Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, 576104, India.
Department of Physiotherapy, University of Melbourne, Melbourne, Australia.
Syst Rev. 2021 Feb 18;10(1):59. doi: 10.1186/s13643-021-01612-w.
Globally, very preterm birth is a health concern leading to various developmental difficulties such as poor motor and/or cognitive function. For infants born very preterm, family-centered care (FCC) might promote developmental skills over the time in an appropriate enriched environment. The purpose of this study is to systematically review and assess the evidence of FCC interventions on the motor and neurobehavioral development in very preterm infants. Additionally, this review aims to determine the factors that might affect infant development.
Systematic review will be carried out by including (a) quasi-randomized controlled trials and randomized controlled trials (b) of very preterm born infants (born < 32 weeks of gestation), and their primary caregivers will be included in the review (c) who received FCC-based interventions such as collaborative interaction between a healthcare professional and a parent, home program, home visits, and parent education, and (d) measure motor and neurobehavioral function. Electronic databases such as Scopus, PubMed, Embase, Cochrane Library, Web of Science, CINAHL, and PsycINFO will be searched using database-specific terms. Additionally, searches will be carried out in ProQuest, and references of included studies will be searched. Two review authors, independently, will conduct the screening, data extraction, and critical appraisal of included studies. If possible, a meta-analysis will be undertaken to assess the effect of the FCC on the motor and neurobehavior of premature infants.
The review will provide insights regarding the effect of the FCC on preterm infants. This systematic review will guide the clinicians on the feasibility of practicing FCC that might support and promote the integration of parents into various rehabilitation settings.
Protocol has been registered in PROSPERO on August 26, 2020.
在全球范围内，极早产是一个健康问题，会导致各种发育困难，如运动和/或认知功能差。对于极早产儿，以家庭为中心的护理（FCC）可能会在适当丰富的环境中随着时间的推移促进发育技能。本研究的目的是系统地回顾和评估 FCC 干预措施对极早产儿运动和神经行为发育的证据。此外，本综述旨在确定可能影响婴儿发育的因素。
系统综述将通过纳入以下研究进行：(a) 准随机对照试验和随机对照试验；(b) 极早产儿（出生<32 周）及其主要照顾者；(c) 接受基于 FCC 的干预措施，如医疗保健专业人员与父母之间的协作互动、家庭计划、家访和父母教育；(d) 测量运动和神经行为功能。将使用特定于数据库的术语在 Scopus、PubMed、Embase、Cochrane 图书馆、Web of Science、CINAHL 和 PsycINFO 等电子数据库中进行搜索。此外，还将在 ProQuest 中进行搜索，并搜索纳入研究的参考文献。两名综述作者将独立进行筛选、数据提取和纳入研究的批判性评价。如果可能，将进行荟萃分析以评估 FCC 对早产儿运动和神经行为的影响。
该综述将提供有关 FCC 对早产儿影响的见解。本系统综述将为临床医生提供关于实施 FCC 的可行性的指导，这可能支持和促进父母融入各种康复环境。
该方案于 2020 年 8 月 26 日在 PROSPERO 上注册。
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