SHIPS – Screening and Following Up to Improve Health in Very Preterm Infants in Europe

SHIPS (Screening to Improve Health in Very Preterm Infants in Europe) was a large-scale European research project that explored how structured follow-up programs impact the health and development of very preterm children. Building on the EPICE cohort, SHIPS gathered robust data across 11 countries to generate evidence for better long-term care strategies. The project aimed to support improvements in quality of life, healthcare outcomes, and family-centered care for children born before 32 weeks of gestation.

Background

Very preterm infants are at significantly higher risk for health complications and developmental delays than babies born at term. Timely follow-up care is essential to monitor their progress, detect potential concerns early, and provide appropriate medical or developmental interventions. Despite the importance of these programs, there has been limited research on how effective current follow-up systems are, how consistently they are implemented across Europe, and what outcomes they actually deliver for children and families.

Aims and Objectives

The SHIPS project set out to:

 

  • Assess the effectiveness of follow-up and screening programs for very preterm infants in Europe

     

  • Identify best practices to inform the creation of evidence-based guidelines

     

  • Improve health outcomes, developmental support, and quality of life for children born very preterm

     

  • Explore the experiences of families navigating post-discharge care

     

  • Evaluate the coverage, content, and cost-efficiency of follow-up services across different healthcare systems

 

To achieve this, SHIPS conducted four in-depth sub-studies using a multi-faceted data collection approach, including parent questionnaires, developmental assessments by clinical psychologists, interviews with families, and surveys of follow-up program directors.

GFCNI's Role in SHIPS

The Global Foundation for the Care of Newborn Infants (GFCNI) proudly contributed to SHIPS by integrating the patient perspective and personal experiences of families into the research process. As a key partner, GFCNI led the project's efforts in parental involvement, dissemination, and public outreach.

 

To ensure that the voices of parents were central to the project, SHIPS established a Parent Advisory Board (PAB) made up of 13 dedicated representatives from across Europe:

 

  • Charlotte Bouvard, SOS Préma, France
  • Monica Ceccatelli, Piccino Picciò Onlus / Vivere Onlus, Italy
  • Mandy Daly, Irish Neonatal Health Alliance (INHA), Ireland
  • Paula Cristina Guerra, XXS – Associação Portuguesa de Apoio ao Bebé Prematuro, Portugal
  • Kristel Kukk, MTÜ Enneaegsed Lapsed, Estonia
  • Dr. Tomasz Makaruk, Fundacja Wcześniak Rodzice-Rodzicom, Poland
  • Livia Nagy Bonnard, Melletted a helyem – Right(s) Beside You, Hungary
  • Mehali Patel, BLISS, United Kingdom
  • Karl Rombo, Föräldraföreningen för Prematurfödda Barn, Sweden
  • Dr. Gert van Steenbrugge, Vereniging van Ouders van Couveusekinderen (renamed care4neo in 2020), Netherlands
  • Dr. Eleni Vavouraki, Ilitominon, Greece
  • Yannic Verhaest, Vlaamse Vereniging voor Ouders van Couveusekinderen (VVOC), Belgium
  • Mónica Virchez, Prematura, Spain

 

This diverse board ensured that parental insights informed every stage of the project, helping to shape more family-centered care strategies for very preterm infants.

 

Study Results – Health and Wellbeing of Very Preterm Children at Age 5

We are pleased to present the findings from the SHIPS Study of Health and Wellbeing at Age 5, which offers valuable insights into the long-term outcomes of very preterm children. This study examined key areas including:

 

  • Child health and development

     

  • Family wellbeing

     

  • Use of healthcare services such as routine follow-ups, emergency visits, and hospitalizations

     

Parents of children born very preterm completed a detailed questionnaire when their child reached the age of five, helping to provide a clearer picture of their experiences and needs.

 

You can download the SHIPS brochure to explore the findings in English or your local language. The results highlight important trends and outcomes that can help improve follow-up care and guide future health policies.

 

The SHIPS research team continues to publish new results in peer-reviewed scientific journals. You can find the latest publications on the official SHIPS website.

  • Resultaten van het “Onderzoek Gezondheid en Welzijn op 5-jarige leeft ijd” (Dutch)

     

  • Results of the “Study of Health and Wellbeing at 5 Years of Age” (English)

     

  • Uuringu “Tervis ja heaolu 5-aastaselt” tulemused (Estonian)

     

  • Résultats de “l‘étude santé et bien-être à 5 ans” (French)

     

  • Ergebnisse der “Studie zu Gesundheit und Wohlbefinden im Alter von 5 Jahren“ (German)

     

  • Resultados do “Estudo de Saúde e Bem-Estar aos 5 anos” (Portuguese)

 

SHIPS Toolkit – Resources to Support Communication and Advocacy

The SHIPS Toolkit provides a wide range of communication materials to help raise awareness about the importance of follow-up care for very preterm infants. These tools are designed for use by parents and families, follow-up teams, healthcare professionals, and other key stakeholders in health services, policy, and research.

 

Feel free to explore and use these materials to support your own outreach, advocacy, or project communication.

The SHIPS Argumentarium presents a clear set of arguments highlighting the value of structured follow-up programs. These are tailored for:

 

  • Parents and families

     

  • Follow-up teams and healthcare professionals

     

  • Stakeholders in policy, research, and health services

     

 

This easy-to-understand infographic explains complex information about preterm birth and its long-term impacts.

 

 

Learn more about the project’s goals, structure, and supporting partners in the SHIPS Factsheet.

 

Since SHIPS builds on the EPICE cohort, this factsheet outlines the main research focus, questions, and findings from EPICE.

 

 

The SHIPS Stakeholder Map helps identify and engage specific stakeholders to strengthen advocacy and promote follow-up care.

 

This graphic outlines the most important areas of follow-up care for children born very preterm.

 

Thank You – To the Families, Board, and Team

We extend our sincere thanks to all parents and children who participated in the SHIPS project. Your involvement made it possible to:

 

  • Describe the real-world follow-up and healthcare experiences of very preterm children

     

  • Close important gaps in scientific knowledge

     

  • Provide the data needed to raise awareness and drive improvements in follow-up care across Europe

     

Your contributions truly make a difference for future families.

 

We also warmly thank the SHIPS Parent Advisory Board for their valuable input, and the dedicated project team for their collaboration.

 

Transparency

This project received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No. 633724.

 

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