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BronQ Family Study: Assessing the Long-Term Impact of Bronchopulmonary Dysplasia (BPD) on Affected Families’ Health-Related Quality of Life

Official logo of the BronQ Family research project

BronQ Family is an international research project studying how Bronchopulmonary Dysplasia (BPD), also known as chronic lung disease of prematurity, affects children and their families' quality of life over time. 

 

Data collection was completed in February 2026, with 2,453 parents and caregivers participating across seven countries: France, Germany, Italy, the Netherlands, Spain, the United Kingdom, and the United States. We are currently analyzing the data and will update this project page as further publications and findings become available. 

 

Read the BronQ Family Study Protocol

 

Background

Bronchopulmonary Dysplasia (BPD), also known as (neonatal) chronic lung disease of prematurity, is one of the most common chronic lung conditions in preterm infants, especially  those born before 32 weeks of gestation or weighing less than 3.3 pounds (1,500 grams). 

 

Although medical advances have improved survival for very preterm babies, their lungs are often not fully developed at birth. Many need help breathing, such as oxygen or a ventilator, during their first months of life. While this support is essential, it can also affect how the lungs develop, leading to BPD.

 

Children with BPD may continue to experience breathing problems, frequent respiratory infections, or asthma-like symptoms as they grow older. But the impact is not limited to the child. Families may face increased stress, anxiety, and financial challenges due to ongoing medical appointments, specialist care, and potential hospital readmissions.

Aims and Objectives

young woman having breathing problems due to lung conditions

The main goal of our study is to understand how Bronchopulmonary Dysplasia (BPD) affects families over time. Key areas of focus include physical health, emotional well-being, social relationships, daily functioning, and the financial and medical challenges faced by families.

 

We aim to generate strong scientific evidence on the long-term effects of BPD on family quality of life as children grow into adolescence and adulthood. The results will help us to raise awareness among healthcare professionals, patient advocates, policymakers, the public, and future families.

 

Understanding the long-term impact of BPD is key to improving follow-up care, developing targeted interventions, and shaping public health policies that ease the burden on both families and healthcare systems.

 

Publications & Scientific Outputs

Drawing on responses from 2,453 parents and primary caregivers across seven countries, BronQ Family provides a multinational perspective on the long-term impact of Bronchopulmonary Dysplasia (BPD) on families. Explore the scientific publications and outputs from the BronQ Family project. 

 

Publication: The BronQ Family Study Protocol

 

The BronQ Family Study Protocol is published. It outlines the scientific foundation of the project:

 

  • The study background, objectives, and design
  • The involvement of key stakeholders, including parents, healthcare professionals, and researchers
  • The recruitment process for families participating in the study

 

This protocol serves as a comprehensive guide to the research methodology and stakeholder engagement strategy used throughout the project. 

 

More to come: Further publications on the study findings are currently in preparation and will be added to this section as they become available. Follow GFCNI on social media or subscribe to the GFCNI newsletter to stay up to date on the latest project developments and publications.

 

Congresses & Conferences - Presenting the BronQ Family Project

Since its launch in April 2025, the BronQ Family team has actively participated in numerous national and international conferences, congresses and webinars. These events have provided valuable opportunities to:

 

  • Present the study aims, design, and methodology
  • Raise awareness of the long-term impact of bronchopulmonary dysplasia (BPD) on children and families
  • Highlight the effects of BPD on health-related quality of life, daily life, family functioning, and well-being
  • Share preliminary findings from the BronQ Family Study
  • Bring parent and caregiver perspectives into scientific and clinical discussions
  • Promote a broader understanding of long-term outcomes beyond respiratory health
  • Contribute to discussions on comprehensive, family-centered long-term follow-up and care
  • Exchange knowledge and perspectives with healthcare professionals, researchers, and parent representatives as well as strengthen international collaboration 

 

Below is an overview of selected conferences and events where GFCNI and members of the BronQ Family team have presented and discussed the project.

 

In April 2025, the BronQ Family project was introduced to GFCNI’s corporate partners and international network of patient and parent organizations. 

 

Dr. Julia Feiler emphasized the burden of Bronchopulmonary Dysplasia (BPD) for children and their families, and the need for scientific evidence on the long-term impact on quality-of-life.

 

 

 

In October 2025, Ilona Trautmannsberger presented the BronQ Family Study during the jENS poster walk in Belgrade, providing an overview of the study aims, design, and methodology and raising awareness of the multinational project.

