Smartphones and text messaging are associated with higher parent quality of life scores and enrollment in early intervention after NICU discharge
Open accessAbstract
The purpose of this study was to evaluate the impact of access to communication technology on caregiver quality of life, neurodevelopmental, and medical outcomes (eg, rehospitalization, emergency room visits, or surgeries) in preterm infants, and enrollment in public assistance programs. In this cross-sectional study, we surveyed families of preterm infants in a high-risk infant-follow-up clinic. We estimated associations of access to various modes of communication technology with outcomes, adjusting for sociodemographic and infant characteristics using linear and unconditional logistic regression. Access to email, text messaging, and smartphones was associated with higher quality of life scores on the Multicultural Quality of Life Index, and email and smartphone access was significantly associated with increased enrollment in early intervention. Evaluating smartphone and email access on neonatal intensive care unit discharge is important when considering enrollment in community programs and caregiver quality of life.
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Parents who had access to email, text messaging, and smartphone reported increased enrollment of their infants in early interventions compared to those who did not.
“Parents who had access to email, text messaging, and smartphone reported higher quality of life and increased enrollment of their infants in early interventions compared to those who did not (Flores-Fenlon et al., 2019).”
From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Flores-Fenlon et al., 2019
The Discussion (page not provided) reports significantly higher early-intervention enrollment among infants whose parents had email access or owned a smartphone. It does not report that text-messaging access was associated with higher enrollment; the paper associates texting with higher parent quality-of-life scores instead. (LLM, conf=0.90)
Experimental — accuracy not yet measuredParents who had access to email, text messaging, and smartphone reported higher quality of life compared to those who did not.
“Parents who had access to email, text messaging, and smartphone reported higher quality of life and increased enrollment of their infants in early interventions compared to those who did not (Flores-Fenlon et al., 2019).”
From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Flores-Fenlon et al., 2019
The Results report that email access, text messaging, and smartphone ownership were associated with higher parent quality-of-life scores. They report increased early-intervention enrollment for email and smartphone access, but not for text messaging, so the full citing sentence extends that finding too far. (LLM, conf=0.88)
Experimental — accuracy not yet measuredAccess to internet, email, text messaging, and smart phone and outcomes were examined but not clearly described.
“Access to internet, email, text messaging, and smart phone and outcomes were examined but not clearly described (Flores-Fenlon et al., 2019).”
From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Flores-Fenlon et al., 2019
The Methods > Measurements section says the survey assessed access to the Internet, email, and text messaging and ownership of a smartphone; the Results section reports associations with quality of life, developmental and medical outcomes, and program enrollment. The paper therefore supports that access and outcomes were examined, but it does not support the citing sentence’s assessment that they were ‘not clearly described.’ No page numbers are available in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredAccess to communication technologies (internet, email, text messaging, smart phone) was not associated with infant neurodevelopment or other medical outcomes (readmission, emergency visits, need for surgery).
“However, Flores-Fenlon et al. (2019) found access to these communication technologies was not associated with infant neurodevelopment or other medical outcomes, i.e., readmission, emergency visits, or need for surgery (Flores-Fenlon et al., 2019).”
From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Flores-Fenlon et al., 2019
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Cited by
Sorted by citations
Scoping review of interventions to support families with preterm infants post-NICU discharge
Griffith, T., Singh, A., Naber, M., Hummel, P., Bartholomew, C., Amin, S., White-Traut, R., & Garfield, L. (2022) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2022.08.014 · Cited by 76 · see citing works
The financial burden experienced by families of preterm infants after NICU discharge
Lakshmanan, A., Song, A. Y., Belfort, M. B., Yieh, L., Dukhovny, D., Friedlich, P. S., & Gong, C. L. (2022) · Journal of Perinatology · doi:10.1038/s41372-021-01213-4 · Cited by 64 · see citing works
Self-citation
- Authors
- Flores-Fenlon, N., Song, A. Y., Yeh, A., Gateau, K., Vanderbilt, D. L., Kipke, M., Friedlich, P., & Lakshmanan, A.
- Affiliations
- Fetal and Neonatal Institute, Division of Neonatology, Children’s Hospital Los Angeles, Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
- University of Southern California (US)
- Corresponding author
- Lakshmanan, Ashwini
- ORCID
- Venue
- Clinical Pediatrics
- Publisher
- SAGE Publications
- Published
- 2019-05-14
- Volume
- 58
- Issue
- 8
- Pages
- 903-911
- ISSN
- 0009-9228 (ISSN-L)
- 1938-2707
- PMC
- PMC8362840
- OpenAlex
- W2945510314
- Cited by
- 17
- References
- 8
- Citations by year
- 2026: 1 · 2023: 3 · 2022: 3 · 2021: 7 · 2020: 2 · 2019: 1
- FWCI
- 3.38
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Center for Advancing Translational Sciences (KL2TR001854)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- smartphones, text messaging, email, communication technology, caregiver quality of life, preterm infants, early intervention, NICU discharge, public assistance programs, neurodevelopmental outcomes, hospital readmission, emergency department visits
- MeSH terms
- Continuity of Patient Care, Female, Humans, Infant, Infant, Newborn, Infant, Premature, Infant, Premature, Diseases, Intensive Care Units, Neonatal, Male, Parents, Patient Discharge, Quality of Life, Early Intervention, Educational, Text Messaging
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