Using FRAME Documentation to Achieve RE-AIM Goals During Iterative, Stakeholder-Engaged Refinement of a Family Management Intervention for Parents of Preterm Infants.
Ashley M Weber, Tamilyn Bakas, Richard Bailey and 8 others
PMID 39555640WHAT IT FOUND
Parents and NICU clinicians asked for a video parent-training program for very preterm infants to be easier to access, more inclusive, and less dependent on staff time.
Nurses may use these requests to adapt parent education, but no tested effects on parents or infants.
Key findings
0136 key stakeholders (9 NICU clinicians, 17 parents, 5 researchers, and 5 technology experts) suggested 98 potential adaptations; 32 were completed, 8 abandoned, 5 ongoing, and 52 tabled.
02Content was the largest adaptation type (70, 71.4%), most adaptations were aimed at parents (79, 81.4%), and the largest RE-AIM targets were implementation (46, 46.9%) and effectiveness (43, 43.9%).
03The paper states that program content increased from 22 to 49 videos during Phase 2, and stakeholders suggested access changes such as QR codes, offline downloads, captions, and transcripts.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study included 36 stakeholders from a limited number of U.S. sites, and parent participants were purposively sampled, so the views may not represent all NICU parents. Parent stakeholders had high education levels and more resources than many NICU parents. The study reports adaptation suggestions and completion status, not tested effects on parents or infants. The paper did not use an established adaptation decision framework because the intervention was in early refinement. The supplied text and tables give different counts for tabled adaptations and video numbers.
Declared interests
The authors declare no conflicts of interest. The work was supported by the National Institute of Nursing Research.
The easy way to misread this
Do not read this as evidence that PREEMIE PROGRESS improves parents' ability to manage infant care. The study reports stakeholder suggestions and adaptation completion, not a test of the intervention.