 

BronQ Family provides an in-depth analysis of the long-term impact of BPD, considering respiratory health alongside quality of life, daily life, family functioning, and caregiver well-being.

 

 

 

In March 2026, the status quo of the BronQ Family project was presented to GFCNI’s corporate partners and international network of patient and parent organizations.

 

Ilona Trautmannsberger and Berit Zuna-Pawlik summarized the successful recruitment phase and gave a quick outlook on first impressions and next steps of analysis. 

 

 

 

In May 2026, Ilona Trautmannsberger presented preliminary findings from the BronQ Family Study in her talk: “Living with BPD: The Long-Term Impact on Families.”

 

The early results suggest that the impact of Bronchopulmonary Dysplasia (BPD) extends far beyond respiratory morbidity alone. Families described long-term challenges in many areas of life, including emotional well-being, daily routines, finances, information, and support.

 

The presentation generated strong interest and positive feedback from the community, highlighting the relevance of examining the long-term impact of BPD from the perspective of children and families.

 

 

 

Meaningful research starts with meaningful partnerships. In July 2026, the BronQ Family project was part of the pre-congress webinar series introducing the European Respiratory Society (ERS) Congress theme: 'United for Better Breathing – Partnership between patients, clinicians and researchers'.

 

Dr. Christina Tischer and Dr. Sylvia Obermann presented the BronQ Family project as an example of meaningful co-creation in respiratory research. They highlighted that lived experience is essential knowledge and that parents and patients contribute perspectives that no one else can provide. Bringing together healthcare professionals, researchers, parents, and patients as equal partners helps shape research that is relevant and translates into actionable improvements in care.

 

 

 

'United for Better Breathing – Partnership between patients, clinicians and researchers'

 

In September 2026, Dr. Christina Tischer presented preliminary findings from the BronQ Family study at the European Respiratory Society Congress in Barcelona. Drawing on responses from 2,453 parents and primary caregivers across seven countries, the poster highlighted the long-term impact of bronchopulmonary dysplasia (BPD) on children and families, bringing these insights to the international respiratory research community.

 

The BronQ Family project was also featured as part of the Global Voices 2026 campaign in the ERS Global Village, showcasing the collaborative approach behind the project and the important role of parent representatives in shaping research.

 

 

 

Experiences of Families and Patients

Quote of a mother of a son born extremely preterm: “The first few years were full of worry about respiratory infections and being hospitalized again. The emergency bag for hospital admission was always packed."

“The first few years were full of worry about respiratory infections and being hospitalized again,” says Katarina Eglin, mother of a son who was born extremely preterm and diagnosed with Bronchopulmonary Dysplasia (BPD).

 

“The older sister was also severely restricted at home at the beginning, because meeting friends from kindergarten in the afternoon or at the weekend could only take place outside in order to better protect the youngest from potential infection in the home environment. In the early years, children's birthday parties always had to be celebrated at the grandparents' house.”

 

“It took a long time for us to believe that a cold in the youngest child could simply remain a cold. The emergency bag for hospital admission was always packed.”

 

Quote of Sophie Proud, who was born preterm at week 24: When I was younger, I was aware that I was different in the sense that I just couldn't keep up with my peers. I just felt like I was missing out.

Sophie Proud was born as the surviving twin at just 24 weeks and had a turbulent start in life. She spent 10 weeks on a ventilator, battled repeated infections, and needed oxygen support for the first 14 months. Her parents were told to keep her away from other children to protect her fragile lungs from further infections.

 

As she grew, the effects of her high-frequency ventilation, high pressures, long-term oxygen at home, and severe Bronchopulmonary Dysplasia (BPD) continued to shape her childhood. She couldn’t run or play like other kids. At age 7, her lung function was still only 65–70% of normal. “I just felt like I was missing out,” Sophie remembers.

 

But her story didn’t end there. Today, Sophie is an adult and a NICU nurse, caring for babies like she once was. Despite everything, her most recent tests show healthy lungs, and a total lung capacity of 98%.

 

Quote of a mother of a child born preterm: "We live with hope and gratitude, but also with the quiet uncertainty of not knowing what the future holds. We constantly wonder: will she continue to thrive without any complications? Will she be able to live a completely normal life as she grows older?”

