Grant: Catalyst Grant: Catalyzing Innovation in Preterm Birth Research
University of Calgary
$199,812.00
Child developmental health, maternal psychosocial distress, and health system costs at 18 months corrected age: Effectiveness of a cluster randomized controlled trial of Family Integrated Care in Level II NICUs
FY 2016-17
Summary
In Alberta, one in every twelve babies is born too soon (preterm). Preterm babies are at greater risk for breathing and feeding problems, as well as infections, than babies born on their due date. As a result, parents must leave their preterm babies in the hospital to fully develop and become healthy enough to take home. When it is time for discharge, parents are often not ready to look after their baby because they may have had limited involvement in the care of their baby in hospital. In addition to the distress and costs to parents of having a baby in hospital, health system costs are increased the longer a baby is in hospital. We are evaluating a new way to integrate parents into the care of their baby through a program called Family Integrated Care (FICare). In FICare, parents are educated and supported by nurses to provide care for their baby; nurses and doctors still provide medical procedures. FICare shows promise as a better model of care for the small percentage of babies born more than 8 weeks early, who have to spend a long time in hospital. Now we are evaluating FICare with the greater percentage of preterm babies who are born 4 to 8 weeks early to see if parents are able to take their baby home sooner, and if their babies are healthier. We also want to know if FICare can reduce distress for parents. We are evaluating this in Level II Neonatal Intensive Care Units (NICUs) in Alberta by implementing FICare in half the Level II NICUs and comparing outcomes and costs with the Level II NICUs who do not use FICare. With current funding, we will know if FICare makes a difference when the babies are two months old, accounting for the time born early. With this funding, we will determine if FICare makes a difference at 18 months, the standard age for assessing outcomes in children born preterm. If FICare improves outcomes for preterm babies and their parents at 18 months, we will have sufficient justification to recommend implementation in all Level II NICUs.
Department
Program
Catalyst Grant: Catalyzing Innovation in Preterm Birth Research
Recipient
Location
Alberta, Canada
Recipient Type
Academia
Type
Grant
Source
CIHR Funding Decisions Database
As published
Id
351170
Name
Benzies Karen M
Region
Alberta
Country
Canada
Orgtype
Institution Paid; Research Institution
Instname2
Health Services and Policy Research
Theme2
Health systems / services
Prcname2
Catalyst Grant: Catalyzing Innovation in Preterm Birth Research
Projecttitle
Child developmental health, maternal psychosocial distress, and health system costs at 18 months corrected age: Effectiveness of a cluster randomized controlled trial of Family Integrated Care in Level II NICUs
Programtype2
Operating Grants
Orgnameinp2
University of Calgary
Cihramount2
$199,812
Cihrequipment2
$0
Programname2
Catalyst Grant: Catalyzing Innovation in Preterm Birth Research
Keyworddelim
Breast Feeding; Cluster Randomized Controlled Trial; Economic Evaluation - Direct And Indirect Costs; Family Integrated Care (Ficare); Hospital Length Of Stay; Hospital Readmission; Maternal Psychosocial Distress; Moderate And Late Preterm Infants; Nosocomial Infections; Weight Gain
Abstract
In Alberta, one in every twelve babies is born too soon (preterm). Preterm babies are at greater risk for breathing and feeding problems, as well as infections, than babies born on their due date. As a result, parents must leave their preterm babies in the hospital to fully develop and become healthy enough to take home. When it is time for discharge, parents are often not ready to look after their baby because they may have had limited involvement in the care of their baby in hospital. In addition to the distress and costs to parents of having a baby in hospital, health system costs are increased the longer a baby is in hospital. We are evaluating a new way to integrate parents into the care of their baby through a program called Family Integrated Care (FICare). In FICare, parents are educated and supported by nurses to provide care for their baby; nurses and doctors still provide medical procedures. FICare shows promise as a better model of care for the small percentage of babies born more than 8 weeks early, who have to spend a long time in hospital. Now we are evaluating FICare with the greater percentage of preterm babies who are born 4 to 8 weeks early to see if parents are able to take their baby home sooner, and if their babies are healthier. We also want to know if FICare can reduce distress for parents. We are evaluating this in Level II Neonatal Intensive Care Units (NICUs) in Alberta by implementing FICare in half the Level II NICUs and comparing outcomes and costs with the Level II NICUs who do not use FICare. With current funding, we will know if FICare makes a difference when the babies are two months old, accounting for the time born early. With this funding, we will determine if FICare makes a difference at 18 months, the standard age for assessing outcomes in children born preterm. If FICare improves outcomes for preterm babies and their parents at 18 months, we will have sufficient justification to recommend implementation in all Level II NICUs.
Competitiondate
201608
Approvedterm2
2 yrs 0 mth
Pinamesdelim
Benzies, Karen M
Approvedterm
2 ans 0 mois
Cihrcontribution2
~ $199,812~ $0~
