“It was so comforting knowing she was okayâ€: evaluation of a neonatal care e-health intervention

Abstract

Background: This paper will report findings from an evaluation of a new e-health intervention designed to help mothers ‘keep in touch’ with their infant/s when they are in a neonatal care unit (NNU). The intervention, mylittleone, involves IP cameras being placed over incubators in the NNU, which then transmit real-time videos wirelessly to coupled tablet devices at the mothers’ bedsides in post-natal care. The aim of the evaluation was to explore parent and professional views of the technology and make recommendations for its future development, use and evaluation. Methods: A qualitative approach was adopted, guided by a critical realist perspective. The study was undertaken in the only unit in the UK currently using the technology. Parents (n=33) and professionals working in neonatal and postnatal care (n=21) were recruited purposively. Data were collected using semi-structured individual, paired and small group interviews and were analysed thematically. Findings: The majority of parents and professionals spoke positively about the technology. Perceptions were that its use reduced anxiety levels, that it helped to promote the early bonding process and that it allowed mothers to be more responsive to their baby’s needs. In a small number of instances, use of the technology appeared to increase levels of maternal anxiety. Discussion: Findings from this preliminary evaluation will guide future developments of the technology. The findings will also inform the design of a future trial to assess the impact of the technology on a range of psychological indicators of postnatal adjustment.