Cited by 106Telemedicine and Telehealth ImplementationMobile Health and mHealth ApplicationsInfant Development and Preterm Care

A randomized controlled study about the use of eHealth in the home health care of premature infants

Open access
Gund, Anna, Sjöqvist, Bengt Arne, Wigert, Helena, Hentz, Elisabet, Lindecrantz, Kaj, Bry, Kristina·2013·BMC Medical Informatics and Decision Making

Abstract

Background: One area where the use of information and communication technology (ICT), or eHealth, could be developed is the home health care of premature infants. The aim of this randomized controlled study was to investigate whether the use of video conferencing or a web application improves parents’ satisfaction in taking care of a premature infant at home and decreases the need of home visits. In addition, nurses’ attitudes regarding the use of these tools were examined. Method: Thirty-four families were randomized to one of three groups before their premature infant was discharged from the hospital to home health care: a control group receiving standard home health care (13 families); a web group receiving home health care supplemented with the use of a web application (12 families); a video group with home health care supplemented with video conferencing using Skype (9 families). Families and nursing staff answered questionnaires about the usefulness of ICT. In addition, semi-structured interviews were conducted with 16 families. Results: All the parents in the web group found the web application easy to use. 83% of the families thought it was good to have access to their child’s data through the application. All the families in the video group found Skype easy to use and were satisfied with the video calls. 88% of the families thought that video calls were better than ordinary phone calls. 33% of the families in the web group and 75% of those in the video group thought the need for home visits was decreased by the web application or Skype. 50% of the families in the web group and 100% of those in the video group thought the web application or the video calls had helped them feel more confident in caring for their child. Most of the nurses were motivated to use ICT but some were reluctant and avoided using the web application and video conferencing. Conclusion: The families were satisfied with both the web application and video conferencing. The families readily embraced the use of ICT, whereas motivating some of the nurses to accept and use ICT was a major challenge.

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Crossref · 10.1186/1472-6947-13-22

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  • In-person home visits reduced parental fear.

    “The face-to-face communication and support provided by in-person home visits was shown to reduce parental stress, anxiety, and fear, increase parental confidence, competency, feeling of being supported, sense of security, and trust in the infant’s capacity (Baraldi et al., 2020; dos Santos et al., 2014; Gund et al., 2013; Kynø et al., 2013; Ravn et al., 2012; Spencer-Smith et al., 2012).”

    From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Gund et al., 2013

    In Results, under “Families’ opinions about the home health care in general” (page not provided), parents said home visits helped them feel confident caring for their baby. The paper does not report measuring parental fear or show that visits reduced it; confidence is a related but different outcome. (LLM, conf=0.78)

    Experimental — accuracy not yet measured
  • All families who received phone calls in addition to in-person home visits reported feeling more confident in caring for their infants at home.

    “All families who received phone calls in addition to the in-person home visits reported feeling more confident in caring for their infants at home (Gund et al., 2013).”

    From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Gund et al., 2013

    The Results (Results specific to the use of Skype; page unavailable) report that all eight families in the Skype group said video calls helped them feel more confident caring for their child at home. The paper distinguishes those video calls from ordinary phone calls; it does not report that all families receiving ordinary phone calls felt more confident. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • In-person home visits increased parental trust in the infant's capacity.

    “The face-to-face communication and support provided by in-person home visits was shown to reduce parental stress, anxiety, and fear, increase parental confidence, competency, feeling of being supported, sense of security, and trust in the infant’s capacity (Baraldi et al., 2020; dos Santos et al., 2014; Gund et al., 2013; Kynø et al., 2013; Ravn et al., 2012; Spencer-Smith et al., 2012).”

    From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Gund et al., 2013

    In Results, under “Families’ opinions about the home health care in general” (page unavailable), parents said home visits helped them feel confident at home with their baby. The paper describes confidence in caring for the infant, not increased trust in the infant’s own capacity. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • In-person home visits reduced parental stress.

    “The face-to-face communication and support provided by in-person home visits was shown to reduce parental stress, anxiety, and fear, increase parental confidence, competency, feeling of being supported, sense of security, and trust in the infant’s capacity (Baraldi et al., 2020; dos Santos et al., 2014; Gund et al., 2013; Kynø et al., 2013; Ravn et al., 2012; Spencer-Smith et al., 2012).”

    From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Gund et al., 2013

    In Results (Families’ opinions about the home health care in general; page unavailable), parents said home visits helped them feel confident, and 97% said the visits were not stressful. The paper does not show that in-person visits reduced parental stress, anxiety, or fear; reporting that visits were not stressful is not evidence of a reduction. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • In-person home visits increased parental competency.

    “The face-to-face communication and support provided by in-person home visits was shown to reduce parental stress, anxiety, and fear, increase parental confidence, competency, feeling of being supported, sense of security, and trust in the infant’s capacity (Baraldi et al., 2020; dos Santos et al., 2014; Gund et al., 2013; Kynø et al., 2013; Ravn et al., 2012; Spencer-Smith et al., 2012).”

    From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Gund et al., 2013

    In Results, under “Families’ opinions about the home health care in general” (page not provided), parents said home visits helped them feel confident caring for their baby. The paper does not report that visits increased parents’ caregiving competency; its reference to being “competent” describes the nurses. (LLM, conf=0.86)

    Experimental — accuracy not yet measured

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Cites

Flagged first, then by citations

1 of the 23 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. Sandberg K Sjöqvist BA Telemedicin för hemövervakning av nyfödda kortar vårdtid och höjer kvalitet Läkartidningen 2000 97 3489 3491 11037593
  2. Young Seok L Craig G Noel M Shirley C Sana H NICU-2-HOME: supporting the transition to home from the neonatal intensive care unit using a mobile application Proceedings of the 2011 annual conference extended abstracts on Human factors in computing systems 2011 Vancouver, BC, Canada: ACM

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Authors
Gund, A., Sjöqvist, B. A., Wigert, H., Hentz, E., Lindecrantz, K., & Bry, K.
Affiliations
  • Chalmers University of Technology (SE)
  • Sahlgrenska University Hospital (SE)
  • Karolinska Institutet (SE)
Corresponding author
Bry, Kristina
Venue
BMC Medical Informatics and Decision Making
Published
2013-02-09
Volume
13
Issue
1
Pages
22-22
ISSN
1472-6947 (ISSN-L)
OpenAlex
W2016780403
Cited by
105
References
23
Citations by year
2026: 4 · 2025: 7 · 2024: 17 · 2023: 9 · 2022: 8 · 2021: 8 · 2020: 7 · 2019: 8 · 2018: 11 · 2017: 11 · 2016: 5 · 2015: 2 · 2014: 6 · 2013: 2
FWCI
5.10
Type
journal article
Language
en
Open access
Locations
  • BMC Medical Informatics and Decision Making (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Chalmers Publication Library (Chalmers University of Technology) (submittedVersion)
  • Chalmers Research (Chalmers University of Technology) (submittedVersion)
Funders
  • VINNOVA
  • Sahlgrenska Universitetssjukhuset
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Keywords
e-health, home health care, preterm infants, videoconferencing, web application, parental satisfaction, home visits, nurses' attitudes, information and communication technologies, parental confidence, telemedicine
MeSH terms
Adult, Female, Humans, Infant Care, Infant, Newborn, Infant, Premature, Parents, Patient Satisfaction, Telemedicine, Home Care Services, Hospital-Based, Remote Consultation, Internet, Young Adult

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