Parental involvement in early care in Neonatal Intensive Care Units: A systematic literature review
DOI:
https://doi.org/10.33448/rsd-v13i3.45174Keywords:
Prematurity; Child development; Early intervention; Family; Neonatal intensive care unit.Abstract
The article aims to analyze studies on family-centered care in early intervention in premature babies, emphasizing parental involvement, with a focus on the context in Portugal. Globally, 15 million babies are born prematurely annually, with a rate of approximately 8% in Portugal. Over the last five decades, premature birth rates have increased while infant mortality has decreased, indicating advancements in obstetric and neonatal care. Premature newborns face significant risks, including developmental delays, sensory deficits, learning difficulties, and cerebral palsy. Early interventions are essential to refer these children to services that promote their development during periods of maximum neuronal plasticity. Early Intervention (EI) has shown promising results improving developmental outcomes and reducing biological and social risk fator´s impact. However, there is a shortage of national research on this topic. This study reviewed articles from 2015 to 2022, identifying 17 that addressed premature newborns, early intervention, and family care, evaluating the quality of clinical trials with PEDro Assessment Scale. The article emphasizes the importance of early intervention and family care for the development of premature babies and their families, highlighting the need for more national research in this area. Promoting additional studies can enhance understanding and improve care for this vulnerable population.
References
Aita, M., Stremler, R., Feeley, N., Lavallée, A., & De Clifford-Faugère, G. (2017). Effectiveness of interventions during NICU hospitalization on the neurodevelopment of preterm infants: a systematic review protocol. Systematic reviews, 6(1), 1-5.
Als, H., Duffy, F. H., McAnulty, G., Butler, S. C., Lightbody, L., Kosta, S., Weisenfeld, N. I., Robertson, R., Parad, R. B., Ringer, S. A., Blickman, J. G., Zurakowski, D., & Warfield, S. K. (2012). NIDCAP improves brain function and structure in preterm infants with severe intrauterine growth restriction. Journal of perinatology : official journal of the California Perinatal Association, 32(10), 797–803. https://doi.org/10.1038/jp.2011.201
Álvarez, M. J., Fernández, D., Gómez-Salgado, J., Rodríguez-González, D., Rosón, M., & Lapeña, S. (2017). The effects of massage therapy in hospitalized preterm neonates: A systematic review. International journal of nursing studies, 69, 119–136. https://doi.org/10.1016/j.ijnurstu.2017.02.009
Anima. (2014). Manual revisão bibliográfica sistemática integrativa: a pesquisa baseada em evidências. Grupo Anima. https://biblioteca.cofen.gov.br/wp-content/uploads/2019/06/manual_revisao_bibliografica-sistematica-integrativa.pdf
Araujo, D. M., Ribeiro, M. F. & Espíndula, A. P. (2015). Treino materno para estimulação domiciliar sugere melhor no desenvolvimento motor de prematuros. ConScientia e Saúde, 14(3):385-393. https://doi.org/10.5585/conssaude.v14n3.5665
Baraldi, E., Allodi, M. W., Löwing, K., Smedler, A. C., Westrup, B., & Ådén, U. (2020). Stockholm preterm interaction-based intervention (SPIBI) - study protocol for an RCT of a 12-month parallel-group post-discharge program for extremely preterm infants and their parents. BMC pediatrics, 20(1), 49. https://doi.org/10.1186/s12887-020-1934-4
Benzies, K. M., Aziz, K., Shah, V., Faris, P., Isaranuwatchai, W., Scotland, J., Larocque, J., Mrklas, K. J., Naugler, C., Stelfox, H. T., Chari, R., Soraisham, A. S., Akierman, A. R., Phillipos, E., Amin, H., Hoch, J. S., Zanoni, P., Kurilova, J., Lodha, A., & Alberta FICare Level II NICU Study Team (2020). Effectiveness of Alberta Family Integrated Care on infant length of stay in level II neonatal intensive care units: a cluster randomized controlled trial. BMC pediatrics, 20(1), 535. https://doi.org/10.1186/s12887-020-02438-6
Boykova M. (2016). Transition From Hospital to Home in Preterm Infants and Their Families. The Journal of perinatal & neonatal nursing, 30(3), 270–272. https://doi.org/10.1097/JPN.0000000000000198
Caesar, R., Boyd, R. N., Colditz, P., Cioni, G., Ware, R. S., Salthouse, K., Doherty, J., Jackson, M., Matthews, L., Hurley, T., Morosini, A., Thomas, C., Camadoo, L., Baer, E., & PREMTiME Study Group (2016). Early prediction of typical outcome and mild developmental delay for prioritisation of service delivery for very preterm and very low birthweight infants: a study protocol. BMJ open, 6(7), e010726. https://doi.org/10.1136/bmjopen-2015-010726
Carvalho, L., Almeida I. , Felgueiras, I., Leitão , S., Boavida, J., Santos, P. Serrano, A., Brito, T, Pimentel, J., Pinto, A., Grande, C. , Brandão , T., Franco, V. (2019). Recommended Practices in Early Childhood Intervention: A guide for professionals. Luxembourg: Eurlyaid- European Association on Early Childhood Intervention.