“Our daughter was born extremely premature at just 26 weeks of gestation. From the very beginning, breathing was her biggest challenge,” says Maria Valls, mother of a now 5-year-old child, who was diagnosed with Bronchopulmonary Dysplasia (BPD). “She needed to be intubated and required respiratory support for a long time in the neonatal intensive care unit. Those were very hard and uncertain days, filled with machines, alarms, and constant fear.”

 

“After almost four months in the hospital, we were finally able to take her home – but not without oxygen support. For the first two months at home, she still needed oxygen 24/7. It was a time of joy because we were finally together as a family, but also of stress and anxiety, as we had to manage medical equipment and monitor her constantly.”

 

“Now, our daughter is five years old. She is doing well and lives a seemingly normal life. We go for yearly check-ups with the pulmonology team, but we still have so many unanswered questions. No one has ever clearly told us whether she will have long-term effects from the Bronchopulmonary Dysplasia (BPD) or not. As a family, this uncertainty stays with us. We constantly wonder: will she continue to thrive without any complications? Will she be able to live a completely normal life as she grows older?”

 

Further Information on BPD & Lung Complications

Find more information about Bronchopulmonary Dysplasia (BPD) and other possible complications of preterm or sick babies affecting the lung on the Neopedia website. Neopedia is a neonatal care encyclopedia with reliable, expert-reviewed information about preterm birth, hospitalization, and beyond. 

 

Read more information about preventing BPD and follow-up & continuing care in our European Standards for Care of Newborn Health. 

 

Project Phases

photo of research project kick-off meeting

April 2025: Official Launch

 

A key milestone for our project: April marked the official launch of our multinational research initiative with the inaugural meeting of the Expert Study Group.

 

Our interdisciplinary team brings together neonatologists, pediatricians, researchers in the field of respiratory diseases and/or QoL, as well as parent and patient advocates to ensure that both scientific knowledge and lived experience shape the study’s design.

 

We sincerely thank everyone for their dedication and valuable contributions and look forward to the next steps. More insights and project milestones will follow – stay tuned!

 

Graphic showing a baby born preterm with oxygen mask, asking to participate in the BronQ Family study

September 2025: The Questionnaire Is Now Live!

 

We are excited to share that the survey is now open! This marks another important milestone in our BronQ Family project. Now we hope for many families to take part in the study and share their experiences. Every response helps us better understand family life with a chronic lung disease after prematurity, and improve care and support in the future. 

 

We sincerely thank everyone who contributed to making this possible! Together, let's spread the word and reach as many families as possible.

 

 

 

March 2026: Survey closed – Data Analysis Begins

 

We sincerely thank everyone who participated in the online questionnaire. The survey is now closed, and we were able to collect a substantial amount of valuable data. This marks another important milestone in the BronQ Family project.

 

We are now moving into the data analysis phase. Further insights and first results will be shared soon.

 

Project Team and Contact Information

  • Dr. Julia Feiler, Senior Project Manager
  • Silke Mader, Chairwoman of the Executive Board
  • Laura Staudt, Senior Designer
  • Dr. Christina Tischer, Head of Scientific Affairs and Research
  • Ilona Trautmannsberger, Project Manager
  • Berit Zuna-Pawlik, Communications Manager

 

The team of GFCNI is leading the BronQ Family project. To make sure the study reflects the real needs and experiences of families, it is conducted in close collaboration with renowned international experts, bringing together healthcare professionals, scientific advisors, and parent/patient representatives. International and local partners in the respective countries support the project.

 

For further information, please contact: research(at)gfcni.org

The External Scientific Advisory Board (ESAB) supports with expert guidance on study design, data interpretation, and scientific quality.

 

ESAB Members:

  • Prof. Christian Apfelbacher, Institute of Social Medicine and Health Systems Research (ISMHSR), Otto-von-Guericke University Magdeburg, Magdeburg, Germany
  • Prof. Luc Zimmermann, Department of Paediatrics, Research School for Oncology and Reproduction, Maastricht UMC+, Maastricht, The Netherlands.
  • Prof. Nick Embleton, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
  • Dr. Marc Adams, Newborn Research, Department of Neonatology, University of Zurich, University Hospital Zurich, Zurich, Switzerland

The Project Expert Group (PEG) consists of leading clinicians, researchers, and parent advocates to include both scientific rigor and real-world family needs.

