Implementation of the Cardiac Inpatient Neurodevelopmental Care Optimization Program

PhD Candidate: Sarah W. Hodgson, MS, OTR/L
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The dissertation defense is open and will be held virtually. 

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The PhD in Translational Health Sciences Program is proud to announce the Dissertation Defense of:

PhD Candidate: Sarah W. Hodgson, MS, OTR/L

Implementation of the Cardiac Inpatient Neurodevelopmental Care Optimization Program Across Pediatric Cardiac Inpatient Centers: A Mixed Methods Study

Dissertation Committee Chair: Philip Van der Wees, PhD, PT

February 10th at 1pm ET

Background. High rates of developmental delays have been noted in children with congenital heart disease (CHD). To address this, developmentally supportive care is considered the goal standard for hospital-based care of young children with CHD. The Cardiac Inpatient Neurodevelopmental Care Optimization (CINCO) program was created and implemented at one hospital to support the development of hospitalized infants and toddlers with CHD.

Study Objectives. To identify core components and implementation determinants of the CINCO program; explore how the program might be adapted for other hospitals; and determine the feasibility, acceptability, and appropriateness of the CINCO program.

              Methods. This was a three-phase mixed methods study. In phase one, semi-structured interviews were conducted with CINCO program designers to identify factors affecting program implementation, and core program components. During phase two, working groups adapted the CINCO program for their centers. In phase three, healthcare professionals at participating centers completed an online questionnaire rating the feasibility, acceptability, and appropriateness of the CINCO program.

              Results. During phase one, eight interviews revealed factors affecting the CINCO program’s implementation. Six core program components were identified. In phase two, five hospitals made 53 unique adaptations to the CINCO program. Most adaptations were made to program content. In phase three, all five CINCO program pillars were rated more highly on importance than feasibility. Acceptability scores for the CINCO program were highest, followed by appropriateness, then feasibility.  

              Conclusion. The CINCO program is customizable. It can be generalized to a range of hospitals while maintaining core components. Healthcare professionals find the CINCO program to be highly acceptable, appropriate, and feasible.