Evidence map›Paper›PMID 37429198›Full record

ArticleEarly human development2023

Feasibility of wearable sensors in the NICU: Psychophysiological measures of parental stress.

Leah I Stein Duker, Jenny Kwon, Marinthea Richter, Roberta Pineda

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Early human development, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

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

2 citing papers in PubMed.

  1. Review
  2. Review
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

4 authors.

Leah I Stein DukerChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA.
Jenny KwonChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA; Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO, USA.
Marinthea RichterChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA.
Roberta PinedaChan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA; Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO, USA; Gehr Family Center for Health Systems Science and Innovation, University of Southern California, Los Angeles, CA, USA. Electronic address: bobbi.pineda@chan.usc.edu.

Funding

WUIDDRC Supplement-Supporting the health and well-being of children with intellectual and developmental disability during COVID-19 pandemicP50HD103525 · NICHD · WASHINGTON UNIVERSITY · PI JOSEPH D DOUGHERTY, Natasha Marrus · 2020 to 2026
$15.5M
MULTICENTER CAREER DEVELOPMENT PROGRAM FOR PHYSICAL AND OCCUPATIONAL THERAPYK12HD055931 · NICHD · WASHINGTON UNIVERSITY · PI HAYES, MARCIE HARRIS · 2007 to 2021
$12.7M
NICHD NIH HHS K12 HD055931NICHD NIH HHS P50 HD103525
6 · The paper itself

Abstract

backgroundParents report elevated stress during their infant's NICU hospitalization. Real-time measures may improve our understanding of parental stress in the NICU.

aimExamine the feasibility of wearable sensors to describe parental stress in the NICU. STUDY

designIn this prospective feasibility study of 12 parent-infant dyads, parents wore an Empatica E4 wristband to measure psychophysiological stress via electrodermal activity (EDA) during sensory interventions (holding, massage, reading, touch, etc) with their babies. Baseline and intervention periods were delineated during which concurrent monitoring and clinical observations of infant behavior and environmental factors were recorded. Feasibility was assessed by investigating recruitment/enrollment, retention/adherence, acceptability, sensor usability, and changes in EDA waveforms based on potential stressors. For the latter, independent samples t-tests and ANOVA were used to examine differences in EDA from baseline to intervention, and the impact of environmental and infant factors on parent stress were visually analyzed against EDA waveforms.

resultsWearable sensor use in the NICU appeared feasible as assessed by all methods. Preliminary data analysis indicated that overall parent EDA levels during parent-infant interactions were low, and engagement in sensory intervention(s) led to a non-significant increase in parental EDA, measured by both skin conductance levels and non-specific skin conductance responses. Three main patterns of EDA emerged: a temporary increase in EDA at the beginning of the intervention followed by a decrease and plateau, a plateau in EDA from baseline to intervention, and a gradual rise in EDA throughout intervention. Specific environmental and infant factors, such as infant stress and health care providers entering the room, appeared to impact parent stress levels.

conclusionAlthough these preliminary findings provide support for use of EDA in the NICU, future studies are needed.

Indexed as

Intensive Care Units, NeonatalWearable Electronic DevicesFeasibility StudiesHumansInfantInfant, NewbornParentsProspective StudiesChild developmentEnvironmentMonitoringNeonatal intensive care unitParental stressPreterm infantsRisk factorsTechnology

Identifiers

PMID37429198
PMCPMC11062485

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.