Provision of taped conversations with neonatologists to mothers of babies in intensive care: randomised controlled trial

Koh, Tieh Hee Hai Guan; Butow, Phyllis; Coory, Michael; Budge, D; Collie, L; Whitehall, John; Tattersall, Martin H. N.

doi:10.1136/bmj.39017.675648.be

Cited by 41 publications

(38 citation statements)

References 21 publications

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“…Eight studies assessed interventions to improve the issues of communication at the neonatal unit, one of which was an RCT 55. The RCT evidence (1+) reported that taping parent–doctor consultations improved the recall of parents of the consultation 55.…”

Section: Resultsmentioning

confidence: 99%

A systematic mapping review of effective interventions for communicating with, supporting and providing information to parents of preterm infants

et al. 2011

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Background and objectiveThe birth of a preterm infant can be an overwhelming experience of guilt, fear and helplessness for parents. Provision of interventions to support and engage parents in the care of their infant may improve outcomes for both the parents and the infant. The objective of this systematic review is to identify and map out effective interventions for communication with, supporting and providing information for parents of preterm infants.DesignSystematic searches were conducted in the electronic databases Medline, Embase, PsychINFO, the Cochrane library, the Cumulative Index to Nursing and Allied Health Literature, Midwives Information and Resource Service, Health Management Information Consortium, and Health Management and Information Service. Hand-searching of reference lists and journals was conducted. Studies were included if they provided parent-reported outcomes of interventions relating to information, communication and/or support for parents of preterm infants prior to the birth, during care at the neonatal intensive care unit and after going home with their preterm infant. Titles and abstracts were read for relevance, and papers judged to meet inclusion criteria were included. Papers were data-extracted, their quality was assessed, and a narrative summary was conducted in line with the York Centre for Reviews and Dissemination guidelines.Studies reviewedOf the 72 papers identified, 19 papers were randomised controlled trials, 16 were cohort or quasi-experimental studies, and 37 were non-intervention studies.ResultsInterventions for supporting, communicating with, and providing information to parents that have had a premature infant are reported. Parents report feeling supported through individualised developmental and behavioural care programmes, through being taught behavioural assessment scales, and through breastfeeding, kangaroo-care and baby-massage programmes. Parents also felt supported through organised support groups and through provision of an environment where parents can meet and support each other. Parental stress may be reduced through individual developmental care programmes, psychotherapy, interventions that teach emotional coping skills and active problem-solving, and journal writing. Evidence reports the importance of preparing parents for the neonatal unit through the neonatal tour, and the importance of good communication throughout the infant admission phase and after discharge home. Providing individual web-based information about the infant, recording doctor–patient consultations and provision of an information binder may also improve communication with parents. The importance of thorough discharge planning throughout the infant's admission phase and the importance of home-support programmes are also reported.ConclusionThe paper reports evidence of interventions that help support, communicate with and inform parents who have had a premature infant throughout the admission phase of the infant, discharge and return home. The level of evidence reported is mixed, and t...

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Section: Resultsmentioning

confidence: 99%

A systematic mapping review of effective interventions for communicating with, supporting and providing information to parents of preterm infants

et al. 2011

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“…Parents of premature infants in an Australian NICU who received audiotapes of conversations with the neonatologists reported that they had better knowledge of diagnoses, treatments, and outcomes. 33 There is no consensus regarding whether or under what circumstances a directive versus nondirective approach to counseling should be used. 12 We chose to provide a nondirective method when explaining the advantages and disadvantages of full resuscitation versus comfort care.…”

Section: Discussionmentioning

confidence: 99%

Use of a Visual Aid to Improve Counseling at the Threshold of Viability

Kakkilaya

Groome²,

Platt

et al. 2011

Pediatrics

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“…Of these, 21 were excluded for the following reasons: ancillary study of prior RCT (one study) [75], cluster randomization trials (seven studies) [37,50,60,125,130,135,144], cost-effectiveness studies (one study) [133], no primary outcome identified (three studies) [26,116,142], pooled subgroup analysis of two RCTs (one study) [55], secondary analysis of an RCT (six studies) [25,31,71,88,112,128], subgroup analysis of an RCT (one study) [61], and substudy of an RCT (one study) [131]. This resulted in the inclusion of 114 published reports of RCTs.…”

Section: Included Studiesmentioning

confidence: 99%

A substantial and confusing variation exists in handling of baseline covariates in randomized controlled trials: a review of trials published in leading medical journals

Austin

Manca

Zwarenstein

et al. 2010

Journal of Clinical Epidemiology

144

159

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Provision of taped conversations with neonatologists to mothers of babies in intensive care: randomised controlled trial

Cited by 41 publications

References 21 publications

A systematic mapping review of effective interventions for communicating with, supporting and providing information to parents of preterm infants

A systematic mapping review of effective interventions for communicating with, supporting and providing information to parents of preterm infants

Use of a Visual Aid to Improve Counseling at the Threshold of Viability

A substantial and confusing variation exists in handling of baseline covariates in randomized controlled trials: a review of trials published in leading medical journals

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