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A randomized controlled study about the use of eHealth in the home health care of premature infants
Open accessAbstract
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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In the citing paper
“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
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“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
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“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
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“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
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“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
Experimental — accuracy not yet measured
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Of note, about 7% of families felt there was no need for the web app since their infants were stable post-discharge (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
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Researchers also noted that the in-person home visits and web app may be more beneficial for families whose infants had higher medical risk factors or complications (Awindaogo et al., 2016; Baraldi et al., 2020; 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
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“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 Gund et al., 2013
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“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
The cited source says what the claim attributes to it.
In the citing paper
“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
The cited source says what the claim attributes to it.
In the citing paper
“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
The cited source says what the claim attributes to it.
In the citing paper
“All families were satisfied with video calls and found that they were easy to use (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 cited source says what the claim attributes to it.
In the citing paper
“Only 50% of families who received access to the web app in addition 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 cited source says what the claim attributes to it.
In the citing paper
“Approximately 83% of families was satisfied with the web app and all families found the web app was easy to use (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 check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“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
Experimental — accuracy not yet measured
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Metadata
- 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)
- PMC
- PMC3583709
- 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
- gold
- doi.org
- Licence
- 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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