低收入国家婴幼儿喂养的家庭经历：定性研究系统评价方案

Family experiences of infant and young child feeding in lower-income countries: protocol for a systematic review of qualitative studies.

作者信息

Bazzano Alessandra N, Kaji Aiko, Felker-Kantor Erica, Saldanha Lisa, Mason John

机构信息

Department of Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, USA.

出版信息

Syst Rev. 2016 Jul 8;5(1):109. doi: 10.1186/s13643-016-0292-7.

DOI:10.1186/s13643-016-0292-7

PMID:27390844

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4938979/

Abstract

BACKGROUND

Infant and young child feeding practices, including breastfeeding and complementary feeding of children under 2 years old, are crucially influenced by parent and family perceptions and experiences. Given the urgent need to improve nutrition of young children in low- and low-middle-income countries, both for reduction of morbidity and mortality in childhood and for future health outcomes, we propose to systematically review and synthesize available qualitative data specifically related to infant and young child feeding practices of parents and families in these settings, which may provide greater insights into barriers and facilitators to recommended feeding practices.

METHODS/DESIGN: The proposed study will systematically review existing qualitative research reporting infant and young child feeding practices from low- and low-middle-income settings. The Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) statement will be used for reporting the stages of the review and dissemination. The search period will include all studies published from 2006 to 2016. The study selection process will follow established and recommended guidelines for reviews, and quality assessment will be conducted in two phases using critical appraisal and subsequently a confidence in findings approach derived from Grading of Recommendations, Assessment, Development and Evaluation-Confidence in the Evidence from Reviews of Qualitative (GRADE-CERQual). A full synthesis of the studies identified by the review will begin with thematic analysis and be followed by an interpretive approach to provide actionable information on the topic.

DISCUSSION

The findings will provide insight into the barriers and facilitators related to behavior that may hinder or enable implementation of interventions aimed at improving infant and young child feeding practices in lower-income settings.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42016035677.

摘要

背景

婴幼儿喂养方式，包括母乳喂养以及2岁以下儿童的辅食喂养，深受父母及家庭观念和经历的影响。鉴于在低收入和中低收入国家迫切需要改善幼儿营养状况，以降低儿童发病率和死亡率并促进未来健康，我们建议系统回顾和综合现有的定性数据，这些数据具体涉及这些环境中父母及家庭的婴幼儿喂养方式，这可能有助于更深入了解推荐喂养方式的障碍和促进因素。

方法/设计：拟开展的研究将系统回顾来自低收入和中低收入环境的关于婴幼儿喂养方式的现有定性研究。定性研究综合报告提高透明度（ENTREQ）声明将用于报告回顾和传播阶段。检索期将涵盖2006年至2016年发表的所有研究。研究选择过程将遵循既定和推荐的综述指南，质量评估将分两个阶段进行，首先采用批判性评价，随后采用基于推荐分级、评估、制定与评价——定性综述证据的可信度（GRADE-CERQual）得出的研究结果可信度方法。对综述确定的研究进行全面综合时，将首先进行主题分析，然后采用解释性方法，以提供有关该主题的可操作信息。