Evidence map›Paper›PMID 36401193›Full record

SynthesisBMC pregnancy and childbirth2022

What influences the implementation of kangaroo mother care? An umbrella review.

Qian Cai, Dan-Qi Chen, Hua Wang, Yue Zhang, Rui Yang, Wen-Li Xu, Xin-Fen Xu

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
12.2field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Qian CaiNursing Department, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Dan-Qi ChenNursing Department, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Hua WangZhejiang University School of Medicine Women's Hospital, No. 1 Xueshi Road, Shangcheng District, Hangzhou, 310006, Zhejiang Province, China.
Yue ZhangZhejiang University School of Medicine Women's Hospital, No. 1 Xueshi Road, Shangcheng District, Hangzhou, 310006, Zhejiang Province, China.
Rui YangNursing Department, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Wen-Li XuWomen's Hospital School of Medicine Zhejiang University Haining Branch/Haining Maternity and Child Health Care Hospital, No. 6 Qinjian Road, Haizhou Street, Haining, 314400, Zhejiang Province, China.
Xin-Fen XuZhejiang University School of Medicine Women's Hospital, No. 1 Xueshi Road, Shangcheng District, Hangzhou, 310006, Zhejiang Province, China. xuxinf@zju.edu.cn.
Women's Hospital, School of Medicine, Zhejiang University · CNZhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKangaroo mother care (KMC) is an evidence-based intervention that reduces morbidity and mortality in preterm infants. However, it has not yet been fully integrated into health systems around the world. The aim of this study is to provide a cogent summary of the evidence base of the key barriers and facilitators to implementing KMC.

methodsAn umbrella review of existing reviews on KMC was adopted to identify systematic and scoping reviews that analysed data from primary studies. Electronic English databases, including PubMed, Embase, CINAHL and Cochrane Library, and three Chinese databases were searched from inception to 1 July 2022. Studies were included if they performed a review of barriers and facilitators to KMC. Quality assessment of the retrieved reviews was performed by at least two reviewers independently using the Joanna Briggs Institute (JBI) critical appraisal checklist and risk of bias was assessed with the Risk of Bias Assessment Tool for Systematic Reviews (ROBIS) tool. This umbrella review protocol was documented in the PROSPERO registry (CRD42022327994).

resultsWe generated 531 studies, and after the removal of duplicates and ineligible studies, six eligible reviews were included in the analysis. The five themes identified were environmental factors, professional factors, parent/family factors, access factors, and cultural factors, and the factors under each theme were divided into barriers or facilitators depending on the specific features of a given scenario.

conclusionsSupport from facility management and leadership and well-trained medical staff are of great significance to the successful integration of KMC into daily medical practice, while the parents of preterm infants and other family members should be educated and encouraged in KMC practice. Further research is needed to propose strategies and develop models for implementing KMC.

Indexed as

Kangaroo-Mother Care MethodGovernment ProgramsHumansInfant, Low Birth WeightInfant, NewbornInfant, PrematureSystematic Reviews as TopicBarriersFacilitatorsImplementationKangaroo mother carePreterm birthUmbrella review

Identifiers

PMID36401193
PMCPMC9675107
OpenAlexW4309467653

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.