Comparison of video and in-hospital consultations during early in-home care for premature infants and their families: A randomised trial
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Comparison of video and in-hospital consultations during early in-home care for premature infants and their families : A randomised trial. / Hagi-Pedersen, Mai-Britt; Dessau, Ram B.; Norlyk, Annelise; Stanchev, Hristo; Kronborg, Hanne.
In: Journal of Telemedicine and Telecare, Vol. 28, No. 1, 01.2022, p. 24-36.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Comparison of video and in-hospital consultations during early in-home care for premature infants and their families
T2 - A randomised trial
AU - Hagi-Pedersen, Mai-Britt
AU - Dessau, Ram B.
AU - Norlyk, Annelise
AU - Stanchev, Hristo
AU - Kronborg, Hanne
PY - 2022/1
Y1 - 2022/1
N2 - IntroductionEarly in-home care is increasingly being used in Scandinavian countries for clinically stable premature infants. Due to challenges with travel and hospital resources, alternative ways to support parents during early in-home care are being considered. The aim of this study was to test whether the proportion of mothers exclusively breastfeeding, parental confidence and mother-infant interaction increased after early in-home care with premature infants, and to compare the outcomes of in-home care involving the use of video communication and a mobile application with those of in-home care involving in-hospital consultations.MethodsThis study was conducted in four neonatal wards offering premature infant in-home care in Denmark. Premature infants were randomised using 1:1 block randomisation. During early in-home care, families had planned consultations two to three times a week, during which they received support from nurses: the intervention group had video consultations, while the control group had in-hospital consultations.ResultsThe proportion of exclusively breastfeeding mothers at discharge was 66.7% in the intervention group vs 66% in the control group and decreased to 49.4% vs 55%, respectively, 1 month after discharge. No significant improvements were found in the intervention group compared with the control group. In the intervention group, some video consultations were changed to telephone consultations due to problems with the video function, or to in-hospital consultations due to infants' requirement for medical services. No significant differences in secondary outcomes were observed.DiscussionThe study showed similar breastfeeding proportions at discharge. No unfavourable effects of video consultation compared with in-hospital consultation were found, indicating that video consultation could be a viable option and an important supplement during early in-home care.
AB - IntroductionEarly in-home care is increasingly being used in Scandinavian countries for clinically stable premature infants. Due to challenges with travel and hospital resources, alternative ways to support parents during early in-home care are being considered. The aim of this study was to test whether the proportion of mothers exclusively breastfeeding, parental confidence and mother-infant interaction increased after early in-home care with premature infants, and to compare the outcomes of in-home care involving the use of video communication and a mobile application with those of in-home care involving in-hospital consultations.MethodsThis study was conducted in four neonatal wards offering premature infant in-home care in Denmark. Premature infants were randomised using 1:1 block randomisation. During early in-home care, families had planned consultations two to three times a week, during which they received support from nurses: the intervention group had video consultations, while the control group had in-hospital consultations.ResultsThe proportion of exclusively breastfeeding mothers at discharge was 66.7% in the intervention group vs 66% in the control group and decreased to 49.4% vs 55%, respectively, 1 month after discharge. No significant improvements were found in the intervention group compared with the control group. In the intervention group, some video consultations were changed to telephone consultations due to problems with the video function, or to in-hospital consultations due to infants' requirement for medical services. No significant differences in secondary outcomes were observed.DiscussionThe study showed similar breastfeeding proportions at discharge. No unfavourable effects of video consultation compared with in-hospital consultation were found, indicating that video consultation could be a viable option and an important supplement during early in-home care.
KW - Early in-home care
KW - breastfeeding
KW - premature infant
KW - discharge
KW - video consultations
KW - PRETERM INFANTS
KW - EARLY DISCHARGE
KW - SELF-EFFICACY
KW - PARENTS
KW - MOTHERS
KW - SCALE
KW - UNIT
KW - CONFIDENCE
KW - INSTRUMENT
KW - TRANSITION
U2 - 10.1177/1357633X20913411
DO - 10.1177/1357633X20913411
M3 - Journal article
C2 - 32228143
VL - 28
SP - 24
EP - 36
JO - Journal of Telemedicine and Telecare
JF - Journal of Telemedicine and Telecare
SN - 1357-633X
IS - 1
ER -
ID: 314069159