Parent partnerships in facility neonatal care to improve outcomes for small and sick newborns Pregnancy and Childbirth
Conditions
Interventions
A co-production process will be initiated involving representatives from NIHR Unit stakeholders (including local clinicians, policy makers and community leaders) and Community Engagement Groups of loc
Sponsors
Liverpool School of Tropical Medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Mother/Caregiver/baby pairs 1. Baby admitted to NNU and expected to remain for >7 days 2. Mother (caregiver) willing to commit to the study intervention (intervention phase only) 3. Mother (caregiver) over 18 years at recruitment Partner/Family member 1. Partner or family member of mother (or caregiver). 2. Over 18 years old at time of recruitment Health workers, service managers, peer supporters 1. Nurses, midwives, doctors directly involved in the delivery of the intervention 2. Peer supporters (parents with prior lived experience) if involved in delivery of the intervention
Exclusion criteria
Exclusion criteria: 1. Multiple births where one only baby received NN care and/or is still living 2. Baby receiving palliative care 3. Baby critically ill (e.g receiving ventilatory/ organ support and/or not expected to survive) 4. Severe congenital abnormality
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recruitment and retention of mothers (caregivers) and babies in the study. Recruitment and retention is measured, using the study screening and recruitment log at identification of each eligible participant, approach, recruitment and study completion, withdrawal or loss to follow up. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Acceptability of the intervention, research and study processes for parents and health workers is assessed using qualitative interviews conducted at the end of the intervention phase, 6-8 weeks following discharge (parents) and at the end of the intervention phase (health workers directly involved in the delivery of the intervention) and a survey questionnaire for all neonatal and maternity staff providing newborn care 2. Characteristics and acceptability of the proposed psychological measures is assessed with mothers/caregivers recruited to the study at the following time points: 2.1. Parental stressor scale: Neonatal intensive care unit (PSS:NICU; measures parental anxiety and stress) baseline (recruitment), immediately prior to baby’s discharge from NNU, 6-8 weeks following discharge 2.2. Edinburgh postnatal depression scale: (assesses depressive symptoms in the postnatal period EPDS) baseline (recruitment), immediately prior to baby’s discharge from NNU, 6-8 weeks following discharge | — |
Countries
India, Pakistan, Tanzania
Contacts
Public ContactTracey Mills
Outcome results
None listed