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BMC Pediatr. 2019 Dec 2;19(1):469. doi: 10.1186/s12887-019-1838-3.

Comparison of family centered care with family integrated care and mobile technology (mFICare) on preterm infant and family outcomes: a multi-site quasi-experimental clinical trial protocol.

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University of California San Francisco, School of Nursing, 2 Koret Way, Box 0606, San Francisco, CA, 94143, USA.
University of California San Francisco, School of Nursing, 2 Koret Way, Box 0606, San Francisco, CA, 94143, USA.
UCSF Benioff Children's Hospital, San Francisco, 1975 4th St, San Francisco, CA, 94158, USA.
Community Regional Medical Center, 2823 Fresno St, Fresno, CA, 93721, USA.
Division of Neonatology, UCSF Benioff Children's Hospital, Oakland, 747 52nd Street, Oakland, CA, 94618, USA.
UCLA Health, 924 Westwood Boulevard, Suite 720, Los Angeles, CA, 90024, USA.
Division of Neonatology, Perinatal Institute, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 7009, Cincinnati, OH, 45229, USA.
Kaiser Permanente Santa Clara, 3rd Floor Dept. 340.710 Lawrence Expy, Santa Clara, CA, 95051, USA.



Family Centered Care (FCC) has been widely adopted as the framework for caring for infants in the Neonatal Intensive Care Unit (NICU) but it is not uniformly defined or practiced, making it difficult to determine impact. Previous studies have shown that implementing the Family Integrated Care (FICare) intervention program for preterm infants in the NICU setting leads to significant improvements in infant and family outcomes. Further research is warranted to determine feasibility, acceptability and differential impact of FICare in the US context. The addition of a mobile application (app) may be effective in providing supplemental support for parent participation in the FICare program and provide detailed data on program component uptake and outcomes.


This exploratory multi-site quasi-experimental study will compare usual FCC with mobile enhanced FICare (mFICare) on growth and clinical outcomes of preterm infants born at or before 33 weeks gestational age, as well as the stress, competence and self-efficacy of their parents. The feasibility and acceptability of using mobile technology to gather data about parent involvement in the care of preterm infants receiving FCC or mFICare as well as of the mFICare intervention will be evaluated (Aim 1). The effect sizes for infant growth (primary outcome) and for secondary infant and parent outcomes at NICU discharge and three months after discharge will be estimated (Aim 2).


This study will provide new data about the implementation of FICare in the US context within various hospital settings and identify important barriers, facilitators and key processes that may contribute to the effectiveness of FICare. It will also offer insights to clinicians on the feasibility of a new mobile application to support parent-focused research and promote integration of parents into the NICU care team in US hospital settings.

TRIAL REGISTRATION:, ID NCT03418870. Retrospectively registered on December 18, 2017.


Family centered care; Family integrated care; Infants; Mobile application; Neonatal intensive care unit; Parents

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