Effectiveness of Alberta Family Integrated Care on infant length of stay in level II neonatal intensive care units: a cl
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RESEARCH ARTICLE
Open Access
Effectiveness of Alberta Family Integrated Care on infant length of stay in level II neonatal intensive care units: a cluster randomized controlled trial Karen M. Benzies1,2* , Khalid Aziz3,4, Vibhuti Shah5, Peter Faris2,6, Wanrudee Isaranuwatchai7, Jeanne Scotland8, Jill Larocque4, Kelly J. Mrklas9, Christopher Naugler2, H. Thomas Stelfox2, Radha Chari3, Amuchou Singh Soraisham2, Albert Richard Akierman2, Ernest Phillipos3,4, Harish Amin2, Jeffrey S. Hoch10,11, Pilar Zanoni1, Jana Kurilova1, Abhay Lodha2 and the Alberta FICare Level II NICU Study Team
Abstract Background: Parents of infants in neonatal intensive care units (NICUs) are often unintentionally marginalized in pursuit of optimal clinical care. Family Integrated Care (FICare) was developed to support families as part of their infants’ care team in level III NICUs. We adapted the model for level II NICUs in Alberta, Canada, and evaluated whether the new Alberta FICare™ model decreased hospital length of stay (LOS) in preterm infants without concomitant increases in readmissions and emergency department visits. Methods: In this pragmatic cluster randomized controlled trial conducted between December 15, 2015 and July 28, 2018, 10 level II NICUs were randomized to provide Alberta FICare™ (n = 5) or standard care (n = 5). Alberta FICare™ is a psychoeducational intervention with 3 components: Relational Communication, Parent Education, and Parent Support. We enrolled mothers and their singleton or twin infants born between 32 0/7 and 34 6/7 weeks gestation. The primary outcome was infant hospital LOS. We used a linear regression model to conduct weighted site-level analysis comparing adjusted mean LOS between groups, accounting for site geographic area (urban/regional) and infant risk factors. Secondary outcomes included proportions of infants with readmissions and emergency department visits to 2 months corrected age, type of feeding at discharge, and maternal psychosocial distress and parenting self-efficacy at discharge. (Continued on next page)
* Correspondence: [email protected] 1 Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4, Canada 2 Cumming School of Medicine, University of Calgary, Calgary, AB, Canada Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtai
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