Using a WeChat mini-program-based lactation consultant intervention to increase the consumption of mother’s own milk by preterm infants in the neonatal intensive care unit: a study protocol for a cluster randomized controlled trial

Abstract Background The benefits of mother’s own milk (MOM) for preterm infants have been widely recognized. Many studies have shown that the rate of breastfeeding of premature infants remains very low. Although many studies use measures to promote breastfeeding, few high-quality cluster randomized controlled studies have evaluated the effectiveness of these measures. WeChat is an instant messaging software for smart terminals, and WeChat mini-programs have been widely used to promote health and self-management in China. Based on this background, we designed a randomized controlled study based on WeChat mini-programs to promote MOM feeding of premature infants in the neonatal intensive care unit (NICU). Methods/design This study will evaluate the effectiveness of WeChat mini-programs to increase the consumption of MOM feeding in twelve NICUs in Jiangsu Province, namely, six “intervention” NICUs and six “control” NICUs. The study process is as follows: (1) design and preparation, (2) NICU recruitment and training, (3) interpretation and analysis of baseline data, (4) quality control implementation process, and (5) data analysis feedback and publication of study reports. The primary outcome is the proportion of MOM feeding of premature infants during NICU hospitalization. The secondary outcomes are as follows: (1) time to initiation of MOM feeding (hours) and proportion of first-time MOM feeding (%), (2) duration of parenteral nutrition (days), (3) time to total gastrointestinal feeding (days), (4) hospitalization time and hospitalization cost, and (5) incidence of complications (necrotizing enterocolitis, bronchopulmonary dysplasia, feeding intolerance, late-onset sepsis, retinopathy of prematurity). Discussion This study is the first cluster randomized controlled trial on the intervention of using a WeChat mini-program-based lactation consultant for premature infants in the NICU in China. We hope this study can improve the consumption of MOM by NICU premature infants during hospitalization through the intervention of WeChat mini-programs. Trial registration ClinicalTrials.gov NCT04383379. Registered on May 5, 2020.

Download Full-text

Reducing Premature Infants' Length of Stay and Improving Parents' Mental Health Outcomes With the Creating Opportunities for Parent Empowerment (COPE) Neonatal Intensive Care Unit Program: A Randomized, Controlled Trial

PEDIATRICS ◽

10.1542/peds.2005-2580 ◽

2006 ◽

Vol 118 (5) ◽

pp. e1414-e1427 ◽

Cited By ~ 326

Author(s):

B. M. Melnyk ◽

N. F. Feinstein ◽

L. Alpert-Gillis ◽

E. Fairbanks ◽

H. F. Crean ◽

...

Keyword(s):

Mental Health ◽

Intensive Care Unit ◽

Randomized Controlled Trial ◽

Intensive Care ◽

Length Of Stay ◽

Premature Infants ◽

Neonatal Intensive Care ◽

Controlled Trial ◽

Parent Empowerment ◽

Randomized Controlled

Download Full-text

Mothers’ voices and white noise on premature infants’ physiological reactions in a neonatal intensive care unit: A multi-arm randomized controlled trial

International Journal of Nursing Studies ◽

10.1016/j.ijnurstu.2021.103934 ◽

2021 ◽

pp. 103934

Author(s):

Jinhua LIAO ◽

Guihua LIU ◽

Namei XIE ◽

Shuo WANG ◽

Taohong WU ◽

...

Keyword(s):

Intensive Care Unit ◽

Randomized Controlled Trial ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

White Noise ◽

Premature Infants ◽

Neonatal Intensive Care ◽

Controlled Trial ◽

Randomized Controlled ◽

Physiological Reactions

Download Full-text

Does Implementing a Regime of Dexamethasone Before Planned Cesarean Section at Term Reduce Admission With Respiratory Morbidity to Neonatal Intensive Care Unit? A Randomized Controlled Trial

Obstetrical & Gynecological Survey ◽

10.1097/ogx.0000000000000583 ◽

2018 ◽

Vol 73 (7) ◽

pp. 381-383

Author(s):

Ahmed Mohamed Nooh ◽

Hussein Mohammed Abdeldayem ◽

Eisa Arafa ◽

Sherin Attia Shazly ◽

Hany Elsayed ◽

...

Keyword(s):

Intensive Care Unit ◽

Randomized Controlled Trial ◽

Intensive Care ◽

Cesarean Section ◽

Neonatal Intensive Care Unit ◽

Neonatal Intensive Care ◽

Controlled Trial ◽

Respiratory Morbidity ◽

Randomized Controlled

Download Full-text

Øberg GK, Girolami GL, Campbell SK, et al. Effects of a Parent-Administered Exercise Program in the Neonatal Intensive Care Unit: Dose Does Matter—A Randomized Controlled Trial. [Published online ahead of print January 16, 2020]. Phys Ther. 2020. DOI: 10.1093/ptj/pzaa014.

Physical Therapy ◽

10.1093/ptj/pzaa026 ◽

2020 ◽

Vol 100 (4) ◽

pp. 741-741 ◽

Cited By ~ 1

Author(s):

Gunn Kristin Øberg ◽

Gay L Girolami ◽

Suzann K Campbell ◽

Tordis Ustad ◽

Ivar Heuch ◽

...