Cho, E. S., Kim, S. J., Kwon, M. S., Cho, H., Kim, E. H., Jun, E. M., & Lee, S. (2016). The Effects of Kangaroo Care in the Neonatal Intensive Care Unit on the Physiological Functions of Preterm Infants, Maternal-Infant Attachment, and Maternal Stress. Journal of pediatric nursing, 31(4), 430–438. https://doi.org/10.1016/j.pedn.2016.02.007
Charpak, N., Tessier, R., Ruiz, J. G., Hernandez, J. T., Uriza, F., Villegas, J., Nadeau, L., Mercier, C., Maheu, F., Marin, J., Cortes, D., Gallego, J. M., & Maldonado, D. (2017). Twenty-year Follow-up of Kangaroo Mother Care Versus Traditional Care. Pediatrics, 139(1), e20162063. https://doi.org/10.1542/peds.2016-2063
Church, P. T., Grunau, R. E., Mirea, L., Petrie, J., Soraisham, A. S., Synnes, A., Ye, X. Y., & O'Brien, K. (2020). Family Integrated Care (FICare): Positive impact on behavioural outcomes at 18 months. Early human development, 151, 105196. https://doi.org/10.1016/j.earlhumdev.2020.105196
Dusing, S. C., Brown, S. E., Van Drew, C. M., Thacker, L. R., & Hendricks-Muñoz, K. D. (2015). Supporting Play Exploration and Early Development Intervention From NICU to Home: A Feasibility Study. Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association, 27(3), 267–274. https://doi.org/10.1097/PEP.0000000000000161
Dusing, S. C., Tripathi, T., Marcinowski, E. C., Thacker, L. R., Brown, L. F., & Hendricks-Muñoz, K. D. (2018). Supporting play exploration and early developmental intervention versus usual care to enhance development outcomes during the transition from the neonatal intensive care unit to home: a pilot randomized controlled trial. BMC pediatrics, 18(1), 46. https://doi.org/10.1186/s12887-018-1011-4
Elbasan, B., Kocyigit, M. F., Soysal-Acar, A. S., Atalay, Y., & Gucuyener, K. (2017). "The effects of family-centered physiotherapy on the cognitive and motor performance in premature infants". Infant behavior & development, 49, 214–219. https://doi.org/10.1016/j.infbeh.2017.09.007
Eliakim, A., Litmanovitz, I., & Nemet, D. (2017). The Role of Exercise in Prevention and Treatment of Osteopenia of Prematurity: An Update. Pediatric exercise science, 29(4), 450–455. https://doi.org/10.1123/pes.2017-0017
Fan, J., Wang, J., Zhang, X. et al. A home-based, post-discharge early intervention program promotes motor development and physical growth in the early preterm infants: a prospective, randomized controlled trial. BMC Pediatr 21, 162 (2021). https://doi.org/10.1186/s12887-021-02627-x
