PREEMIE PROGRESS: A family management program for parents of preterm infants

PREEMIE PROGRESS：针对早产儿父母的家庭管理计划

• 批准号: 10269921
• 负责人: Ashley M. Weber
• 金额: $ 15.14万
• 依托单位: UNIVERSITY OF CINCINNATI
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-25 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10269921
• 关键词: Address; Adopted; Adoption; Advisory Committees; Anxiety; Award; Biometry; Birth; Caring; Child Rearing; Chronic; Clinical Trials; Collaborations; Complex; Consultations; Data; Discipline of Nursing; E-learning; Education; Educational Intervention; Elements; Emergency department visit; Ensure; Environment; Evaluation; Family; Funding; Future; Goals; Health; Healthcare; Hospitals; Hour; Human Milk; Infant; Infant Care; Infant Development; Infant Health; Institution; Intensive Care; International; Intervention; Intervention Studies; K-Series Research Career Programs; Knowledge; Lead; Leadership; Learning; Length of Stay; Life; Measures; Medical; Mental Depression; Mental Health; Mentors; Modeling; Monitor; National Institute of Nursing Research; Neonatal; Neonatal Intensive Care Units; Nurses; Outcome; Outcomes Research; Pain; Parents; Peripheral; Persons; Pharmaceutical Preparations; Pregnancy; Premature Infant; Procedures; Process; Qualitative Methods; Randomized Controlled Trials; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Research; Research Personnel; Research Training; Resources; Science; Scientist; Self Management; Skin; Stress; Structure; Symptoms; Testing; Training; Translating; Treatment Protocols; United States; United States National Institutes of Health; Universities; Weight Gain; Withdrawal; Work; acceptability and feasibility; arm; base; care systems; career; caregiving; design; efficacy testing; empowerment; evidence base; experience; family management; family support; feasibility testing; feeding; health care service utilization; high risk; high risk parents; hospital readmission; implementation framework; implementation intervention; implementation process; implementation science; improved; innovation; literacy; mHealth; meetings; novel; patient oriented research; pedagogy; pragmatic efficacy trial; pragmatic trial; premature; programs; prototype; recruit; skills; systematic review; theories; tool; usability

PROJECT SUMMARY / ABSTRACT This K23 Career Development award will provide necessary training, mentoring, and research experience for Dr. Weber to become an independent nurse scientist focused on patient-oriented research in family management of infant chronic conditions. Increasing numbers of very preterm infants are surviving and have chronic, complex healthcare needs due to prematurity. These infants experience increased healthcare utilization, long durations of stay in the Neonatal Intensive Care Unit (NICU), and are at high risk of developing prematurity-related complications. As a result, their care is complex, and families need structured training to effectively understand, monitor, and manage their infant's care. Dr. Weber's innovative, video-based intervention applies evidence-based family management theories to better equip parents to meet the chronic, complex healthcare needs of their preterm infant. The research component of this award aims to 1) refine a novel family management program, called PREEMIE PROGRESS, through iterative usability and acceptability testing and 2) test feasibility and acceptability of the refined intervention and study procedures in a pilot randomized controlled trial. Dr. Weber will use implementation science tools and approaches to refine the intervention and study procedures to ensure that PREEMIE PROGRESS addresses key program elements that will be important for future adoption and implementation in NICU settings. She anticipates that the intervention will decrease parent anxiety and depression, increase infant weight gain and receipt of mother's milk, and reduce neonatal healthcare utilization. Dr. Weber's long-term career goal is to become an international leader in designing, disseminating, and implementing sustainable family management programs to improve parent-infant health outcomes in the NICU. Dr. Weber's short-term career goal is to develop, test, and translate into NICU practice an efficacious family management intervention for parents of preterm infants. To execute the proposed research and obtain preliminary data required to support future efficacy testing in a larger pragmatic trial (R01), Dr. Weber needs training in implementation/ improvement science, qualitative methods, conduct of pragmatic trials, and leadership management skills. Dr. Weber will significantly advance nursing science through this award by obtaining preliminary feasibility and acceptability data for a scalable and sustainable intervention to facilitate family management and improve parent-infant health outcomes. University of Cincinnati is a rich institutional environment that provides a wealth of resources to support Dr. Weber's research and training plans, including the expertise of NIH funded mentors with significant experience in the implementation (Dr. Kaplan) and family management (Dr. Bakas) sciences. Dr. Weber also draws on the institution's cadre of collaborations through an interdisciplinary advisory team, who will provide consultation in health outcomes research (Dr. Tubbs Cooley), family-centered care (Dr. Voos), clinical trials with preterm infants (Dr. Parikh), technology-enhanced learning and mHealth (Dr. Rota), and biostatistics (Dr. Ying).

项目总结/摘要 该K23职业发展奖将为以下人员提供必要的培训，指导和研究经验： 博士韦伯成为一名独立的护士科学家，专注于以患者为导向的家庭研究 婴儿慢性病的管理。越来越多的早产儿存活下来， 由于早产而导致的慢性、复杂的医疗保健需求。这些婴儿经历了更多的医疗保健 使用，在新生儿重症监护室（NICU）停留时间长，并且处于发展的高风险 早产相关并发症。因此，他们的护理是复杂的，家庭需要结构化的培训， 有效地理解、监督和管理他们的婴儿护理。韦伯博士的创新，基于视频 干预应用循证家庭管理理论，以更好地装备父母，以满足慢性， 早产儿复杂的医疗保健需求。该奖项的研究部分旨在1）完善 一种新的家庭管理计划，称为PREEMIE PROGRESS，通过迭代的可用性和可接受性 测试和2）在试点中测试改进的干预和研究程序的可行性和可接受性 随机对照试验。韦伯博士将使用实施科学工具和方法来完善 干预和研究程序，以确保PREEMIE PROGRESS解决关键项目要素 这对于未来在NICU环境中的采用和实施将是重要的。她预计， 干预将减少父母的焦虑和抑郁，增加婴儿体重增加和母亲的收入， 牛奶，减少新生儿保健利用。韦伯博士的长期职业目标是成为一名 设计、传播和实施可持续家庭管理方案的国际领导者 改善新生儿重症监护室的母婴健康状况。韦伯博士的短期职业目标是开发，测试， 并将其转化为新生儿重症监护室的实践，为早产儿父母提供有效的家庭管理干预。 执行拟议的研究，并获得支持未来疗效测试所需的初步数据， 更大的实用性试验（R 01），韦伯博士需要在实施/改进科学，定性 方法，进行务实的审判，和领导管理技能。韦伯博士将大大推进 护理科学通过这个奖项获得初步的可行性和可接受性的数据， 可持续的干预措施，以促进家庭管理和改善父母-婴儿的健康结果。大学 辛辛那提是一个丰富的制度环境，提供了丰富的资源，以支持韦伯博士的 研究和培训计划，包括NIH资助的导师的专业知识， 执行（卡普兰博士）和家庭管理（巴卡斯博士）科学。韦伯博士还借鉴了 通过一个跨学科咨询小组，该小组将提供咨询， 健康结果研究（Dr. Tubbs Cooley），以家庭为中心的护理（Dr. Voos），早产儿临床试验 婴儿（Parikh博士），技术增强学习和移动健康（Rota博士）和生物统计学（Ying博士）。