Keyword(s):

Intensive Care Unit ◽

Randomized Controlled Trial ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Neonatal Intensive Care ◽

Controlled Trial ◽

Exercise Program ◽

Randomized Controlled ◽

Unit Dose

Download Full-text

Family Integrated Care (FICare) in Level II Neonatal Intensive Care Units: study protocol for a cluster randomized controlled trial

Trials ◽

10.1186/s13063-017-2181-3 ◽

2017 ◽

Vol 18 (1) ◽

Cited By ~ 10

Author(s):

Karen M. Benzies ◽

◽

Vibhuti Shah ◽

Khalid Aziz ◽

Wanrudee Isaranuwatchai ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Intensive Care ◽

Neonatal Intensive Care ◽

Controlled Trial ◽

Randomized Controlled ◽

Level Ii ◽

Family Integrated Care ◽

Cluster Randomized ◽

Family Integrated

Abstract Background Every year, about 15 million of the world’s infants are born preterm (before 37 weeks gestation). In Alberta, the preterm birth rate was 8.7% in 2015, the second highest among Canadian provinces. Approximately 20% of preterm infants are born before 32 weeks gestation (early preterm), and require care in a Level III neonatal intensive care unit (NICU); 80% are born moderate (32 weeks and zero days [320/7] to 336/7 weeks) and late preterm (340/7 to 366/7 weeks), and require care in a Level II NICU. Preterm birth and experiences in the NICU disrupt early parent-infant relationships and induce parental psychosocial distress. Family Integrated Care (FICare) shows promise as a model of care in Level III NICUs. The purpose of this study is to evaluate length of stay, infant and maternal clinical outcomes, and costs following adaptation and implementation of FICare in Level II NICUs. Methods We will conduct a pragmatic, cluster randomized controlled trial (cRCT) in ten Alberta Level II NICUs allocated to one of two groups: FICare or standard care. The FICare Alberta model involves three theoretically-based, standardized components: information sharing, parenting education, and family support. Our sample size of 181 mother-infant dyads per group is based on the primary outcome of NICU length of stay, 80% participation, and 80% retention at follow-up. Secondary outcomes (e.g., infant clinical outcomes and maternal psychosocial distress) will be assessed shortly after admission to NICU, at discharge and 2 months corrected age. We will conduct economic analysis from two perspectives: the public healthcare payer and society. To understand the utility, acceptability, and impact of FICare, qualitative interviews will be conducted with a subset of mothers at the 2-month follow-up, and with hospital administrators and healthcare providers near the end of the study. Discussion Results of this pragmatic cRCT of FICare in Alberta Level II NICUs will inform policy decisions by providing evidence about the clinical effectiveness and costs of FICare. Trial registration ClinicalTrials.gov, ID: NCT02879799. Registered on 27 May 2016. Protocol version: 9 June 2016; version 2.

Download Full-text

Reduced mental workload of neonatal intensive care unit nurses through a self-designed education class: A randomized controlled trial

Iranian Journal of Nursing and Midwifery Research ◽

10.4103/ijnmr.ijnmr_83_17 ◽

2019 ◽

Vol 24 (1) ◽

pp. 50

Author(s):

Akram Aarabi ◽

Maryam Mohamadi ◽

Mahboobeh Namnabati

Keyword(s):

Intensive Care Unit ◽

Randomized Controlled Trial ◽

Intensive Care ◽

Neonatal Intensive Care ◽

Mental Workload ◽

Controlled Trial ◽

Randomized Controlled ◽

Class A ◽

Education Class ◽

Intensive Care Unit Nurses

Download Full-text

The Effect of Supportive Nursing Interventions on Reducing Stress Levels of Mothers of Infants in the Neonatal Intensive Care Unit: A Randomized Controlled Trial

Clinical Nursing Research ◽

10.1177/10547738211047359 ◽

2021 ◽

pp. 105477382110473

Author(s):

Gamze Yilmaz ◽

Dilek Küçük Alemdar

Keyword(s):

Intensive Care Unit ◽

Randomized Controlled Trial ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Neonatal Intensive Care ◽

Controlled Trial ◽

Nursing Interventions ◽

Randomized Controlled ◽

Supportive Interventions ◽

Reducing Stress

The purpose of this study was to determine the effects of supportive interventions on the stress levels of mothers with infants hospitalized in the Neonatal Intensive Care Unit (NICU). This study was a prospective, pre-and post-test randomized controlled trial. The research was completed with 85 mothers in two groups of 45 subjects and 40 controls selected at random. Data collection used the Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU), NICU Parent Belief Scale (NICU:PBS), State-Trait Anxiety Inventory (STAI TX-2) and saliva cortisol analysis. There were statistically significant differences in favor of the experiment group for the PSS:NICU images and sounds subscale and PBS total points after supportive interventions ( p < .05). Supportive nursing interventions were effective in reducing stress related to the intensive care environment, anxiety levels and saliva cortisol levels and increasing parental belief among mothers.

Download Full-text