 

PEG Members:

  • Prof. Steve Abman, Department of Pediatrics, Pediatric Pulmonology, University of Colorado School of Medicine, Aurora, CO, US
  • Prof. Eugenio Baraldi, Neonatal Intensive Care Unit and Study Centre for Preterm Birth and Bronchopulmonary Dysplasia, Department of Women's and Children's Health, University of Padua, Padua, Italy; Institute of Paediatric Research "Città della Speranza", Padua, Italy
  • Dr. Cat Black, Royal Jubilee Maternity Service (RJMS), Belfast, UK
  • Prof. Folke Brinkmann, University Hospital of Lübeck, Lübeck, Germany
  • Prof. Olivier Danhaive, University Hospital Saint-Luc, Brussels, Belgium
  • Prof. Theodore Dassios, Department of Women and Children’s Health, King's College London, UK & Chair of the Pulmonology Board of ESPR
  • Dr. Céline Delestrain, Centre Hospitalier Intercommunal de Créteil, Créteil, France
  • Katarina Eglin, Bundesverband “Das frühgeborene Kind” e.V. (BVDfK), Frankfurt (Main), Germany
  • Elisabet Farga and Maria Valls, Associació de Prematurs de Catalunya Som Prematurs, Barcelona, Spain
  • Prof. Alice Hadchouel-Duvergé, Service de Pneumologie Pédiatrique, hôpital Necker Enfants Malades, APHP, Paris, France. Université Paris Cité, Paris, France. INSERM U1151, INEM, Paris, France
  • Prof. Anne Hilgendorff, Carl von Ossietzky University Oldenburg, Oldenburg, Germany
  • Dr. Audrey Miller, Nationwide Children's Hospital, Ohio State University College of Medicine, Ohio, OH, US
  • Prof. Alexander Möller, Division of Respiratory Medicine and Childhood Research Center, University Children's Hospital Zurich, Zurich, Switzerland & Paediatric Assembly of ERS
  • Prof. Antonio Moreno-Galdó, Hospital Universitari Vall d’Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain
  • Prof. Raffaella Nenna, Sapienza University of Rome, Rome, Italy
  • Dr. Sylvia Obermann, Care4Neo, Rotterdam, The Netherlands
  • Catriona Ogilvy, The Smallest Things, St Albans, UK
  • Prof. Marielle Pijnenburg, Department of Paediatrics/Division of Paediatric Respiratory Medicine and Allergology, Erasmus MC Sophia Children Hospital, Rotterdam, The Netherlands & secretary of the Paediatric Assembly of ERS
  • Sophie Proud, formerly affected patient & NICU nurse at Belfast Health and Social Care Trust, Belfast, Northern Ireland
  • Audrey Reynaud, SOS Préma, Neuilly-sur-Seine, France
  • Prof. Manuel Sánchez Luna, Hospital General Universitario Gregorio Marañón, Madrid, Spain
  • Keira Sorrels, NICU Parent Network (NPN), Louisville, KY, United States
  • Prof. Richard Sindelar, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden
  • Dr. Markus Wilken, Tube Dependency Institute, Essen, Germany
  • Citta Zaat, Master Physician Assistant, Erasmus MC Sophia, Rotterdam, The Netherlands 

Healthcare Societies:

  • European Respiratory Society (ERS)
  • European Society for Paediatric Research (ESPR)
  • Sociedad Española de Neumología Pediátrica (SENP)
  • Società Italiana di Neonatologia (SIN)
  • Società Italiana di Pediatria (SIP)
  • Società Italiana per le Malattie Respiratorie Infantili (SIMRI)
  • Spanish National Society of Neonatology (SENEO)
  • Union of European Neonatal and Perinatal Societies (UENPS)

 

Parent Organizations:

  • Bundesverband Frühgeborene e.V.
  • Care4Neo
  • NICU Parent Network
  • Som Prematurs
  • SOS Préma
  • The Smallest Things

 

References and Further Readings

[1] Thébaud B, Goss KN, Laughon M, Whitsett JA, Abman SH, Steinhorn RH, et al. Bronchopulmonary dysplasia. Nat Rev Dis Primer. 2019 Nov;5(1):78. https://doi.org/10.1038/s41572-019-0127-7 

 

[2] Jensen EA, Schmidt B. Epidemiology of bronchopulmonary dysplasia. Birth Defects Res  Clin Mol Teratol. 2014 Mar;100(3):145–57. https://doi.org/10.1002/bdra.23235 

