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Reducing parental trauma and stress in neonatal intensive care: systematic review and meta-analysis of hospital interventions.

ABSTRACT: OBJECTIVE:To classify NICU interventions for parental distress and quantify their effectiveness. STUDY DESIGN:We systematically reviewed controlled studies published before 2017 measuring NICU parental distress, defined broad intervention categories, and used random-effects meta-analysis to quantify treatment effectiveness. RESULTS:Among 1643 unique records, 58 eligible trials predominantly studied mothers of preterm infants. Interventions tested in 22 randomized trials decreased parental distress (p?

SUBMITTER: Sabnis A

PROVIDER: S-EPMC7067599 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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Reducing parental trauma and stress in neonatal intensive care: systematic review and meta-analysis of hospital interventions.

Sabnis Animesh A Fojo Sofia S Nayak Sameera S SS Lopez Elizabeth E Tarn Derjung M DM Zeltzer Lonnie L

Journal of perinatology : official journal of the California Perinatal Association 20190118 3

<h4>Objective</h4>To classify NICU interventions for parental distress and quantify their effectiveness.<h4>Study design</h4>We systematically reviewed controlled studies published before 2017 measuring NICU parental distress, defined broad intervention categories, and used random-effects meta-analysis to quantify treatment effectiveness.<h4>Results</h4>Among 1643 unique records, 58 eligible trials predominantly studied mothers of preterm infants. Interventions tested in 22 randomized trials dec ...[more]

PMID: 30659239

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Project description:Background and objectiveObtaining informed consent in neonatal emergency research is challenging. The aim of this study was to assess parental perceptions of informed consent following participation in a clinical trial in neonatal emergency care.MethodsThis was a supplementary analysis of a randomised controlled trial comparing video and direct laryngoscopy for neonatal endotracheal intubation in the delivery room and neonatal intensive care unit. After obtaining informed consent for the clinical trial, parents were asked to answer a series of self-administered questions about their perceptions of clinical trial participation and the consent process. Informed consent had been given either before birth, after birth but before inclusion in the trial, or after inclusion in the trial.ResultsWe received responses from 33 mothers and 27 fathers (n = 60) of the 63 preterm and term infants who participated in the study. Fifty-three (89.8%, n = 59) parents agreed that infants should participate in clinical trials, and 51 (85%, n = 60) parents agreed that parents should be asked for informed consent. Fifty-three (89.8%, n = 59) parents felt that their infant's participation in this particular trial would be beneficial. Fifty-two (86.7%, n = 60) parents felt that the informed consent process was satisfactory. One parent (100%, n = 1) approached before birth, 23 parents (82.1%, n = 28) approached after birth but before enrolment and 26 (83.9%, n = 31) parents approached after enrolment were satisfied with the timing of the consent process. Eight (13.3%, n = 60) parents felt some pressure to provide informed consent. Of these, two (25%) were approached before enrolment and six (75%) were approached after enrolment.ConclusionParents valued their infant's participation in an emergency neonatal clinical trial and considered it important to be asked for consent. In this study, it seemed less important whether consent was obtained before or after the intervention. Future studies may need to investigate which form of consent is most acceptable to parents for the individual study in question.

Dataset Information

Reducing parental trauma and stress in neonatal intensive care: systematic review and meta-analysis of hospital interventions.

Publications

Reducing parental trauma and stress in neonatal intensive care: systematic review and meta-analysis of hospital interventions.

Similar Datasets

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