Evidence map›Paper›PMID 37789260›Full record

ArticleBMC pregnancy and childbirth2023

Exploring factors influencing the uptake of kangaroo mother care: key informant interviews with parents.

Wai Cheng Foong, Siew Cheng Foong, Jacqueline J Ho, Divya Gautam, Jen Jen Leong, Pek Yong Tan, Mehala Baskaran

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
8.1field-weighted citation impact, top 2% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 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 5 institutions in 2 countries.

Wai Cheng FoongDepartment of Paediatrics, RCSI & UCD Malaysia Campus, George Town, Penang, Malaysia. wcfoong@rcsiucd.edu.my.
Siew Cheng FoongDepartment of Paediatrics, RCSI & UCD Malaysia Campus, George Town, Penang, Malaysia.
Jacqueline J HoDepartment of Paediatrics, RCSI & UCD Malaysia Campus, George Town, Penang, Malaysia.
Divya GautamDepartment of Obstetrics and Gynaecology, University Hospital Galway, Galway, Ireland.
Jen Jen LeongDepartment of Paediatrics, Sunway Medical Centre, Perai, Penang, Malaysia.
Pek Yong TanDepartment of Paediatrics, Island Hospital, George Town, Penang, Malaysia.
Mehala BaskaranDepartment of Paediatrics, Pulau Pinang Hospital, Ministry of Health, George Town, Penang, Malaysia.
RCSI & UCD Malaysia Campus · MYHospital Pulau Pinang · MYPenang Adventist Hospital · MYSunway University · MYUniversity Hospital Galway · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe updated World Health Organization (WHO) guideline recommends immediate kangaroo mother care (KMC) for all infants, particularly those born preterm. However, its uptake and sustainability have been unsatisfactory. Therefore, we aimed to gain deeper insight into factors influencing the uptake of KMC practice in our setting, and thereby identify possible solutions for the development of relevant interventions to improve its adoption and make KMC a routine practice for all infants.

methodsUsing the Triandis model of social behaviour as our framework, we conducted key informant interviews with parents and healthcare providers. Trained interviewers conducted interviews with nine parents, recruited via purposive sampling. These parents were parents of preterm infants who had been introduced to KMC. Data was transcribed and analysed based on Triandis' Theory of Interpersonal Behaviour. This paper only reports the results of the parent interviews.

resultsMajor findings were how positive feelings like warmth and contentment, the sense of parenthood with KMC, the benefits of KMC for their infant and parents being enablers for KMC uptake. Conversely, the lack of KMC awareness, the initial negative feelings such as fear, uncertainty and embarrassment, the prioritization of time for milk expression, overcrowding in the ward, lack of space and privacy, limited visiting hours, lack of support and poor communication resulting in misapprehension about KMC were major barriers.

conclusionA deeper understanding of the factors influencing the uptake of KMC using the Triandis behavioural model provided a way forward to help improve its uptake and sustainability in our settings.

trial registrationThis study was registered with the National Medical Research Registry (NMRR-17-2984-39191).

Indexed as

Infant, PrematureKangaroo-Mother Care MethodHealth PersonnelHospitalsHumansInfantInfant, NewbornParentsBarrierBreastfeedingDischargeInfantsKangaroo mother careParenthoodPretermSkin-to-skinTriandisWeight gain

Identifiers

PMID37789260
PMCPMC10548712
OpenAlexW4387301903

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.