Evidence map›Paper›PMID 33430816›Full record

Trial reportBMC pediatrics2021

Effectiveness of the Close Collaboration with Parents intervention on parent-infant closeness in NICU.

Felix B He, Anna Axelin, Sari Ahlqvist-Björkroth, Simo Raiskila, Eliisa Löyttyniemi, Liisa Lehtonen

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04635150 (National Evaluation of the Close Collaboration With Parents Training. Enhancing Parents' Presence and Participation During Neonatal Intensive Care.), which is not on this map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
13.7field-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.

NCT04635150 nacompletednot on this map

National Evaluation of the Close Collaboration With Parents Training. Enhancing Parents' Presence and Participation During Neonatal Intensive Care.

TypeinterventionalSponsorTurku University HospitalRan2012 to 2018Enrolled768ConditionsParent-Child Relations, Parenting, Infant, Newborn, DiseaseArmsClose Collaboration with Parents
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Insurance and early racial disparities in skin-to-skin care during NICU hospitalization.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Close Collaboration with Parents-Implementation and effectiveness.Acta paediatrica (Oslo, Norway : 1992) · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Mother-newborn couplet care: Nordic country experiences of organization, models and practice.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Review
  17. Article
  18. Article
  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

6 authors at 2 institutions in 1 country.

Felix B HeDepartment of Pediatrics and Adolescent Medicine, Turku University Hospital, Kiinamyllynkatu 4-8, 20521, Turku, Finland.
Anna AxelinDepartment of Nursing Science, University of Turku, Turku, Finland.
Sari Ahlqvist-BjörkrothUniversity of Turku, Turku, Finland.
Simo RaiskilaDepartment of Pediatrics and Adolescent Medicine, Turku University Hospital, Kiinamyllynkatu 4-8, 20521, Turku, Finland.
Eliisa LöyttyniemiUniversity of Turku, Turku, Finland.
Liisa LehtonenDepartment of Pediatrics and Adolescent Medicine, Turku University Hospital, Kiinamyllynkatu 4-8, 20521, Turku, Finland. liisa.lehtonen@utu.fi.
University of Turku · FITurku University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParent-infant closeness during hospital care of newborns has many benefits for both infants and parents. We developed an educational intervention for neonatal staff, Close Collaboration with Parents, to increase parent-infant closeness during hospital care. The aim of this study was to evaluate the effectiveness of the intervention on parent-infant closeness in nine hospitals in Finland.

methodsParents of hospitalized infants were recruited in the hospitals during 3-month periods before and after the Close Collaboration with Parents intervention. The data were collected using daily Closeness diaries. Mothers and fathers separately filled in the time they spent in the hospital and the time of skin-to-skin contact with their infant during each hospital care day until discharge. Statistical analyses were done using a linear model with covariates.

resultsDiaries were kept before and after the intervention by a total of 170 and 129 mothers and 126 and 84 fathers, respectively. Either parent was present on average 453 min per day before the intervention and 620 min after the intervention in the neonatal unit. In the adjusted model, the increase was 99 min per day (p = 0.0007). The infants were in skin-to-skin contact on average 76 min per day before the intervention and 114 min after the intervention. In the adjusted model, skin-to-skin contact increased by 24 min per day (p = 0.0405).

conclusionThe Close Collaboration with Parents intervention increased parents' presence and skin-to-skin contact in nine hospitals. This study suggests that parent-infant closeness may be one mediating factor explaining benefits of parenting interventions.

trial registrationClinicalTrials.gov NCT04635150 . Retrospectively registered.

Indexed as

Infant, PrematureIntensive Care Units, NeonatalFemaleFinlandHumansInfantInfant, NewbornMaleParentingParentsFamily centered careKangaroo careNICUParental presenceSkin-to-skin contact

Identifiers

PMID33430816
PMCPMC7798198
OpenAlexW3101213684

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.