TY - JOUR
T1 - Family integrated care reduces stress in transferred parents of preterm infants, but not across all families
T2 - a stepped-wedge cluster-randomized trial
AU - Alferink, M. T.
AU - Hoeben, H.
AU - Jonkman, N. H.
AU - van Goudoever, J. B.
AU - van Kempen, A. A. M. W.
AU - van Veenendaal, N. R.
AU - van der Schoor, S. R. D.
AU - On behalf of the neoPARTNER studygroup
AU - Visser, F.
AU - Vermeulen, M. J.
AU - Rijpert, M.
AU - Obermann-Borst, S. A.
AU - Lutterman, C. A. M.
AU - Lopriore, E.
AU - Labrie, N. H. M.
AU - Kaspers, A. G.
AU - Hoffmann-Haringsma, A. K. E.
AU - Hendrikx, L. H.
AU - de Groof, F.
AU - de Grauw, A. M.
AU - Damhuis, G.
AU - Boot, C. R. L.
AU - van Beek, R. H. T.
AU - van Brakel, M. J. M.
N1 - Publisher Copyright:
© The Author(s), under exclusive licence to Springer Nature America, Inc. 2025.
PY - 2025/6/1
Y1 - 2025/6/1
N2 - Objective: To assess whether Family Integrated Care (FICare) model including Family-Centered Rounds (FCR) reduces parental stress in neonatal wards. Study Design: A multicenter, stepped-wedge cluster-randomized trial was conducted in ten level II neonatal wards in The Netherlands (March 2022–December 2023). Participants included parents of 613 infants hospitalized for ≥7 days. The primary outcome was parental stress at discharge (PSS:NICU scale). Secondary outcomes included parental participation, anxiety, trauma, depression, shared decision-making, and bonding. Results: FICare significantly increased parental participation (P < 0.001) but did not reduce overall stress at discharge (FICare 61.2 vs. SNC 62.5, P = 0.21). Trauma symptoms in partners decreased (P = 0.03), and parents of transferred infants showed reduced stress (P = 0.01). Conclusion: While FICare improved parental involvement, overall stress reduction was limited, with benefits seen in reduced trauma symptoms in partners and a reduction of stress in parents of transferred infants. Trial registration: The trial has been registered at Clinical Trials.gov under registration number NCT05343403.
AB - Objective: To assess whether Family Integrated Care (FICare) model including Family-Centered Rounds (FCR) reduces parental stress in neonatal wards. Study Design: A multicenter, stepped-wedge cluster-randomized trial was conducted in ten level II neonatal wards in The Netherlands (March 2022–December 2023). Participants included parents of 613 infants hospitalized for ≥7 days. The primary outcome was parental stress at discharge (PSS:NICU scale). Secondary outcomes included parental participation, anxiety, trauma, depression, shared decision-making, and bonding. Results: FICare significantly increased parental participation (P < 0.001) but did not reduce overall stress at discharge (FICare 61.2 vs. SNC 62.5, P = 0.21). Trauma symptoms in partners decreased (P = 0.03), and parents of transferred infants showed reduced stress (P = 0.01). Conclusion: While FICare improved parental involvement, overall stress reduction was limited, with benefits seen in reduced trauma symptoms in partners and a reduction of stress in parents of transferred infants. Trial registration: The trial has been registered at Clinical Trials.gov under registration number NCT05343403.
UR - https://www.scopus.com/pages/publications/105011994353
U2 - 10.1038/s41372-025-02318-w
DO - 10.1038/s41372-025-02318-w
M3 - Article
C2 - 40394238
SN - 0743-8346
VL - 45
SP - 797
EP - 805
JO - Journal of perinatology
JF - Journal of perinatology
IS - 6
ER -