ResQ Family: Impact of Respiratory Syncytial Virus (RSV) Hospitalization on Family Quality of Life – A Multi-Country Study

ResQ Family is an international research project led by the Global Foundation for the Care of Newborn Infants (GFCNI) investigating how hospitalizations due to Respiratory Syncytial Virus (RSV) impact the quality of life of infants and their families. The study provides critical evidence to raise awareness, improve support systems, and promote preventive measures to reduce the burden of RSV on families across Europe.

 

Background

Respiratory Syncytial Virus (RSV) is a highly contagious virus and the leading cause of pediatric bronchiolitis and pneumonia – both forms of lower respiratory tract infections (LRTIs). Nearly all children will contract RSV at least once by the age of two. Globally, RSV is a major driver of hospitalizations among infants, with an estimated 33 million cases of acute LRTIs resulting in more than 3 million hospital admissions annually in children under five years old.

 

While most RSV infections are mild, the course of the disease is unpredictable, and some infants may develop severe symptoms requiring hospitalization. In serious cases, RSV can lead to intensive care unit (ICU) admissions, mechanical ventilation, and potential long-term complications such as recurrent wheezing, asthma, and reduced lung function.

 

Beyond the medical effects, RSV-related hospitalizations place a significant emotional and financial burden on families. Parents often face heightened stress, disruptions in family functioning, and loss of work productivity during and after their child’s illness.

 

Aims and Objectives

Despite RSV’s widespread impact, there is limited research on how RSV hospitalizations affect family quality of life. The ResQ Family project addresses this gap by surveying parents and caregivers of children up to 24 months old who had recently been hospitalized due to RSV.

 

Using an online questionnaire, the project collected responses from families whose infants were hospitalized for at least 12 hours, with the admission occurring no more than four weeks before the survey date. The goal is to assess the impact of RSV on:

 

  • Children’s health-related quality of life

     

  • Family wellbeing and mental health

     

  • Daily functioning and work productivity

     

The project also aims to provide scientific evidence on the overall burden of RSV and to raise awareness among healthcare professionals, patient advocates, policymakers, and the general public.

 

Data collection took place during the RSV season from autumn 2022 to spring 2023 in four European countries: France, Germany, Italy, and Sweden. The ResQ Family project runs until June 2024.

 

Key Findings

Survey responses from participating families reveal a significant impact on family life, especially during the acute phase of the RSV infection. Parents across all four countries reported:

 

  • High levels of stress and anxiety

     

  • Disruptions to family routines

     

  • Challenges balancing work responsibilities

     

  • A drastic decline in overall health-related quality of life

     

Additionally, the findings identified potential stressors and country-specific gaps that should be addressed to reduce the burden on affected families in the future.

Multimedia Insights

Explore the findings of the ResQ Family study through insightful expert videos and concise motion graphics, providing a comprehensive view of how families across countries have been impacted by their child's hospitalization due to RSV.

France:

 

Audrey Reynaud, Head of Scientific Affairs Department at SOS Préma, discusses the impact of children's hospitalization due to RSV on work productivity and the professional lives of affected families.

Sweden:

 

Professor Kajsa Bohlin, Department of Neonatology at Karolinska University Hospital/Karolinska Institute, addresses the quality of communication and flow of health information between healthcare professionals and families.

Germany:

 

Professor Sven Wellmann, Clinic for Pediatric and Young Adult Medicine at Clinic St. Hedwig Regensburg, highlights the distressing emotional experiences parents face during their child's hospitalization.

International:

 

Professor Helmut Hummler, Senior Medical Director at EFCNI, discusses affected families’ awareness of RSV and its consequences, emphasizing the gaps in existing mental health support structures.

International:

 

Professor Luc Zimmermann, Faculty of Health, Medicine & Life Sciences at Maastricht University and former Senior Medical Director at EFCNI, underlines the burden of RSV on families and explains the availability of new preventive prophylactic measures.

This concise motion graphic video, available in five languages (English, French, German, Italian, Swedish), summarizes critical ResQ Family study results related to the family burden. It emphasizes parents' emotional distress during hospitalization, impacts on the family's personal and professional life, disease awareness, and the quality of support from healthcare providers.

 

For detailed key and country-specific findings, please refer to the project report.

Project Team and Contact Information

The Global Foundation for the Care of Newborn Infants (GFCNI) leads the ResQ Family project in close collaboration with international experts, scientific advisors, and parent representatives. Local and international partners across participating countries also support the project.

