Evidence map›Paper›PMID 35017248›Full record

ArticleBMJ open2022

Qualitative study exploring the feasibility, usability and acceptability of neonatal continuous monitoring technologies at a public tertiary hospital in Nairobi, Kenya.

Mai-Lei Woo Kinshella, Violet Naanyu, Dorothy Chomba, Mary Waiyego, Jessica Rigg, Jesse Coleman, Bella Hwang, J Mark Ansermino, William M Macharia, Amy Sarah Ginsburg

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03920761 (Evaluation of Technologies for Neonates in Africa), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03920761 completednot on this map

Evaluation of Technologies for Neonates in Africa

TypeobservationalSponsorSave the ChildrenRan2019 to 2020Enrolled575ConditionsNeonatal PhysiologyArmsEarlySense Insight system, Advanced Neonatal Epidermal System
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Mai-Lei Woo KinshellaDepartment of Obstetrics and Gynecology, British Columbia Children's and Women's Hospital and The University of British Columbia, Vancouver, British Columbia, Canada maggie.kinshella@cw.bc.ca.ORCID 0000-0001-5846-3014
Violet NaanyuSchool of Arts and Sciences, Moi University, Eldoret, Uasin Gishu County, Kenya.
Dorothy ChombaDepartment of Pediatrics, The Aga Khan University - Kenya, Nairobi, Kenya.
Mary WaiyegoDepartment of Pediatrics, Pumwani Maternity Hospital, Nairobi, Kenya.
Jessica RiggCentre for International Child Health, BC Children's Hospital, Vancouver, British Columbia, Canada.
Jesse ColemanEvaluation of Technologies for Neonates in Africa, Seattle, Washington, USA.
Bella HwangCentre for International Child Health, BC Children's Hospital, Vancouver, British Columbia, Canada.
J Mark AnserminoCentre for International Child Health, BC Children's Hospital, Vancouver, British Columbia, Canada.
William M MachariaDepartment of Pediatrics, The Aga Khan University - Kenya, Nairobi, Kenya.ORCID 0000-0002-4428-862X
Amy Sarah GinsburgClinical Trial Center, University of Washington, Seattle, Washington, USA.ORCID 0000-0002-2291-2276

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the feasibility, usability and acceptability of two non-invasive, multiparameter, continuous physiological monitoring (MCPM) technologies for use in neonates within a resource-constrained healthcare setting in sub-Saharan Africa.

designA qualitative study using in-depth interviews and direct observations to describe healthcare professional and caregiver perspectives and experiences with investigational MCPM technologies from EarlySense and Sibel compared with selected reference technologies.

settingPumwani Maternity Hospital is a public, high-volume, tertiary hospital in Nairobi, Kenya.

participantsIn-depth interviews were conducted with five healthcare administrators, 12 healthcare providers and 10 caregivers. Direct observations were made of healthcare providers using the technologies on 12 neonates overall.

resultsDesign factors like non-invasiveness, portability, ease-of-use and ability to measure multiple vital signs concurrently emerged as key themes supporting the usability and acceptability of the investigational technologies. However, respondents also reported feasibility challenges to implementation, including overcrowding in the neonatal unit, lack of reliable access to electricity and computers, and concerns about cost and maintenance needs. To improve acceptability, respondents highlighted the need for adequate staffing to appropriately engage caregivers and dispel misconceptions about the technologies.

conclusionStudy participants were positive about the usefulness of the investigational technologies to strengthen clinical care quality and identification of at-risk neonates for better access to timely interventions. These technologies have the potential to improve equity of access to appropriate healthcare services and neonatal outcomes in sub-Saharan African healthcare facilities. However, health system strengthening is also critical to support sustainable uptake of technologies into routine care. TRIAL REGISTRATION NUMBER: NCT03920761.

Indexed as

Tertiary Care CentersFeasibility StudiesFemaleHumansInfant, NewbornKenyaMonitoring, PhysiologicPregnancyQualitative ResearchAfricacontinuous monitoring technologiesmedical technology designneonatequalitative researchuser perspectives

Identifiers

PMID35017248
PMCPMC8753390

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.