Evidence map›Paper›PMID 31277630›Full record

ArticleBMC pediatrics2019

Viewpoints from families for improving transition from NICU-to-home for infants with medical complexity at a safety net hospital: a qualitative study.

Ashwini Lakshmanan, Katrina Kubicek, Roberta Williams, Marisela Robles, Douglas L Vanderbilt, Christine B Mirzaian, Philippe S Friedlich, Michele Kipke

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
13.8field-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

33 citing papers in PubMed, 89 citations in OpenAlex.

  1. Review
  2. Exploring hope in parents of infants discharged from the neonatal intensive care unit: a cross-sectional study.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  3. Article
  4. Article
  5. Burden of chronic disease on NICU families: developmental outcomes, psychological effects, and vulnerable child syndrome.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  6. Article
  7. A Compassion-Focused Approach to Support Parents After Preterm Birth.Clinical child and family psychology review · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. The feasibility of virtual home visits to address unmet needs after NICU discharge.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  14. Article
  15. Article
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  18. Review
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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

8 authors at 2 institutions in 1 country.

Ashwini LakshmananFetal and Neonatal Medicine Institute, Division of Neonatal Medicine, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, 4650 Sunset Boulevard, MS #31, Los Angeles, CA, 90027, USA. alakshmanan@chla.usc.edu.ORCID 0000-0001-8259-1905
Katrina KubicekDivision of Research on Children, Youth and Families, Children's Hospital Los Angeles, Los Angeles, USA.
Roberta WilliamsDivision of Cardiology, Children's Hospital Los Angeles; Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Marisela RoblesDivision of Research on Children, Youth and Families, Children's Hospital Los Angeles, Los Angeles, USA.
Douglas L VanderbiltFetal and Neonatal Medicine Institute, Division of Neonatal Medicine, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, 4650 Sunset Boulevard, MS #31, Los Angeles, CA, 90027, USA.
Christine B MirzaianDivision of General Pediatrics, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Philippe S FriedlichFetal and Neonatal Medicine Institute, Division of Neonatal Medicine, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, 4650 Sunset Boulevard, MS #31, Los Angeles, CA, 90027, USA.
Michele KipkeUSC Gehr Family Center for Health Systems Science, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
University of Southern California · USChildren's Hospital of Los Angeles · US

Funding

Mentored Career DevelopmentKL2TR001854 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Elizabeth Rhea Erwin Burner, Amy Elizabeth West · 2016 to 2026
$9.0M
NCATS NIH HHS KL2 TR001854
6 · The paper itself

Abstract

backgroundWe have limited information on families' experiences during transition and after discharge from the neonatal intensive care unit.

methodsOpen-ended semi-structured interviews were conducted with English or Spanish- speaking families enrolled in Medicaid in an urban high-risk infant follow up clinic at a safety-net center, which serves preterm and high-risk term infants. We generated salient themes using inductive-deductive thematic analysis.

resultsTwenty-one participants completed the study. The infant's median (IQR) birth weight was 1750 (1305, 2641) grams; 71% were Hispanic and 10% were Black non-Hispanic; 62% reported living in a neighborhood with 3-4th quartile economic hardship. All were classified as having chronic disease per the Pediatric Medical Complexity Algorithm and 67% had medical complexity. A conceptual model was constructed and the analysis revealed major themes describing families' challenges and ideas to support transition centered on the parent-child role and parent self-efficacy. The challenges were: (1) comparison to normal babies, (2) caregiver mental health, (3) need for information. Ideas to support transition included, (1) support systems, (2) interventions using mobile health technology (3) improved communication to the primary care provider and (4) information regarding financial assistance programs. Specific subthemes differed in frequency counts between infants with and without medical complexity.

conclusionsFamilies often compare their preterm or high-risk infant to their peers and mothers feel great anxiety and stress. However, families often found hope and resilience in peer support and cited that in addition to information needs, interventions using mobile health technology and transition and financial systems could better support families after discharge.

Indexed as

Intensive Care Units, NeonatalQuality ImprovementSafety-net ProvidersAsian PeopleBlack or African AmericanChild DevelopmentEarly Medical InterventionFamilyFinancial SupportGestational AgeHealth Knowledge, Attitudes, PracticeHispanic or LatinoHumansInfantInfant, PrematureMental HealthEarly interventionHigh-risk infantOutcomesPost-dischargePrematuritySSITransition

Identifiers

PMID31277630
PMCPMC6610911
OpenAlexW2954106482

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.