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Currently submitted to: JMIR Formative Research

Date Submitted: Aug 21, 2026

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Designing Family-Centred Digital Communication in the NICU: A Qualitative Study on Caregiver Preferences for Infant Wellness Updates

  • Sandesh Shivananda; 
  • Jeneesha Dhaliwal; 
  • Julia Zhu; 
  • Julia Santana Parrilla; 
  • Vanessa Strachan; 
  • Tom Wiebe; 
  • Matthias Görges; 
  • Jonathan Wong

ABSTRACT

Background:

Neonatal Intensive Care Unit (NICU) admission can be stressful and anxiety-provoking for caregivers, who value frequent updates on their infant's clinical wellbeing. Digital systems are increasingly being explored to support clinical communication in the NICU, including the potential to deliver digital infant wellness updates to NICU caregivers.

Objective:

The objective of our study was to explore NICU caregivers’ perspectives on receiving digital infant wellness updates through a caregiver-facing infant wellness status tool.

Methods:

Guided by Interpretive Description, we conducted semi-structured Zoom interviews with 10 former NICU caregivers from BC Women's Hospital. Data were analyzed inductively and thematically.

Methods:

Guided by Interpretive Description, we conducted semi-structured Zoom interviews with 10 former NICU caregivers from BC Women's Hospital. Data were analyzed inductively and thematically.

Results:

Participants expressed interest in receiving infant wellness updates through this tool, provided it complemented, rather than replaced, in-person communication. They preferred clear, contextualized, and personalized updates and viewed emoji-based indicators of infant wellness unfavorably as they lacked detail. Four themes, each addressing a distinct communication need in the NICU, emerged: enhancing information accessibility, supporting orientation to the NICU, supporting meaningful participation in care, and connecting caregivers with peers.

Conclusions:

Using design considerations derived from each theme, a caregiver-facing infant wellness status tool has the potential to enhance understanding, reduce uncertainty and strengthen caregiver-clinician communication in the NICU.


 Citation

Please cite as:

Shivananda S, Dhaliwal J, Zhu J, Santana Parrilla J, Strachan V, Wiebe T, Görges M, Wong J

Designing Family-Centred Digital Communication in the NICU: A Qualitative Study on Caregiver Preferences for Infant Wellness Updates

JMIR Preprints. 21/08/2026:110163

DOI: 10.2196/preprints.110163

URL: https://preprints.jmir.org/preprint/110163

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