Ferreira, R. C., Alves, C. R. L., Guimarães, M. A. P., Menezes, K. K. P., & Magalhães, L. C. (2020). Effects of early interventions focused on the family in the development of children born preterm and/or at social risk: a meta-analysis. Jornal de pediatria, 96(1), 20–38. https://doi.org/10.1016/j.jped.2019.05.002
Flierman, M., Koldewijn, K., Meijssen, D., van Wassenaer-Leemhuis, A., Aarnoudse-Moens, C., van Schie, P., & Jeukens-Visser, M. (2016). Feasibility of a Preventive Parenting Intervention for Very Preterm Children at 18 Months Corrected Age: A Randomized Pilot Trial. The Journal of pediatrics, 176, 79–85.e1. https://doi.org/10.1016/j.jpeds.2016.05.071
Fleury, C., Parpinelli, M. A., & Makuch, M. Y. (2014). Perceptions and actions of healthcare professionals regarding the mother-child relationship with premature babies in an intermediate neonatal intensive care unit: a qualitative study. BMC pregnancy and childbirth, 14, 313. https://doi.org/10.1186/1471-2393-14-313
Filippa, M., Panza, C., Ferrari, F., Frassoldati, R., Kuhn, P., Balduzzi, S., & D'Amico, R. (2017). Systematic review of maternal voice interventions demonstrates increased stability in preterm infants. Acta paediatrica (Oslo, Norway : 1992), 106(8), 1220–1229. https://doi.org/10.1111/apa.13832
Guimarães, F. A. B., Assis, C. D., Vieira, M. E. B., & Formiga, C. K. M. R. (2015). Avaliação de material didático elaborado para orientação de cuidadores e professores de creches sobre o desenvolvimento infantil. Journal of Human Growth and Development, 25(1), 27-40. https://dx.doi.org/10.7322/JHGD.96764
Hayes, G.R., Patterson, D.J., Singh, M. (2011) Supporting the transition from hospital to home for premature infants using integrated mobile computing and sensor support. Pers Ubiquit Comput 15, 871–885. https://doi.org/10.1007/s00779-011-0402-4
Kim, T. H. M., Campbell-Yeo, M., Disher, T., Dol, J., Richardson, B., Chez NICU Home team in alphabetical order, Bishop, T., Delahunty-Pike, A., Dorling, J., Glover, M., Inglis, D., Johnson, T., Lalanne, D., Mcmillan, D., Mcgrath, P., Monaghan, J., Orovec, A., Simpson, D. C., Skinner, N., Wozney, L., … Whitehead, L. (2021). Caregiver Presence and Involvement in a Canadian Neonatal Intensive Care Unit: An Observational Cohort Study. Journal of pediatric nursing, 60, 123–129. https://doi.org/10.1016/j.pedn.2021.04.023
Lai, M. M., D’Acunto, G., Guzzetta, A., Boyd, R. N., Rose, S. E., Fripp, J., ... & Colditz, P. B. (2016). PREMM: preterm early massage by the mother: protocol of a randomised controlled trial of massage therapy in very preterm infants. BMC pediatrics, 16(1), 1-12.
