AI Article Synopsis

  • Family Integrated Care (FICare) has been effective in supporting sick neonates and their families, but its implementation is mostly limited to developed countries, prompting the need for adaptations to make it more widely applicable.
  • The RISEinFAMILY project is researching an adapted FICare model through a multinational trial involving several countries, including Spain, the UK, and Zambia, focusing on infant-family dyads in Neonatal Intensive Care Units.
  • The study aims to assess how well this new model can work in different cultural and socio-economic settings, while also comparing its effects on newborn outcomes, family mental health, and healthcare professional satisfaction against standard care methods.

Article Abstract

Background: Family Integrated Care (FICare) has demonstrated positive outcomes for sick neonates and has alleviated the psychological burden faced by families. FICare involves structured training for professionals and caregivers along with the provision of resources to offer physical and psychological support to parents. However, FICare implementation has been primarily limited to developed countries. It remains crucial to assess the scalability of this model in overcoming social-cultural barriers and conduct a cost-effectiveness analysis. The RISEinFAMILY project aims to develop an adapted FICare model that can serve as the international standard for neonatal care, accommodating various cultural, architectural, and socio-economic contexts.

Methods: RISEinFAMILY is a pluri-cultural, stepped wedge cluster controlled trial conducted in Spain, Netherlands, the UK, Romania, Turkey, and Zambia. Eligible participants include infant-family dyads admitted to the Neonatal Intensive Care Unit (NICU) requiring specialised neonatal care for a minimum expected duration of 7 days, provided there are no comprehension barriers. Notably, this study will incorporate a value of implementation analysis on FICare, which can inform policy decisions regarding investment in implementation activities, even in situations with diverse data.

Discussion: This study aims to evaluate the scalability and adaptation of FICare across a broader range of geographical and sociocultural contexts and address its sustainability. Furthermore, it seeks to compare the RISEinFAMILY model with standard care, examining differences in short-term newborn outcomes, family mental health, and professional satisfaction.

Trial Registration: ClinicalTrials.gov NCT06087666. Registered on 17 October 2023.

Protocol Version: 19 December 2022; version 2.2.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11005221PMC
http://dx.doi.org/10.1186/s13063-024-08043-7DOI Listing

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Article Synopsis
  • Family Integrated Care (FICare) has been effective in supporting sick neonates and their families, but its implementation is mostly limited to developed countries, prompting the need for adaptations to make it more widely applicable.
  • The RISEinFAMILY project is researching an adapted FICare model through a multinational trial involving several countries, including Spain, the UK, and Zambia, focusing on infant-family dyads in Neonatal Intensive Care Units.
  • The study aims to assess how well this new model can work in different cultural and socio-economic settings, while also comparing its effects on newborn outcomes, family mental health, and healthcare professional satisfaction against standard care methods.
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