Justine Dol1, Marsha Campbell-Yeo2, Gail Tomblin Murphy3, Megan Aston3, Douglas McMillan4, Jacqueline Gahagan5, Brianna Richardson6. 1. Faculty of Health, Dalhousie University, 6299 South St., Halifax, NS, 902-470-2638, Canada; World Health Organization/Pan American Health Organization (WHO/PAHO) Collaborating Centre on Health Workforce Planning and Research, 6299 South St., Halifax, NS, Dalhousie University, Canada. Electronic address: Justine.dol@dal.ca. 2. Faculty of Health, Dalhousie University, 6299 South St., Halifax, NS, 902-470-2638, Canada; School of Nursing, Faculty of Health, Dalhousie University, 6299 South St., Halifax, NS, Canada; Division of Neonatal Perinatal Medicine, Department of Pediatrics, Faculty of Medicine, Dalhousie University and IWK Health Centre, 6299 South St., Halifax, NS, Canada; World Health Organization/Pan American Health Organization (WHO/PAHO) Collaborating Centre on Health Workforce Planning and Research, 6299 South St., Halifax, NS, Dalhousie University, Canada. 3. School of Nursing, Faculty of Health, Dalhousie University, 6299 South St., Halifax, NS, Canada; World Health Organization/Pan American Health Organization (WHO/PAHO) Collaborating Centre on Health Workforce Planning and Research, 6299 South St., Halifax, NS, Dalhousie University, Canada. 4. Division of Neonatal Perinatal Medicine, Department of Pediatrics, Faculty of Medicine, Dalhousie University and IWK Health Centre, 6299 South St., Halifax, NS, Canada. 5. School of Health and Human Performance, Faculty of Health, 6299 South St., Halifax, NS, Dalhousie University, Canada. 6. School of Nursing, Faculty of Health, Dalhousie University, 6299 South St., Halifax, NS, Canada.
Abstract
OBJECTIVES: To identify and map existing postnatal educational interventions targeting parents in low and middle-income countries. A secondary objective is to conduct a critical analysis of the strengths and limitations of the educational strategies used for parent-targeted postnatal education. Design & data sources: Using scoping review methodology, MedLine, CINAHL, and SCOPUS were searched in October 2017. REVIEW METHODS: All studies published after 2000 reporting on educational interventions that targeted parents from the period of birth to 6 weeks postnatally in low and middle-income countries were included. Studies were excluded if they targeted healthcare professionals or were community interventions that spanned antenatal to postnatal care. Title, abstract and full-text screening was conducted by two reviewers. RESULTS: We initially identified 9284 articles with 77 articles included after title, abstract and full-text screening. Most of the studies were quantitative (94%) with over half published after 2014. Most studies (61%) targeted a single newborn care education intervention, of which 75% targeted breastfeeding. Interventions used on average three different methods of implementation (e.g., verbal, written information, counselling). Interventions were provided in the hospital (76%), at home (23%), at a clinic/hospital (8%), and/or virtually through an eHealth intervention, including phone or text messages (12%). Maternal outcomes primarily included knowledge, self-efficacy, anxiety and stress while newborn outcomes primarily included exclusive breastfeeding, weight gain at follow-up, and morbidities. Positive changes were found to occur for reported maternal outcomes (89%) and newborn outcomes (56%). CONCLUSIONS: Parent-targeted education varied in terms of educational topics covered, method and location of intervention, and outcomes examined. While the best strategies of implementing postnatal education interventions to parents in low and middle-income countries is yet to be determined, evidence suggests that current interventions had a positive impact on parents' outcomes using a combined approach. Further work is needed to evaluate the impact on newborn outcomes and to identify the most effective methods and timing of the interventions.
OBJECTIVES: To identify and map existing postnatal educational interventions targeting parents in low and middle-income countries. A secondary objective is to conduct a critical analysis of the strengths and limitations of the educational strategies used for parent-targeted postnatal education. Design & data sources: Using scoping review methodology, MedLine, CINAHL, and SCOPUS were searched in October 2017. REVIEW METHODS: All studies published after 2000 reporting on educational interventions that targeted parents from the period of birth to 6 weeks postnatally in low and middle-income countries were included. Studies were excluded if they targeted healthcare professionals or were community interventions that spanned antenatal to postnatal care. Title, abstract and full-text screening was conducted by two reviewers. RESULTS: We initially identified 9284 articles with 77 articles included after title, abstract and full-text screening. Most of the studies were quantitative (94%) with over half published after 2014. Most studies (61%) targeted a single newborn care education intervention, of which 75% targeted breastfeeding. Interventions used on average three different methods of implementation (e.g., verbal, written information, counselling). Interventions were provided in the hospital (76%), at home (23%), at a clinic/hospital (8%), and/or virtually through an eHealth intervention, including phone or text messages (12%). Maternal outcomes primarily included knowledge, self-efficacy, anxiety and stress while newborn outcomes primarily included exclusive breastfeeding, weight gain at follow-up, and morbidities. Positive changes were found to occur for reported maternal outcomes (89%) and newborn outcomes (56%). CONCLUSIONS: Parent-targeted education varied in terms of educational topics covered, method and location of intervention, and outcomes examined. While the best strategies of implementing postnatal education interventions to parents in low and middle-income countries is yet to be determined, evidence suggests that current interventions had a positive impact on parents' outcomes using a combined approach. Further work is needed to evaluate the impact on newborn outcomes and to identify the most effective methods and timing of the interventions.
Authors: Xinshu She; Sajithya Perera; Martine Andre; Jacklin St Fleur; Johanne Hilaire; Andrea Evans; Jack Long; Delight Wing; Christopher Carpenter; Kim Wilson; Judith Palfrey; Sara Stulac Journal: Glob Pediatr Health Date: 2022-05-12
Authors: Laura Subramanian; Seema Murthy; Prasad Bogam; Shirley D Yan; Megan Marx Delaney; Christian D G Goodwin; Lauren Bobanski; Arjun S Rangarajan; Anindita Bhowmik; Sehj Kashyap; Nikhil Ramnarayan; Rebecca Hawrusik; Griffith Bell; Baljit Kaur; N Rajkumar; Archana Mishra; Shahed S Alam; Katherine E A Semrau Journal: BMJ Glob Health Date: 2020-07