Abstract
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.
Keywords
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Article Info
Publication History
Published online: March 18, 2021
Accepted:
March 13,
2021
Received:
December 4,
2020
Footnotes
The authors have no conflicts of interest to declare.
Identification
Copyright
Copyright © 2021 by Academic Pediatric Association