Loe, I. M., Lee, E. S., Luna, B., & Feldman, H. M. (2011). Behavior problems of 9-16 year old preterm children: Biological, sociodemographic, and intellectual contributions. Early Human Development, 87, 247-252. https://doi.org/10.1016/j.earlhumdev.2011.01.023
Leão, L. C. S., Silva, L. R., & Lopes, R. de C. S. (2017). Da UTI NEO para casa: vivências maternas na pré-alta do bebé prematuro. Psicologia Em Estudo, 22(2), 153-164. https://doi.org/10.4025/psicolestud.v22i2.33880
Mclean, M. A., Scoten, O. C., Yu, W., Ye, X. Y., Petrie, J., Church, P. T., Soraisham, A. S., Mirea, L. S., Weinberg, J., Synnes, A. R., O'Brien, K., & Grunau, R. E. (2022). Lower Maternal Chronic Physiological Stress and Better Child Behavior at 18 Months: Follow-Up of a Cluster Randomized Trial of Neonatal Intensive Care Unit Family Integrated Care. The Journal of pediatrics, 243, 107–115.e4. https://doi.org/10.1016/j.jpeds.2021.12.055
McAndrew, S., Acharya, K., Westerdahl, J., Brousseau, D. C., Panepinto, J. A., Simpson, P., Leuthner, J., & Lagatta, J. M. (2019). A Prospective Study of Parent Health-Related Quality of Life before and after Discharge from the Neonatal Intensive Care Unit. The Journal of pediatrics, 213, 38–45.e3. https://doi.org/10.1016/j.jpeds.2019.05.067
Moreno-Sanz, B., Montes, M. T., Antón, M., Serrada, M. T., Cabrera, M., & Pellicer, A. (2021). Scaling Up the Family Integrated Care Model in a Level IIIC Neonatal Intensive Care Unit: A Systematic Approach to the Methods and Effort Taken for Implementation. Frontiers in pediatrics, 9, 682097. https://doi.org/10.3389/fped.2021.682097
O'Brien, K., Robson, K., Bracht, M., Cruz, M., Lui, K., Alvaro, R., da Silva, O., Monterrosa, L., Narvey, M., Ng, E., Soraisham, A., Ye, X. Y., Mirea, L., Tarnow-Mordi, W., Lee, S. K., & FICare Study Group and FICare Parent Advisory Board (2018). Effectiveness of Family Integrated Care in neonatal intensive care units on infant and parent outcomes: a multicentre, multinational, cluster-randomised controlled trial. The Lancet. Child & adolescent health, 2(4), 245–254. https://doi.org/10.1016/S2352-4642(18)30039-7
O’Brien, K., Bracht, M., Robson, K. et al. Evaluation of the Family Integrated Care model of neonatal intensive care: a cluster randomized controlled trial in Canada and Australia. BMC Pediatr 15, 210 (2015). https://doi.org/10.1186/s12887-015-0527-0
OMS. (2018). Parto Prematuro. Disponível em: http://www.who.int/mediacentre/factsheets/fs363/es/
Pineda, R., Roussin, J., Heiny, E., & Smith, J. (2019). Health Care Professionals' Perceptions about Sensory-Based Interventions in the NICU. American journal of perinatology, 36(12), 1229–1236. https://doi.org/10.1055/s-0038-1676536
Pinto, F., Fernandes, E., Virella, D., Abrantes, A. & Neto, M. T. (2019). Born Preterm: A Public Health Issue. Port J Public Health, 37:38–49. 10.1159/000497249
Polizzi, C., Perricone, G., Morales, M. R., & Burgio, S. (2021). A Study of Maternal Competence in Preterm Birth Condition, during the Transition from Hospital to Home: An Early Intervention Program's Proposal. International journal of environmental research and public health, 18(16), 8670. https://doi.org/10.3390/ijerph18168670
Puthussery, S., Chutiyami, M., Tseng, P. C., Kilby, L., & Kapadia, J. (2018). Effectiveness of early intervention programs for parents of preterm infants: a meta-review of systematic reviews. BMC pediatrics, 18(1), 1-18.
Sgandurra, G., Lorentzen, J., Inguaggiato, E., Bartalena, L., Beani, E., Cecchi, F., & CareToy Consortium. (2017). A randomized clinical trial in preterm infants on the effects of a home-based early intervention with the 'CareToy System'. PloS one, 12(3), e0173521.
