Evidence map›Paper›PMID 30659239›Full record

SynthesisJournal of perinatology : official journal of the California Perinatal Association2019

Reducing parental trauma and stress in neonatal intensive care: systematic review and meta-analysis of hospital interventions.

Animesh Sabnis, Sofia Fojo, Sameera S Nayak, Elizabeth Lopez, Derjung M Tarn, Lonnie Zeltzer

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of perinatology : official journal of the California Perinatal Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 4 pooled it
18.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 4 syntheses or guidelines pooled it, 127 citations in OpenAlex.

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  12. A Compassion-Focused Approach to Support Parents After Preterm Birth.Clinical child and family psychology review · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Animesh SabnisDepartment of Pediatrics, Division of Neonatology & Developmental Biology, University of California-Los Angeles (UCLA), Los Angeles, CA, USA. asabnis@mednet.ucla.edu.ORCID http://orcid.org/0000-0003-3283-5929
Sofia FojoKeck School of Medicine of University of Southern California, Los Angeles, CA, USA.
Sameera S NayakInstitute for Health Equity and Social Justice Research, Northeastern University, Boston, MA, USA.ORCID http://orcid.org/0000-0002-1060-0697
Elizabeth LopezDepartment of Pediatrics, Division of Neonatology & Developmental Biology, University of California-Los Angeles (UCLA), Los Angeles, CA, USA.
Derjung M TarnDepartment of Family Medicine, University of California-Los Angeles (UCLA), Los Angeles, CA, USA.
Lonnie ZeltzerDepartments of Pediatrics, Anesthesiology, Psychiatry and Biobehavioral Sciences, University of California-Los Angeles (UCLA), Los Angeles, CA, USA.
University of California, Los Angeles · USNortheastern University · USUniversity of Southern California · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1 TR001881
6 · The paper itself

Abstract

objectiveTo classify NICU interventions for parental distress and quantify their effectiveness. STUDY

designWe systematically reviewed controlled studies published before 2017 measuring NICU parental distress, defined broad intervention categories, and used random-effects meta-analysis to quantify treatment effectiveness.

resultsAmong 1643 unique records, 58 eligible trials predominantly studied mothers of preterm infants. Interventions tested in 22 randomized trials decreased parental distress (p < 0.001) and demonstrated improvement beyond 6 months (p < 0.005). In subgroup analyses, complementary/alternative medicine and family-centered instruction interventions each decreased distress symptoms (p < 0.01), with fathers and mothers improving to similar extents. Most psychotherapy studies decreased distress individually but did not qualify for meta-analysis as a group.

conclusionNICU interventions modestly reduced parental distress. We identified family-centered instruction as a target for implementation and complementary/alternative medicine as a target for further study. Investigators must develop psychosocial interventions that serve NICU parents at large, including fathers and parents of full-term infants.

Indexed as

Infant, PrematureFemaleHumansInfant, NewbornIntensive Care, NeonatalIntensive Care Units, NeonatalMaleParentsPsychotherapyRandomized Controlled Trials as TopicStress, Psychological

Identifiers

PMID30659239
PMCPMC7067599
OpenAlexW2910054807

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.