 

GFCNI Team Members:

 

  • Dr. Christina Tischer – Head of Scientific Affairs and Research
  • Ilona Trautmannsberger – Project Manager
  • Professor Luc Zimmermann – Senior Medical Director
  • Silke Mader – Chairwoman of the Executive Board
  • Catherina Witte – Head of Communications
  • Laura Staudt – Graphic Designer

For more information about the project, please contact: research(at)efcni.org

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

 

ESAB Members:

 

  • Professor Christian Apfelbacher – Institute of Social Medicine and Health Systems Research (ISMHSR), Otto von Guericke University, Magdeburg, Germany
  • Dr. Philippe Beutels – Faculty of Medicine and Health Sciences, University of Antwerp, Belgium
  • Dr. Brigitte Essers – Maastricht University Medical Center, Netherlands
  • Professor Ulrike Ravens-Sieberer – Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, Germany

The Project Expert Group (PEG) consists of leading clinicians, researchers, and parent advocates in the fields of pediatrics, neonatology, infectious diseases, and family support. Their contributions ensure that the project reflects both scientific rigor and real-world family needs.

 

PEG Members:

 

  • Professor Kajsa Bohlin – Department of Neonatology, Karolinska University Hospital / Karolinska Institutet, Stockholm, Sweden
  • Professor Louis Bont – Department of General Pediatrics and Pediatric Infectious Diseases, Wilhelmina Children’s Hospital, University Medical Center, Utrecht, Netherlands
  • Professor Danièle de Luca – Division of Pediatrics and Neonatal Critical Care, A. Béclère Medical Center, Paris Saclay University Hospitals (APHP), Paris, France
  • Katarina Eglin – Bundesverband “Das frühgeborene Kind” e.V. (BVDfK), Frankfurt (Main), Germany
  • Professor Susanna Esposito – Pediatric Clinic, Pietro Barilla Children’s Hospital, University of Parma, Italy
  • Professor Fabio Midulla – Department of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Italy
  • Professor Raffaella Nenna – Department of Maternal Infantile and Urological Sciences, Sapienza University of Rome, Italy
  • Dr. Barbara Plagg – Institute of General Practice and Public Health, Provincial College for Health Professions Claudiana, Bolzano, Italy
  • Audrey Reynaud – SOS Préma, Boulogne Billancourt, France
  • Karl Rombo – Riksförbundet Svenska Prematurförbundet, Stockholm, Sweden
  • Dr. Sven Arne Silfverdal – Department of Clinical Sciences, Umeå University, Sweden
  • Professor Catherine Weil-Olivier – Pediatrics, University of Paris 7 Denis Diderot, France
  • Professor Sven Wellmann – Clinic for Pediatric and Young Adult Medicine, Klinik St. Hedwig Regensburg, Germany
  • Dr. Martin Wetzke – Clinic for Pediatric Pneumology, Allergology and Neonatology, Hannover Medical School (MHH), Germany

Publications from the ResQ Family Project

Explore the scientific publications that highlight the methodology and findings of the ResQ Family study. These resources provide valuable insights into the impact of RSV-related hospitalizations on infants and their families across Europe.

To understand the scientific foundation of the project, we invite you to review the ResQ Family Study Protocol. This publication outlines:

 

  • The study background, objectives, and design

     

  • The involvement of key stakeholders, including parents, healthcare professionals, and RSV 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.

 

We are pleased to share the publication:
"The Multifaceted Burden of Respiratory Syncytial Virus (RSV) Infections in Young Children on the Family: A European Study"

 

This paper presents overall and country-specific findings on the impact of infant RSV hospitalizations on families, including:

 

  • RSV-related symptoms and parental health-related quality of life

     

  • Emotional and psychological responses to the child’s illness

     

  • Levels of health literacy and disease awareness

     

  • Experiences with healthcare communication and support structures

     

The publication offers a deeper understanding of how RSV affects not just the child, but the entire family unit across different healthcare systems in Europe.

 

The ResQ Family Project sheds light on the far-reaching impact of severe RSV infections—not just on infants, but on the entire family. The findings reveal how hospitalizations due to RSV significantly affect parents' mental health, daily routines, and overall quality of life. The report calls for urgent action: early prevention through vaccination, strong mental health support for families, and respectful, continuous communication between healthcare professionals and parents.

 

Explore the full report to learn why empowering parents and preventing severe RSV from the outset must be top priorities in pediatric care.

 

The Thought Leadership Article, co-authored by RSV expert Prof. Catherine Weil-Olivier and EFCNI’s Head of Scientific Affairs Dr. Christina Tischer, emphasizes the critical need to address the full burden of RSV-related hospitalizations of children on their families. Understanding this burden is essential for developing novel RSV prevention strategies that can significantly influence future public health initiatives in Europe.

 

Additionally, this article summarizes key findings from the ResQ Family study, highlighting the substantial emotional burden and negative impact on the health-related quality of life experienced by affected families.

 

Explore further insights into the importance of developing future RSV prevention strategies by reading our Thought Leadership Article.

