Abstract:
BACKGROUND:We have limited information on families' experiences during transition and after discharge from the neonatal intensive care unit. METHODS:Open-ended semi-structured interviews were conducted with English or Spanish- speaking families enrolled in Medicaid in an urban high-risk infant follow up clinic at a safety-net center, which serves preterm and high-risk term infants. We generated salient themes using inductive-deductive thematic analysis. RESULTS:Twenty-one participants completed the study. The infant's median (IQR) birth weight was 1750 (1305, 2641) grams; 71% were Hispanic and 10% were Black non-Hispanic; 62% reported living in a neighborhood with 3-4th quartile economic hardship. All were classified as having chronic disease per the Pediatric Medical Complexity Algorithm and 67% had medical complexity. A conceptual model was constructed and the analysis revealed major themes describing families' challenges and ideas to support transition centered on the parent-child role and parent self-efficacy. The challenges were: (1) comparison to normal babies, (2) caregiver mental health, (3) need for information. Ideas to support transition included, (1) support systems, (2) interventions using mobile health technology (3) improved communication to the primary care provider and (4) information regarding financial assistance programs. Specific subthemes differed in frequency counts between infants with and without medical complexity. CONCLUSIONS:Families often compare their preterm or high-risk infant to their peers and mothers feel great anxiety and stress. However, families often found hope and resilience in peer support and cited that in addition to information needs, interventions using mobile health technology and transition and financial systems could better support families after discharge.
journal_name
BMC Pediatrjournal_title
BMC pediatricsauthors
Lakshmanan A,Kubicek K,Williams R,Robles M,Vanderbilt DL,Mirzaian CB,Friedlich PS,Kipke Mdoi
10.1186/s12887-019-1604-6subject
Has Abstractpub_date
2019-07-05 00:00:00pages
223issue
1issn
1471-2431pii
10.1186/s12887-019-1604-6journal_volume
19pub_type
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