ArticleJournal of perinatology : official journal of the California Perinatal Association2026
A quality improvement project to optimize the neonatology research experience for families.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
7 authors.
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Abstract
backgroundEnrollment in neonatal research is challenging due to time-limited decisions and consent complexity, contributing to biased samples. LOCAL PROBLEM: In our NICU, research consent approaches were inconsistent, participation data were limited, and multiple studies occurred concurrently.
methodsWe conducted a quality improvement initiative (January 2022-December 2023) with secondary analysis of sociodemographic factors. Primary measures were the percent of eligible families approached and consenting; subgroup analyses examined language, gestational age, and insurance.
interventionsSeven PDSA cycles targeted staffing, language-concordant and antenatal approaches, team coordination, and standardized training.
resultsThe approach rate increased from 52% to 66% with special cause variation. Overall, 65% of families consented. Observational studies enrollment showed special cause variation; interventional enrollment remained stable. Antenatal approaches yielded a 91% consent. Language-concordant approaches were associated with higher consent among Spanish- (88%) and Portuguese-speaking (83%) families (p = 0.047).
conclusionsStructured team processes and language-concordant, antenatal approaches improved rates and supported more equitable participation.
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42458020What OpenQuestion holds
Registered trials
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