Evidence map›Paper›PMID 33246430›Full record

Trial reportBMC pediatrics2020

Effectiveness of Alberta Family Integrated Care on infant length of stay in level II neonatal intensive care units: a cluster randomized controlled trial.

Karen M Benzies, Khalid Aziz, Vibhuti Shah, Peter Faris, Wanrudee Isaranuwatchai, Jeanne Scotland, Jill Larocque, Kelly J Mrklas, Christopher Naugler, H Thomas Stelfox and 10 more

Registry-linked trialAbstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02879799 (Family Integrated Care), which is not on this map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT02879799 nacompletednot on this map

Family Integrated Care (FICare) in Level II NICUs: An Innovative Program for Alberta

TypeinterventionalSponsorUniversity of CalgaryRan2015 to 2018Enrolled765ConditionsPremature BirthArmsImplement Family Integrated Care
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  15. Review
  16. Alberta family integrated careFrontiers in pediatrics · 2026
    Review
  17. Article
  18. A Compassion-Focused Approach to Support Parents After Preterm Birth.Clinical child and family psychology review · 2025
    Review
  19. Article
  20. Article
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

20 authors.

Karen M BenziesFaculty of Nursing, University of Calgary, Calgary, AB, T2N 1N4, Canada. benzies@ucalgary.ca.ORCID 0000-0002-9090-2395
Khalid AzizFaculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Vibhuti ShahFaculty of Medicine, University of Toronto, and Mount Sinai Hospital, Toronto, ON, Canada.
Peter FarisCumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Wanrudee IsaranuwatchaiInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Jeanne ScotlandNeonatal Intensive Care Unit, Rockyview General Hospital, Alberta Health Services, Calgary, AB, Canada.
Jill LarocqueNorthern Alberta Neonatal Program, Stollery Children's Hospital, Edmonton, AB, Canada.
Kelly J MrklasStrategic Clinical Networks™, System Innovation and Programs, Alberta Health Services, Calgary, AB, Canada.
Christopher NauglerCumming School of Medicine, University of Calgary, Calgary, AB, Canada.
H Thomas StelfoxCumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Radha ChariFaculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Amuchou Singh SoraishamCumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Albert Richard AkiermanCumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Ernest PhilliposFaculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Harish AminCumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Jeffrey S HochDepartment of Public Health Sciences, University of California Davis, Davis, CA, USA.
Pilar ZanoniFaculty of Nursing, University of Calgary, Calgary, AB, T2N 1N4, Canada.
Jana KurilovaFaculty of Nursing, University of Calgary, Calgary, AB, T2N 1N4, Canada.
Abhay LodhaCumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Alberta FICare Level II NICU Study Team

Funding

Alberta Innovates - Health Solutions Partnership for Innovation in Health Services Research grant number 201400399
6 · The paper itself

Abstract

backgroundParents of infants in neonatal intensive care units (NICUs) are often unintentionally marginalized in pursuit of optimal clinical care. Family Integrated Care (FICare) was developed to support families as part of their infants' care team in level III NICUs. We adapted the model for level II NICUs in Alberta, Canada, and evaluated whether the new Alberta FICare™ model decreased hospital length of stay (LOS) in preterm infants without concomitant increases in readmissions and emergency department visits.

methodsIn this pragmatic cluster randomized controlled trial conducted between December 15, 2015 and July 28, 2018, 10 level II NICUs were randomized to provide Alberta FICare™ (n = 5) or standard care (n = 5). Alberta FICare™ is a psychoeducational intervention with 3 components: Relational Communication, Parent Education, and Parent Support. We enrolled mothers and their singleton or twin infants born between 32

resultsWe enrolled 654 mothers and 765 infants (543 singletons/111 twin cases). Intention to treat analysis included 353 infants/308 mothers in the Alberta FICare™ group and 365 infants/306 mothers in the standard care group. The unadjusted difference between groups in infant hospital LOS (1.96 days) was not statistically significant. Accounting for site geographic area and infant risk factors, infant hospital LOS was 2.55 days shorter (95% CI, - 4.44 to - 0.66) in the Alberta FICare™ group than standard care group, P = .02. Secondary outcomes were not significantly different between groups.

conclusionsAlberta FICare™ is effective in reducing preterm infant LOS in level II NICUs, without concomitant increases in readmissions or emergency department visits. A small number of sites in a single jurisdiction and select group infants limit generalizability of findings.

trial registrationClinicalTrials.gov Identifier NCT02879799 , retrospectively registered August 26, 2016.

Indexed as

Delivery of Health Care, IntegratedIntensive Care Units, NeonatalAdultAlbertaFemaleHumansInfantInfant, NewbornInfant, PrematureLength of StayBundled model of careFamily centered careFamily integrated careHealth services researchLength of stayNeonatal intensive care unitParent educationParent supportPreterm infantRelational communication

Identifiers

PMID33246430
PMCPMC7697372

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.