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Am J Perinatol
DOI: 10.1055/a-1990-2414
Original Article

“My Brigham Baby” Application: A Pilot Study Using Technology to Enhance Parent's Experience in the Neonatal Intensive Care Unit

Carmina Erdei 
1   Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Boston, Massachusetts
2   Department of Pediatrics, Harvard Medical School, Boston, Massachusetts
,
Madison Forde
1   Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Boston, Massachusetts
,
Sara Cherkerzian
1   Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Boston, Massachusetts
2   Department of Pediatrics, Harvard Medical School, Boston, Massachusetts
,
Maria S. Conley
1   Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Boston, Massachusetts
,
Cindy H. Liu
1   Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Boston, Massachusetts
2   Department of Pediatrics, Harvard Medical School, Boston, Massachusetts
,
Terrie E. Inder
1   Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Boston, Massachusetts
2   Department of Pediatrics, Harvard Medical School, Boston, Massachusetts
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Abstract

Objective This study aimed to describe the family psychosocial experience in a level-III neonatal intensive care unit (NICU), and to assess how it evolved after rollout of an educational smartphone application (App) called “My Brigham Baby.”

Study Design We surveyed 25 NICU parents pre-App rollout (before coronavirus disease 2019 [COVID-19] pandemic) and 25 parents post-App rollout (during pandemic). Collected data included parental self-reported discharge readiness, symptoms of stress and anxiety, and parenting skill confidence. Survey scores were assessed as total or mean scores, and by category of severity.

Results Pre-and post-App parents had comparable demographics, and their infants had similar clinical characteristics during their NICU stay. Discharge readiness differed by group status (p = 0.02) and was characterized by a greater frequency in being “very ready” for discharge among the post-App rollout parent group compared with the pre-App group (56 vs. 20%, p = 0.027), and parenting confidence shifted toward more optimal scores post-App rollout. Parental stress and anxiety symptoms did not significantly differ between groups despite possible stress contagion from the COVID-19 pandemic.

Conclusion This pilot study suggests that technology Apps are feasible interventions within NICU settings and may enhance parental experiences related to NICU hospitalization.

Key Points

  • Parents' experience increased psychological distress during the time their infant is cared for in the NICU, which has downstream consequences for the family unit.

  • In our study, surveyed parents reported higher discharge readiness and parenting confidence shifted toward improvement after rollout of a family education and support smartphone application in a level-III NICU.

  • This pilot study suggests that technology applications are feasible interventions that might enhance parental experiences during NICU hospitalization.

Keywords

NICU - preterm - parent mental health - discharge readiness - technology

Note

Support for this project was provided through an institutional award—Brigham Care Redesign Incubator and Startup Program (BCRISP) to C.E., as well as through close collaboration with the Brigham Digital Innovation Hub.




Publication History

Received: 07 July 2022

Accepted: 22 November 2022

Accepted Manuscript online:
30 November 2022

Article published online:
29 January 2023

© 2023. Thieme. All rights reserved.

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333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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