Neonates or Premature Babies, NICU Infants, Parent, Reading
Conditions
Keywords
shared reading, infant development, relational health, interventional, neonatal intensive care unit, educational intervention
Brief summary
This is a pre/post quasi-interventional study with two arms. First, a baseline cohort of parent-infant dyads admitted to the Neonatal Intensive Care Unit (NICU) were enrolled and surveyed at three timepoints (admission, discharge, and one-month post-discharge) to characterize baseline habits, attitudes, and barriers toward shared reading in the NICU in the absence of a shared reading program. Reach Out and Read (ROR) in the NICU, a shared reading program modified from the national ROR outpatient program to the NICU setting was then implemented. Following program implementation, a subsequent cohort of parent-infant dyads admitted to the NICU were enrolled (the "ROR" cohort) and surveyed at the same three timepoints. Feasibility, acceptability, and preliminary efficacy of ROR NICU to promote shared reading in the NICU were evaluated.
Interventions
OTHERShared reading program
Reach Out and Read in the NICU (ROR NICU) was implemented. All infants admitted to the NICU receive a book paired with education/anticipatory guidance on shared reading every two weeks during their NICU admission.
Sponsors
Catherine Caruso
Academic Pediatric Association
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
OTHER
Masking
NONE
Intervention model description
A baseline cohort not exposed to a shared reading program was recruited and surveyed at three timepoints. After implementing a shared reading program, a second cohort (exposed to the shared reading program) was recruited and surveyed at the same three timepoints. Cohorts were then compared.
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
Parent-infant dyads were recruited with the following criteria: Inclusion Criteria: * New neonatal admission to the NICU at less than or equal to 14 days old * Estimated length of stay 2 weeks or longer * English or Spanish speaking
Exclusion criteria
* Nonviable neonates or those with uncertain viability * Families with discontinuous social situations or parent/infant separation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of regular reading | Time point 1: baseline. Time point 2: average 6 weeks after baseline. Time point 3: 4 weeks after time point 2 | Parent-reported frequency of shared reading (days/week) in the last week with "regular reading" defined as at least 3 times per week. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of eligible infants who received the intervention | After infant discharge, average of 6 weeks from baseline. | This is a program fidelity measure assessing how many infants admitted to and discharged from the NICU received the intervention (defined as receiving a book paired with education about shared reading) |
| Program acceptability | Time point 1: baseline. Time point 2: average 6 weeks after baseline. Time point 3: 4 weeks after time point 2 | Survey questions exploring parent experience of the program and an "Acceptability of Intervention Measure" 4-item scaled score (likert scale 1-5) from Weiner et al 2017. |
| Frequency of intervention per patient (fidelity to the model) | After infant discharge, average of 6 weeks from baseline | The frequency and timing of when each ROR cohort infant received a book during admission was tracked |
Countries
United States
Outcome results
None listed