Schneider, J., Borghini, A., Morisod Harari, M., Faure, N., Tenthorey, C., Le Berre, A., Tolsa, J. F., Horsch, A., & JOIN Research Consortium (2019). Joint observation in NICU (JOIN): study protocol of a clinical randomised controlled trial examining an early intervention during preterm care. BMJ open, 9(3), e026484. https://doi.org/10.1136/bmjopen-2018-026484
Stefana, A., & Lavelli, M. (2017). Parental engagement and early interactions with preterm infants during the stay in the neonatal intensive care unit: protocol of a mixed-method and longitudinal study. BMJ open, 7(2), e013824. https://doi.org/10.1136/bmjopen-2016-013824
Stelwagen, M., van Kempen, A., Westmaas, A., Vet, E., & Scheele, F. (2021). Parents' Experiences With a Model of Integrated Maternity and Neonatal Care Designed to Empower Parents. Journal of obstetric, gynecologic, and neonatal nursing : JOGNN, 50(2), 181–192. https://doi.org/10.1016/j.jogn.2020.11.001
Steinhardt, A., Hinner, P., Kühn, T., Roehr, C. C., Rüdiger, M., & Reichert, J. (2015). Influences of a dedicated parental training program on parent-child interaction in preterm infants. Early human development, 91(3), 205–210. https://doi.org/10.1016/j.earlhumdev.2015.01.012
Spittle, A., Orton, J., Anderson, P., Boyd, R., & Doyle, L. W. (2012). Early developmental intervention programmes post‐hospital discharge to prevent motor and cognitive impairments in preterm infants. Cochrane database of systematic reviews, (12).
Sociedade Portuguesa de Pediatria. (2019). Secção de Neonatologia da Sociedade Portuguesa de Pediatria. Disponível: https://www.spp.pt/noticias/default.asp?IDN=372&op=2&ID=132
Soleimani, F., Azari, N., Ghiasvand, H., Shahrokhi, A., Rahmani, N., & Fatollahierad, S. (2020). Do NICU developmental care improve cognitive and motor outcomes for preterm infants? A systematic review and meta-analysis. BMC pediatrics, 20(1), 67. https://doi.org/10.1186/s12887-020-1953-1
Synnes, A. R., Petrie, J., Grunau, R. E., Church, P., Kelly, E., Moddemann, D., Ye, X., Lee, S. K., O'Brien, K., Canadian Neonatal Network Investigators, & Canadian Neonatal Follow-Up Network Investigators (2022). Family integrated care: very preterm neurodevelopmental outcomes at 18 months. Archives of disease in childhood. Fetal and neonatal edition, 107(1), 76–81. https://doi.org/10.1136/archdischild-2020-321055
Toral-López, I., Fernández-Alcántara, M., González-Carrión, P., Cruz-Quintana, F., Rivas-Campos, A., & Pérez-Marfil, N. (2016). Needs Perceived by Parents of Preterm Infants: Integrating Care Into the Early Discharge Process. Journal of pediatric nursing, 31(2), e99–e108. https://doi.org/10.1016/j.pedn.2015.09.007
Fan, J., Wang, J., Zhang, X., He, R., He, S., Yang, M., Shen, Y., Tao, X., Zhou, M., Gao, X., & Hu, L. (2021). A home-based, post-discharge early intervention program promotes motor development and physical growth in the early preterm infants: a prospective, randomized controlled trial. BMC pediatrics, 21(1), 162. https://doi.org/10.1186/s12887-021-02627-x
Van Hus, J., Jeukens-Visser, M., Koldewijn, K., Holman, R., Kok, J. H., Nollet, F., & Van Wassenaer-Leemhuis, A. G. (2016). Early intervention leads to long-term developmental improvements in very preterm infants, especially infants with bronchopulmonary dysplasia. Acta paediatrica (Oslo, Norway : 1992), 105(7), 773–781. https://doi.org/10.1111/apa.13387
van Veenendaal, N. R., Auxier, J. N., van der Schoor, S. R. D., Franck, L. S., Stelwagen, M. A., de Groof, F., van Goudoever, J. B., Eekhout, I. E., de Vet, H. C. W., Axelin, A., & van Kempen, A. A. M. W. (2021). Development and psychometric evaluation of the CO-PARTNER tool for collaboration and parent participation in neonatal care. PloS one, 16(6), e0252074. https://doi.org/10.1371/journal.pone.0252074
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Fernanda Alves de Britto Guimarães Oliveira; Maria Teresa Perlico Machado Brandão
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