 

[3] Abman SH, Bancalari E, Jobe A. The Evolution of Bronchopulmonary Dysplasia after 50 Years. Am J Respir Crit Care Med. 2017 Feb 15;195(4):421–4. https://doi.org/10.1164/rccm.201611-2386ed 

 

[4] Ambalavanan N, Van Meurs KP, Perritt R, Carlo WA, Ehrenkranz RA, Stevenson DK, et al. Predictors of Death or Bronchopulmonary Dysplasia in Preterm Infants with Respiratory Failure. J Perinatol Off J Calif Perinat Assoc. 2008 Jun;28(6):420–6. https://doi.org/10.1038/jp.2008.18 

 

[5] Davidson LM, Berkelhamer SK. Bronchopulmonary Dysplasia: Chronic Lung Disease of Infancy and Long-Term Pulmonary Outcomes. J Clin Med. 2017 Jan 6;6(1):4. https://doi.org/10.3390/jcm6010004 

 

[6] Doyle LW, Faber B, Callanan C, Freezer N, Ford GW, Davis NM. Bronchopulmonary Dysplasia in Very Low Birth Weight Subjects and Lung Function in Late Adolescence. Pediatrics. 2006 Jul 1;118(1):108–13. https://doi.org/10.1542/peds.2005-2522 

 

[7] Harris M, Cusatis R, Malnory M, Dawson S, Konduri GG, Lagatta J. Identifying barriers and facilitators to care for infants with bronchopulmonary dysplasia after NICU discharge: a prospective study of parents and clinical stakeholders. J Perinatol. 2024 Jul;44(7):970–8. https://doi.org/10.21203/rs.3.rs-3377817/v1  

 

[8] McGrath‐Morrow SA, Ryan T, Riekert K, Lefton‐Greif MA, Eakin M, Collaco JM. The impact of bronchopulmonary dysplasia on caregiver health related quality of life during the first 2 years of life. Pediatr Pulmonol. 2013 Jun;48(6):579–86. https://doi.org/10.1002/ppul.22687 

 

[9] Peralta GP, Piatti R, Haile SR, Adams M, Bassler D, Moeller A, et al. Respiratory morbidity in preschool and school-age children born very preterm and its association with parents’ health-related quality of life and family functioning. Eur J Pediatr. 2023 Jan 6;182(3):1201–10 https://doi.org/10.1007/s00431-023-04829-0

 

[10] Feeley CA, Turner-Henson A, Christian BJ, Avis KT, Heaton K, Lozano D, et al. Sleep Quality, Stress, Caregiver Burden, and Quality Of Life in Maternal Caregivers of Young Children With Bronchopulmonary Dysplasia. J Pediatr Nurs Nurs Care Child Fam. 2014 Jan 1;29(1):29–38. https://doi.org/10.1016/j.pedn.2013.08.001

 

[11] Álvarez-Fuente M, Arruza L, Muro M, Zozaya C, Avila A, López-Ortego P, et al. The economic impact of prematurity and bronchopulmonary dysplasia. Eur J Pediatr. 2017 Dec;176(12):1587–93. https://doi.org/10.1007/s00431-017-3009-6

 

[12] van Katwyk S, Augustine S, Thébaud B, Thavorn K. Lifetime patient outcomes and healthcare utilization for Bronchopulmonary dysplasia (BPD) and extreme preterm infants: a microsimulation study. BMC Pediatr. 2020 Mar 25;20(1):136. https://doi.org/10.1186/s12887-020-02037-5  

 

[13] Berlin KEK, Scott W, Dawson S, Brousseau D, Lagatta JM. Health-Related Quality of Life for Parents of Infants with Bronchopulmonary Dysplasia. J Pediatr [Internet]. 2024 Jan 1 [cited 2025 Mar 7];264. Available from: https://www.jpeds.com/article/S0022-3476(23)00637-6/abstract 

 

[14] Brady JM, Zhang H, Kirpalani H, DeMauro SB. Living with Severe Bronchopulmonary Dysplasia—Parental Views of Their Child’s Quality of Life. J Pediatr. 2019 Apr;207:117–22. https://doi.org/10.1016/j.jpeds.2018.10.001   

 

Transparency

GFCNI received a research grant from Chiesi in support of this independent study. All content was independently developed and verified by GFCNI and its scientific advisors.

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