 

This one-pager summarizes the most important key findings from the ResQ Family study. It is designed as an effective resource for distribution at conferences or as an email attachment, aiming to capture the attention of healthcare decision-makers and clearly communicate the relevance of the topic to stakeholders and interested parties.

This Research News provides an overview of essential study insights, including both general and country-specific findings. It reveals how parents are impacted and identifies gaps in support for affected families within individual countries, highlighting areas that require attention and improvement in the future.

As part of the ResQ Family project, GFCNI published a press release highlighting the emotional and practical impact of RSV-related hospitalizations on families. The release underscores how a child’s hospitalization due to RSV can lead to:

 

  • Anxiety and stress for parents

     

  • Feelings of guilt

     

  • Disruption of professional responsibilities and work life

     

  • Financial strain due to travel costs and long distances to hospitals

     

These findings demonstrate the widespread consequences RSV can have on both children and their families, emphasizing the urgent need for prevention strategies and public awareness.

 

Let’s keep working together to better protect the health and well-being of infants and support the families who care for them.

 

Expert Roundtables – Collaborative Insights Driving the ResQ Family Project

Throughout the ResQ Family project, GFCNI brought together leading experts in RSV, neonatology, pediatrics, quality of life research, and parent representation to ensure the study remained grounded in science and real-world needs. These digital roundtables played a key role in shaping the study design, refining outreach strategies, and guiding dissemination efforts.

On October 23, 2024, GFCNI hosted the final expert roundtable to review the ResQ Family project’s achievements. The group:

 

  • Reviewed the key study findings
  • Evaluated awareness campaign materials
  • Issued a joint call to action:
    Severe RSV infections must be prevented through greater awareness and enhanced prevention efforts.

 

We extend our heartfelt thanks to:

 

  • All experts and partners who supported the project from start to finish
  • All families who participated in the survey and enabled us to share these critical insights

 

Together, we can continue working toward protecting the health of the most vulnerable and supporting families affected by RSV.

At the start of 2024, the expert group reunited to review the project’s progress and outline the next steps. Key discussion points included:

 

  • Publication planning
  • Communication and dissemination activities
  • Defining milestones and tasks for the final project phase

 

As RSV-related hospitalizations remain a challenge to healthcare systems across Europe, the team emphasized the urgent need to raise awareness and improve care for affected families.

 

We deeply appreciate the contributions of our experts and thank the families whose participation made this work possible.

 

In December 2022, GFCNI convened another digital roundtable to provide an update on the project’s progress. The focus of this session was to:

 

  • Strengthen the recruitment strategy across France, Germany, Italy, and Sweden
  • Expand the project’s expert and stakeholder network

Our thanks go to all contributors, and we looked forward to building momentum into 2023.

 

On April 28, 2022, GFCNI hosted the first digital expert roundtable for the ResQ Family project. A multidisciplinary team of specialists met online to discuss the project’s scope and methodology. The group included:

 

  • RSV researchers
  • Neonatologists and pediatricians
  • Quality of life experts
  • Parent representatives

 

The valuable input from this session directly informed the development of the online caregiver questionnaire, designed to capture the experiences of families with infants up to 2 years old who had been hospitalized due to RSV.

 

We sincerely thank all experts for their insightful contributions.

 

Conferences and Congresses – Presenting the ResQ Family Project

Since its launch in September 2022, the ResQ Family team has actively participated in numerous national and international conferences and congresses. These events provided opportunities to:

 

  • Present the goals and methodology of the study

     

  • Share preliminary and final findings

     

  • Raise awareness of the RSV burden on families

     

  • Expand our international network of healthcare professionals, researchers, and parent advocates

     

Below is an overview of the key conferences where GFCNI presented insights from the ResQ Family project.

At this congress, Dr. Christina Tischer and Ilona Trautmannsberger presented compelling findings including:

 

  • The impact of RSV hospitalizations on caregiver quality of life

     

  • Over 44% of parents reported feeling often or always guilty for not preventing their child’s RSV infection

     

They also introduced campaign assets designed to promote RSV prevention and family support initiatives.

 

At the 2024 summit, Dr. Chistina Tischer and Ilona Trautmannsberger addressed:

 

  • Loss of work productivity among caregivers
  • Barriers to hospital visits (e.g., travel costs, distance)
  • Country-specific insights into HRQoL, support systems, and RSV awareness

 

They also unveiled the dissemination strategy and invited the audience to provide feedback on campaign materials for national awareness efforts.

