 ]
Bua, Jenny [3 ]
Vuillard, Cecilia Laure Juliette [3 ]
Squillaci, Domenica [4 ]
Tumminelli, Cristina [4 ]
Panunzi, Silvia [5 ]
Girardelli, Martina [6 ]
Mariani, Ilaria [1 ]
机构
[1] Inst Maternal & Child Hlth IRCCS Burlo Garofolo, WHO Collaborating Ctr Maternal & Child Hlth, Trieste, Italy
[2] LSHTM, Fac Epidemiol & Populat Hlth, Maternal Adolescent Reprod & Child Hlth Care Ctr, London, England
[3] Inst Maternal & Child Hlth IRCCS Burlo Garofolo, Neonatal Intens Care Unit, Trieste, Italy
[4] Univ Trieste, Dept Med Surg & Hlth Sci, Trieste, Italy
[5] Univ Verona, Dept Diagnost & Publ Hlth, Verona, Italy
[6] Inst Maternal & Child Hlth IRCCS Burlo Garofolo, Dept Paediat, Trieste, Italy
关键词
Neonatology; Caregivers; PRETERM INFANTS; PARENTS; SIBLINGS;
D O I
暂无
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background Different definitions of family-centred care (FCC) exist in the newborn setting, and many FCC interventions have been tested, while a comprehensive review synthesising characteristics of existing intervention studies is still lacking.Objective This review aims at summarising the characteristics of randomised controlled trials (RCTs) on FCC interventions in neonatal intensive care units.Methods We searched PubMed, Embase, Web of Science and the Cochrane Library up to 31 January 2022, and reference lists of included studies and other reviews. Interventions were grouped into five categories according to a previous Cochrane review: (1) family support, (2) educational, (3) communication, (4) environmental interventions and (5) family-centred policies. Subgroup analyses by time period (RCTs published before vs after 2016) and by country income (based on the World Bank Classification) were conducted.Results Out of 6583 retrieved studies, 146 RCTs met the eligibility criteria, with 53 (36.3%) RCTs published after 2016. Overall, 118 (80.8%) RCTs were conducted in high-income countries, 28 (19.1%) in middle-income countries and none in low-income countries. Only two RCTs were multicountry. Although mothers were the most frequent caregiver involved, fathers were included in 41 RCTs (28.1%). Very few studies were conducted in at-term babies (nine RCTs); siblings (two RCTs) and other family members (two RCTs), maternity care units (two RCTs). The role of health professionals was unclear in 65 (44.5%) RCTs. A large variety of intervention combinations was tested, with 52 (35.6%) RCTs testing more than 1 category of interventions, and 24 (16.4%) RCTs including all 5 categories.Conclusion There is a large and rising number of RCTs on FCC interventions in neonatal intensive care units, with specific research gaps. The large variety of FCC interventions, their high complexity, the need to tailor them to the local context and major gaps in implementation suggest that implementation research is the current priority.
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页数:12
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