Opportunities for Telemedicine to Improve Parents’ Well-Being During the Neonatal Care Journey: Scoping Review

Abstract BackgroundNeonatal intensive care unit admissions of newborns are emotional and stressful for parents, influencing their mental and physical well-being and resulting in high rates of psychological morbidities. Significant research has been undertaken to understand and...

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Main Authors: Josephine Wagenaar, Crystal Mah, Fredrik Bodell, Irwin Reiss, Maaike Kleinsmann, Sylvia Obermann-Borst, H Rob Taal
Format: Article
Language:English
Published: JMIR Publications 2024-12-01
Series:JMIR Pediatrics and Parenting
Online Access:https://pediatrics.jmir.org/2024/1/e60610
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author Josephine Wagenaar
Crystal Mah
Fredrik Bodell
Irwin Reiss
Maaike Kleinsmann
Sylvia Obermann-Borst
H Rob Taal
author_facet Josephine Wagenaar
Crystal Mah
Fredrik Bodell
Irwin Reiss
Maaike Kleinsmann
Sylvia Obermann-Borst
H Rob Taal
author_sort Josephine Wagenaar
collection DOAJ
description Abstract BackgroundNeonatal intensive care unit admissions of newborns are emotional and stressful for parents, influencing their mental and physical well-being and resulting in high rates of psychological morbidities. Significant research has been undertaken to understand and quantify the burden of a newborn’s medical journey on parents’ well-being. Simultaneously, an increase has been observed in the development and implementation of telemedicine interventions, defined as the remote delivery of health care. Telemedicine is used as an overarching term for different technological interventions grouped as real-time audio-visual communication, remote patient monitoring, and asynchronous communication. Various telemedicine interventions have been proposed and developed but scarcely with the primary goal of improving parental well-being during their newborn’s medical journey. ObjectiveThis study aims to identify telemedicine interventions with the potential to improve parents’ well-being and to present the methods used to measure their experience. MethodsA scoping review was conducted, including empirical studies evaluating telemedicine in neonatal care that either measured parental well-being or included parents in the evaluation. Abstract and title screening, full-text screening, and data extraction were performed by three researchers. Two researchers were needed to reach decisions on both the inclusion and extraction of articles. ResultsThe review included 50 out of 737 screened articles. Telemedicine interventions focused mainly on daily visits at the neonatal intensive care unit and discharge preparedness for parents. Surveys were the primary tool used for outcome measurement (36/50, 72%). Aspects of parents’ well-being were evaluated in 62% (31/50) of studies. Telemedicine interventions developed to provide education and support showed a potential to improve self-efficacy and discharge preparedness and decrease anxiety and stress when they included a real-time telemedicine component. ConclusionsThis scoping review identified specific telemedicine interventions, such as real-time audio-visual communication and eHealth apps, that have the potential to improve parental well-being by enhancing self-efficacy and discharge preparedness, and reducing anxiety and stress. However, more insights are needed to understand how these interventions affect well-being. Parents should be included in future research in both the development and evaluation stages. It is important to not only measure parents’ perceptions but also focus on the impact of a telemedicine intervention on their well-being.
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spelling doaj-art-a272c05cdca743b998d2c9e9ed5ab59d2024-12-09T22:30:56ZengJMIR PublicationsJMIR Pediatrics and Parenting2561-67222024-12-017e60610e6061010.2196/60610Opportunities for Telemedicine to Improve Parents’ Well-Being During the Neonatal Care Journey: Scoping ReviewJosephine Wagenaarhttp://orcid.org/0009-0002-0428-2685Crystal Mahhttp://orcid.org/0009-0008-4787-3972Fredrik Bodellhttp://orcid.org/0009-0000-2943-7167Irwin Reisshttp://orcid.org/0000-0002-9474-6895Maaike Kleinsmannhttp://orcid.org/0000-0003-4120-5048Sylvia Obermann-Borsthttp://orcid.org/0009-0004-8886-6892H Rob Taalhttp://orcid.org/0000-0002-7300-4577 Abstract BackgroundNeonatal intensive care unit admissions of newborns are emotional and stressful for parents, influencing their mental and physical well-being and resulting in high rates of psychological morbidities. Significant research has been undertaken to understand and quantify the burden of a newborn’s medical journey on parents’ well-being. Simultaneously, an increase has been observed in the development and implementation of telemedicine interventions, defined as the remote delivery of health care. Telemedicine is used as an overarching term for different technological interventions grouped as real-time audio-visual communication, remote patient monitoring, and asynchronous communication. Various telemedicine interventions have been proposed and developed but scarcely with the primary goal of improving parental well-being during their newborn’s medical journey. ObjectiveThis study aims to identify telemedicine interventions with the potential to improve parents’ well-being and to present the methods used to measure their experience. MethodsA scoping review was conducted, including empirical studies evaluating telemedicine in neonatal care that either measured parental well-being or included parents in the evaluation. Abstract and title screening, full-text screening, and data extraction were performed by three researchers. Two researchers were needed to reach decisions on both the inclusion and extraction of articles. ResultsThe review included 50 out of 737 screened articles. Telemedicine interventions focused mainly on daily visits at the neonatal intensive care unit and discharge preparedness for parents. Surveys were the primary tool used for outcome measurement (36/50, 72%). Aspects of parents’ well-being were evaluated in 62% (31/50) of studies. Telemedicine interventions developed to provide education and support showed a potential to improve self-efficacy and discharge preparedness and decrease anxiety and stress when they included a real-time telemedicine component. ConclusionsThis scoping review identified specific telemedicine interventions, such as real-time audio-visual communication and eHealth apps, that have the potential to improve parental well-being by enhancing self-efficacy and discharge preparedness, and reducing anxiety and stress. However, more insights are needed to understand how these interventions affect well-being. Parents should be included in future research in both the development and evaluation stages. It is important to not only measure parents’ perceptions but also focus on the impact of a telemedicine intervention on their well-being.https://pediatrics.jmir.org/2024/1/e60610
spellingShingle Josephine Wagenaar
Crystal Mah
Fredrik Bodell
Irwin Reiss
Maaike Kleinsmann
Sylvia Obermann-Borst
H Rob Taal
Opportunities for Telemedicine to Improve Parents’ Well-Being During the Neonatal Care Journey: Scoping Review
JMIR Pediatrics and Parenting
title Opportunities for Telemedicine to Improve Parents’ Well-Being During the Neonatal Care Journey: Scoping Review
title_full Opportunities for Telemedicine to Improve Parents’ Well-Being During the Neonatal Care Journey: Scoping Review
title_fullStr Opportunities for Telemedicine to Improve Parents’ Well-Being During the Neonatal Care Journey: Scoping Review
title_full_unstemmed Opportunities for Telemedicine to Improve Parents’ Well-Being During the Neonatal Care Journey: Scoping Review
title_short Opportunities for Telemedicine to Improve Parents’ Well-Being During the Neonatal Care Journey: Scoping Review
title_sort opportunities for telemedicine to improve parents well being during the neonatal care journey scoping review
url https://pediatrics.jmir.org/2024/1/e60610
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