 

At the German Society for Neonatology and Pediatric Intensive Care (GNPI), Ilona Trautmannsberger shared official study results:

 

  • Presence and severity of RSV symptoms

     

  • Parental concerns and caregiver health over time

     

  • Significant drops in HRQoL and family functioning during hospitalization

     

  • The critical need for improved mental health support

 

Project Manager Ilona Trautmannsberger delivered a presentation focused on:

 

  • RSV symptoms and related parental worry

     

  • Caregiver emotional response during hospitalization

     

  • Levels of health literacy and family support

 

With data analysis underway, Dr. Christina Tischer shared deeper insights and a preliminary call to action, underscoring the urgency for:

 

  • Greater RSV disease awareness

     

  • Stronger prevention measures among healthcare providers and policymakers

 

In 2023, Dr. Christina Tischer and Ilona Trautmannsberger presented preliminary study findings including:

 

  • Patient characteristics
  • Parental health-related quality of life (HRQoL)
  • Health literacy and available support structures

 

A quote from PEG member Dr. Barbara Plagg poignantly captured the emotional toll experienced by affected families.

 

In February 2023, GFCNI showcased initial quantitative and qualitative results of the study. The event helped raise awareness among experts about the impact of RSV hospitalizations on family life and encouraged recruitment of additional survey participants.

 

At RSV2022 in September 2022, the ResQ Family project was officially presented to the public, marking the launch of the survey recruitment campaign.

 

Dr. Christina Tischer shared a poster presentation covering the study’s objectives, design, and methodology, while highlighting upcoming milestones.

 

In May 2022, the project was introduced internally to GFCNI’s corporate partners and international network of patient and parent organizations.

 

Dr. Christina Tischer and Ilona Trautmannsberger emphasized the global burden of RSV in infants and the need for scientific evidence on the quality-of-life impact on affected families.

 

GFCNI will continue sharing the outcomes of the ResQ Family study at upcoming international congresses and conferences throughout 2025. Stay tuned for more opportunities to learn about this important research.

References

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[2] Díez-Gandía E et al. The impact of childhood RSV infection on children’s and parents’ quality of life: a prospective multicenter study in Spain. BMC Infect Dis. 2021 Sep 6;21(1):924. doi: https://doi.org/10.1186/s12879-021-06629-z

 

[3] Lapillonne A et al. Impact on parents of bronchiolitis hospitalization of full-term, preterm and congenital heart disease infants. BMC Pediatr 12, 171 (2012). doi: https://doi.org/10.1186/1471-2431-12-171

 

[4] Leidy NK et al. The impact of severe respiratory syncytial virus on the child, caregiver, and family during hospitalization and recovery. Pediatrics. 2005 Jun;115(6):1536-46. doi: https://doi.org/10.1542/peds.2004-1149

 

[5] Li Y et al. Global, regional, and national disease burden estimates of acute lower respiratory infections due to respiratory syncytial virus in children younger than 5 years in 2019: a systematic analysis. Lancet. 2022 May 28;399(10340):2047-2064. doi: https://doi.org/10.1016/S0140-6736(22)00478-0

 

[6] Mazur NI et al. Respiratory Syncytial Virus Network (ReSViNET). Lower respiratory tract infection caused by respiratory syncytial virus: current management and new therapeutics. Lancet Respir Med. 2015 Nov;3(11):888-900. doi: https://doi.org/10.1016/S2213-2600(15)00255-6

 

[7] Mazur NI et al. Respiratory syncytial virus trials and beyond. Lancet Infect Dis. 2015 Dec;15(12):1363-5. doi: https://doi.org/10.1016/S1473-3099(15)00304-7

 

[8] Rha B et al. Respiratory Syncytial Virus-Associated Hospitalizations Among Young Children: 2015-2016. Pediatrics. 2020 Jul;146(1):e20193611. doi: https://doi.org/10.1542/peds.2019-3611

 

[9] Shi T et al. RSV Global Epidemiology Network. Global, regional, and national disease burden estimates of acute lower respiratory infections due to respiratory syncytial virus in young children in 2015: a systematic review and modelling study. Lancet. 2017 Sep 2;390(10098):946-958. doi: https://doi.org/10.1016/S0140-6736(17)30938-8

 

[10] Varni JW et al. The PedsQL Family Impact Module: preliminary reliability and validity. Health Qual Life Outcomes. 2004 Sep 27;2:55. doi: https://doi.org/10.1186/1477-7525-2-55

 

[11] Wang X et al. Respiratory Syncytial Virus-Associated Hospital Admissions and Bed Days in Children <5 Years of Age in 7 European Countries. The Journal of infectious diseases. 2022. doi: https://doi.org/10.1093/infdis/jiab560

 

[12] Zhang S et al. Cost of Respiratory Syncytial Virus-Associated Acute Lower Respiratory Infection Management in Young Children at the Regional and Global Level: A Systematic Review and Meta-Analysis. The Journal of infectious diseases. 2020. doi: https://doi.org/10.1093/infdis/jiz683

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

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