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Cited by 32Infant Development and Preterm CareTelemedicine and Telehealth ImplementationNeonatal Respiratory Health Research

Comparison of video and in-hospital consultations during early in-home care for premature infants and their families: A randomised trial

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Hägi-Pedersen, Mai-Britt, Dessau, Ram B, Norlyk, Annelise, Stanchev, Hristo, Kronborg, Hanne·2022·Journal of Telemedicine and Telecare
DOI 10.1177/1357633x20913411PMC PMC8721551
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Abstract

Introduction: Early in-home care is increasingly being used in Scandinavian countries for clinically stable premature infants. Due to challenges with travel and hospital resources, alternative ways to support parents during early in-home care are being considered. The aim of this study was to test whether the proportion of mothers exclusively breastfeeding, parental confidence and mother–infant interaction increased after early in-home care with premature infants, and to compare the outcomes of in-home care involving the use of video communication and a mobile application with those of in-home care involving in-hospital consultations. Methods: This study was conducted in four neonatal wards offering premature infant in-home care in Denmark. Premature infants were randomised using 1:1 block randomisation. During early in-home care, families had planned consultations two to three times a week, during which they received support from nurses: the intervention group had video consultations, while the control group had in-hospital consultations. Results: The proportion of exclusively breastfeeding mothers at discharge was 66.7% in the intervention group vs 66% in the control group and decreased to 49.4% vs 55%, respectively, 1 month after discharge. No significant improvements were found in the intervention group compared with the control group. In the intervention group, some video consultations were changed to telephone consultations due to problems with the video function, or to in-hospital consultations due to infants’ requirement for medical services. No significant differences in secondary outcomes were observed. Discussion: The study showed similar breastfeeding proportions at discharge. No unfavourable effects of video consultation compared with in-hospital consultation were found, indicating that video consultation could be a viable option and an important supplement during early in-home care. Trial registration: ClinicalTrials.gov ID: NCT02581800.

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  • The NeoRaksha, Care@Distance, and family mobile apps allowed for remote monitoring of infant growth, developmental milestones, health status post-discharge, immunization status, scheduling clinic visits, identification of risks, referrals, and infant care and development information.

    “Similarly, the NeoRaksha, Care@Distance, and family mobile apps allowed for remote monitoring of infant growth, developmental milestones, health status post-discharge, immunization status, scheduling clinic visits, identification of risks, referrals, and infant care and development information (Gund et al., 2013; Hägi-Pedersen et al., 2022; Nayak et al., 2019).”

    From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Hägi-Pedersen et al., 2022

    The Methods section (Early in-home care; page unavailable) describes a family mobile app that recorded infant weight and nutrition, shared reports with the hospital, provided infant-care advice, and linked parents to video consultations. It does not describe monitoring developmental milestones or immunizations, scheduling clinic visits, identifying risks, or making referrals. It also says families could use the app only until discharge, not for post-discharge monitoring. (LLM, conf=0.90)

    Experimental — accuracy not yet measured

  • No significant difference between the intervention group and control group regarding exclusive breastfeeding rate, parental confidence, and mother-infant interaction.

    “The investigators reported no significant difference between the intervention group and control group regarding exclusive breastfeeding rate, parental confidence, and mother-infant interaction (Hägi-Pedersen et al., 2022).”

    From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Hägi-Pedersen et al., 2022

    The Results > Effect evaluation report no significant between-group difference in exclusive breastfeeding and no significant differences in parental confidence or mother–infant interaction at discharge (T2) or one month later (T3). The claim omits an exception: mother–infant interaction scores differed significantly between groups at inclusion (T1; p = 0.03). No page number is provided in our copy. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

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Research works printed but not linked: 34

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Authors
Hägi-Pedersen, M.-B., Dessau, R. B., Norlyk, A., Stanchev, H., & Kronborg, H.
Affiliations
  • Aarhus University (DK)
  • Slagelse Hospital (DK)
Corresponding author
Hägi-Pedersen, Mai-Britt
ORCID
Venue
Journal of Telemedicine and Telecare
Publisher
SAGE Publications
Published
2020-03-30
Volume
28
Issue
1
Pages
24-36
ISSN
  • 1357-633X (ISSN-L)
  • 1758-1109
DOI
10.1177/1357633x20913411
PMC
PMC8721551
OpenAlex
W3013369567
Cited by
32
References
3
Citations by year
2026: 6 · 2025: 7 · 2024: 8 · 2023: 4 · 2022: 3 · 2021: 3 · 2020: 1
FWCI
2.64
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Telemedicine and Telecare (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by-nc)
  • University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion, cc-by-nc)
Funders
  • NSR hospitals
  • TrygFonden (111286)
  • Helsefonden (15-B-0013)
  • Region Sjælland
  • Aarhus Universitet
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
Keywords
preterm infants, video consultation, breastfeeding, parental confidence, mother-infant interaction, telemedicine, neonatal nursing, mobile application, telephone consultation
MeSH terms
Breast Feeding, Female, Home Care Services, Hospitals, Humans, Infant, Infant, Newborn, Infant, Premature, Referral and Consultation

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