PT - JOURNAL ARTICLE AU - Jayanta Banerjee AU - Annie Aloysius AU - Karen Mitchell AU - Ines Silva AU - Dimitrios Rallis AU - Sunit V Godambe AU - Aniko Deierl TI - Improving infant outcomes through implementation of a family integrated care bundle including a parent supporting mobile application AID - 10.1136/archdischild-2018-316435 DP - 2020 Mar 01 TA - Archives of Disease in Childhood - Fetal and Neonatal Edition PG - 172--177 VI - 105 IP - 2 4099 - http://fn.bmj.com/content/105/2/172.short 4100 - http://fn.bmj.com/content/105/2/172.full SO - Arch Dis Child Fetal Neonatal Ed2020 Mar 01; 105 AB - Objective The aim of the Integrated Family Delivered Care (IFDC) programme was to improve infant health outcomes and parent experience through education and competency-based training.Design In collaboration with veteran parents’ focus groups, we created an experienced co-designed care bundle including IFDC mobile application, which together with staff training programme comprised the IFDC programme. Infant outcomes were compared with retrospective controls in a prepost intervention analysis.Main outcome measures The primary outcome measure was the length of stay (LOS).Results Between April 2017 and May 2018, 89 families were recruited; 37 infants completed their entire care episode in our units with a minimum LOS >14 days. From a gestational age (GA) and birth weight-matched retrospective cohort, 57 control infants were selected. Data were also analysed for subgroup under 30 weeks GA (n=20).Infants in the IFDC group were discharged earlier: median corrected GA (36+0 (IQR 35+0–38+0) vs 37+1 (IQR 36+3–38+4) weeks; p=0.003), with shorter median LOS (41 (32–63) vs 55 (41–73) days; p=0.022). This was also evident in the subgroup <30 weeks GA (61 (39–82) vs 76 (68–84) days; p=0.035). Special care days were significantly lower in the IFDC group (30 (21–41) vs 40 (31–46); p=0.006). The subgroup of infants (<30 weeks) reached full suck feeding earlier (median: 47 (37–76) vs 72 (66–82) days; p=0.006).Conclusion This is the first reported study from a UK tertiary neonatal unit demonstrating significant benefits of family integrated care programme. The IFDC programme has significantly reduced LOS, resulted in the earlier achievement of full enteral and suck feeds.