RISEinFAMILY project: the integration of families at neonatal intensive care units (NICUs) to empower them as primary caregivers: study protocol for a stepped wedge cluster controlled trial.

Journal: Trials

Volume: 25

Issue: 1

Year of Publication: 

Affiliated Institutions:  Division of Pediatrics/Neonatology, OLVG, Location East and West, Amsterdam, The Netherlands. Department of Neonatology, La Paz University Hospital, Madrid, Spain. Division of Neonatology, Department of Pediatrics, Faculty of Medicine, Gazi University, Ankara, Turkey. Division of Neonatology, Amsterdam University Medical Centers, Amsterdam, The Netherlands. Department of Neonatology, Women and Newborn Hospital, University Teaching Hospitals, Lusaka, Zambia. Brighton and Sussex Medical School, and Department of Neonatology, University Hospitals Sussex, Brighton and Hove, UK. Division of Neonatology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca-Napoca, Romania. Department of Neonatology, La Paz University Hospital, Madrid, Spain. adelina.pellicer@salud.madrid.org.

Abstract summary 

Family Integrated Care (FICare) has demonstrated positive outcomes for sick neonates and has alleviated the psychological burden faced by families. FICare involves structured training for professionals and caregivers along with the provision of resources to offer physical and psychological support to parents. However, FICare implementation has been primarily limited to developed countries. It remains crucial to assess the scalability of this model in overcoming social-cultural barriers and conduct a cost-effectiveness analysis. The RISEinFAMILY project aims to develop an adapted FICare model that can serve as the international standard for neonatal care, accommodating various cultural, architectural, and socio-economic contexts.RISEinFAMILY is a pluri-cultural, stepped wedge cluster controlled trial conducted in Spain, Netherlands, the UK, Romania, Turkey, and Zambia. Eligible participants include infant-family dyads admitted to the Neonatal Intensive Care Unit (NICU) requiring specialised neonatal care for a minimum expected duration of 7 days, provided there are no comprehension barriers. Notably, this study will incorporate a value of implementation analysis on FICare, which can inform policy decisions regarding investment in implementation activities, even in situations with diverse data.This study aims to evaluate the scalability and adaptation of FICare across a broader range of geographical and sociocultural contexts and address its sustainability. Furthermore, it seeks to compare the RISEinFAMILY model with standard care, examining differences in short-term newborn outcomes, family mental health, and professional satisfaction.ClinicalTrials.gov NCT06087666. Registered on 17 October 2023.19 December 2022; version 2.2.

Authors & Co-authors:  Alferink M T MT Moreno-Sanz B B Cabrera-Lafuente M M Ergenekon E E de Haan T R TR van Kempen A A M W AAMW Lakhwani J J Rabe H H Zaharie G C GC Pellicer A A

Study Outcome 

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Statistics
Citations :  O’Brien K, Bracht M, Macdonell K, McBride T, Robson K, O’Leary L, et al. A pilot cohort analytic study of family integrated care in a Canadian neonatal intensive care unit. BMC Pregnancy Childbirth. 2013;13 Suppl 1(Suppl 1):S12. Available from: https://pubmed.ncbi.nlm.nih.gov/23445639/ .
Authors :  11
Identifiers
Doi : 10.1186/s13063-024-08043-7
SSN : 1745-6215
Study Population
Male,Female
Mesh Terms
Other Terms
Family integrated care;Family-centred rounds;Neonates;Parent empowerment;Stepped wedge cluster controlled trial;Stress
Study Design
Study Approach
Country of Study
Zambia
Publication Country
England