Evidence map›Paper›PMID 36418988›Full record

ArticleBMC pediatrics2022

Neonatal outcomes from a quasi-experimental clinical trial of Family Integrated Care versus Family-Centered Care for preterm infants in U.S. NICUs.

Linda S Franck, Caryl L Gay, Thomas J Hoffmann, Rebecca M Kriz, Robin Bisgaard, Diana M Cormier, Priscilla Joe, Brittany Lothe, Yao Sun

Registry-linked trialOpen access · goldAbstract readControlled Clinical Trial
In one paragraph

Article in BMC pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03418870 (Improving Preterm Infant Outcomes With Family Integrated Care and Mobile Technology), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
11.0field-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.

NCT03418870 nacompletednot on this map

Improving Preterm Infant Outcomes With Family Integrated Care and Mobile Technology

TypeinterventionalSponsorUniversity of California, San FranciscoRan2017 to 2021Enrolled347ConditionsPremature Birth of NewbornArmsFamily Integrated Care
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Alberta family integrated careFrontiers in pediatrics · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Parents' Experiences With an Early Behavioral Intervention, H-HOPE, in the NICU and at Home: A Qualitative Study.Advances in neonatal care : official journal of the National Association of Neonatal Nurses · 2025
    Article
  14. Review
  15. Article
  16. Article
  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

9 authors at 4 institutions in 1 country.

Linda S FranckDepartment of Family Health Care Nursing, University of California San Francisco (UCSF), Box 0606, 2 Koret Way, N411F, CA, 94143, San Francisco, USA. linda.franck@ucsf.edu.
Caryl L GayDepartment of Family Health Care Nursing, University of California San Francisco (UCSF), Box 0606, 2 Koret Way, N411F, CA, 94143, San Francisco, USA.
Thomas J HoffmannDepartment of Epidemiology and Biostatistics, Office of Research, School of Nursing, UCSF, San Francisco, CA, USA.
Rebecca M KrizDepartment of Family Health Care Nursing, University of California San Francisco (UCSF), Box 0606, 2 Koret Way, N411F, CA, 94143, San Francisco, USA.
Robin BisgaardIntensive Care Nursery, UCSF Benioff Children's Hospital, San Francisco, CA, USA.
Diana M CormierNICU and Pediatrics, Community Regional Medical Center, Fresno, CA, USA.
Priscilla JoeDivision of Neonatology, UCSF Benioff Children's Hospital, Oakland, CA, USA.
Brittany LotheWill's Way Foundation, Chicago, IL, USA.
Yao SunDivision of Neonatology, Department of Pediatrics, UCSF, San Francisco, CA, USA.
University of California, San Francisco · USUCSF Benioff Children's Hospital · USCommunity Regional Medical Center · USThird Way · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFamily Integrated Care (FICare) benefits preterm infants compared with Family-Centered Care (FCC), but research is lacking in United States (US) Neonatal Intensive Care Units (NICUs). The outcomes for infants of implementing FICare in the US are unknown given differences in parental leave benefits and health care delivery between the US and other countries where FICare is used. We compared preterm weight and discharge outcomes between FCC and mobile-enhanced FICare (mFICare) in the US.

methodsIn this quasi-experimental study, we enrolled preterm infant (≤ 33 weeks)/parent dyads from 3 NICUs into sequential cohorts: FCC or mFICare. Our primary outcome was 21-day change in weight z-scores. Our secondary outcomes were nosocomial infection, bronchopulmonary dysplasia (BPD), retinopathy of prematurity (ROP), and human milk feeding (HMF) at discharge. We used intention-to-treat analyses to examine the effect of the FCC and mFICare models overall and per protocol analyses to examine the effects of the mFICare intervention components.

findings253 infant/parent dyads participated (141 FCC; 112 mFICare). There were no parent-related adverse events in either group. In intention-to-treat analyses, we found no group differences in weight, ROP, BPD or HMF. The FCC cohort had 2.6-times (95% CI: 1.0, 6.7) higher odds of nosocomial infection than the mFICare cohort. In per-protocol analyses, we found that infants whose parents did not receive parent mentoring or participate in rounds lost more weight relative to age-based norms (group-difference=-0.128, CI: -0.227, -0.030; group-difference=-0.084, CI: -0.154, -0.015, respectively). Infants whose parents did not participate in rounds or group education had 2.9-times (CI: 1.0, 9.1) and 3.8-times (CI: 1.2, 14.3) higher odds of nosocomial infection, respectively.

conclusionWe found indications that mFICare may have direct benefits on infant outcomes such as weight gain and nosocomial infection. Future studies using implementation science designs are needed to optimize intervention delivery and determine acute and long-term infant and family outcomes. CLINICAL

trial registrationNCT03418870 01/02/2018.

Indexed as

Bronchopulmonary DysplasiaCross InfectionDelivery of Health Care, IntegratedRetinopathy of PrematurityHumansInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalPatient-Centered CareUnited StatesClinical roundsFamily partnershipsInfantNeonatologyNosocomial infectionParent educationPeer mentorsWeight gain

Identifiers

PMID36418988
PMCPMC9682629
OpenAlexW4309713688

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.