Measuring the duration of kangaroo mother care for neonates: a scoping review
Objectives Kangaroo mother care (KMC) is high impact for survival of low birth weight neonates, but there are few rigorous evaluations of duration required for impact. We conducted a scoping review of KMC duration measurement methods and assessed their validation.Design Scoping review in accordance...
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/1/e079579.full |
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| author | Moffat Nyirenda Cally J Tann Melissa M Medvedev Joy Lawn Eva Loucaides Victor Spector Tumukunde |
| author_facet | Moffat Nyirenda Cally J Tann Melissa M Medvedev Joy Lawn Eva Loucaides Victor Spector Tumukunde |
| author_sort | Moffat Nyirenda |
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| description | Objectives Kangaroo mother care (KMC) is high impact for survival of low birth weight neonates, but there are few rigorous evaluations of duration required for impact. We conducted a scoping review of KMC duration measurement methods and assessed their validation.Design Scoping review in accordance with Joanna Briggs Institute guidance for conducting scoping review.Data sources MEDLINE, Embase, Cochrane Library, PsycINFO, African Index Medicus, Latin American and Caribbean Health Sciences Literature, ClinicalTrials.gov, International Clinical Trials Registry Platform, International Standard Randomised Controlled Trial Number Registry, Medrxiv and OpenGrey were searched through November 2022.Eligibility criteria for selecting studies Publications with primary data on KMC duration were included. We excluded short procedural skin-to-skin care studies.Data extraction and synthesis Selection and data abstraction were conducted by two independent reviewers. A data charting form based on the variables of interest was used to abstract data.Results A total of 213 publications were included, of which 54 (25%) documented a method of measuring KMC duration. Only 20 publications (9%) provided a detailed description of the duration measurement method, and none reported validity. Most studies used caregiver reports (29, 54%) or healthcare worker observations (17, 31%). Other methods included independent observers and electronic monitoring devices.Conclusion Only 9% of KMC studies reporting duration documented the measurement method applied, and no studies were found with documented validation of duration measurement methods. Accurate and comparable data on the dose response of KMC will require duration measurement methods to be validated against a gold standard such as an independent observer. |
| format | Article |
| id | doaj-art-0c19c32d6d2f44cc938d34301bd18899 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
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| spelling | doaj-art-0c19c32d6d2f44cc938d34301bd188992025-01-23T05:45:08ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2023-079579Measuring the duration of kangaroo mother care for neonates: a scoping reviewMoffat Nyirenda0Cally J Tann1Melissa M Medvedev2Joy Lawn3Eva Loucaides4Victor Spector Tumukunde5Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UKMedical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, UgandaMaternal, Adolescent, Reproductive, & Child Health Centre, London School of Hygiene and Tropical Medicine, London, UKFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UKMaternal, Adolescent, Reproductive, & Child Health Centre, London School of Hygiene and Tropical Medicine, London, UKFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UKObjectives Kangaroo mother care (KMC) is high impact for survival of low birth weight neonates, but there are few rigorous evaluations of duration required for impact. We conducted a scoping review of KMC duration measurement methods and assessed their validation.Design Scoping review in accordance with Joanna Briggs Institute guidance for conducting scoping review.Data sources MEDLINE, Embase, Cochrane Library, PsycINFO, African Index Medicus, Latin American and Caribbean Health Sciences Literature, ClinicalTrials.gov, International Clinical Trials Registry Platform, International Standard Randomised Controlled Trial Number Registry, Medrxiv and OpenGrey were searched through November 2022.Eligibility criteria for selecting studies Publications with primary data on KMC duration were included. We excluded short procedural skin-to-skin care studies.Data extraction and synthesis Selection and data abstraction were conducted by two independent reviewers. A data charting form based on the variables of interest was used to abstract data.Results A total of 213 publications were included, of which 54 (25%) documented a method of measuring KMC duration. Only 20 publications (9%) provided a detailed description of the duration measurement method, and none reported validity. Most studies used caregiver reports (29, 54%) or healthcare worker observations (17, 31%). Other methods included independent observers and electronic monitoring devices.Conclusion Only 9% of KMC studies reporting duration documented the measurement method applied, and no studies were found with documented validation of duration measurement methods. Accurate and comparable data on the dose response of KMC will require duration measurement methods to be validated against a gold standard such as an independent observer.https://bmjopen.bmj.com/content/15/1/e079579.full |
| spellingShingle | Moffat Nyirenda Cally J Tann Melissa M Medvedev Joy Lawn Eva Loucaides Victor Spector Tumukunde Measuring the duration of kangaroo mother care for neonates: a scoping review BMJ Open |
| title | Measuring the duration of kangaroo mother care for neonates: a scoping review |
| title_full | Measuring the duration of kangaroo mother care for neonates: a scoping review |
| title_fullStr | Measuring the duration of kangaroo mother care for neonates: a scoping review |
| title_full_unstemmed | Measuring the duration of kangaroo mother care for neonates: a scoping review |
| title_short | Measuring the duration of kangaroo mother care for neonates: a scoping review |
| title_sort | measuring the duration of kangaroo mother care for neonates a scoping review |
| url | https://bmjopen.bmj.com/content/15/1/e079579.full |
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