Insper. Centro Brasileiro de Pesquisa Aplicada à Primeira Infância. São Paulo, SP, Brazil.
Secretaria de Estado da Saúde. Instituto de Saúde. São Paulo, SP, Brazil.
Rev Saude Publica. 2023 Aug 11;57:48. doi: 10.11606/s1518-8787.2023057004733. eCollection 2023.
To systematically identify and map studies involving the Caderneta da Criança (Child Handbook - CH) in Brazil.
A scoping review using the methodology proposed by the Joanna Briggs Institute. The databases PubMed, Biblioteca Virtual em Saúde (BVS), Biblioteca Digital Brasileira de Teses e Dissertações, Periódicos Capes and Google Scholar were consulted. Primary and secondary studies that mentioned the use of CH were included, without restrictions regarding design, year of publication or population, published in Portuguese, English or Spanish and gray literature (theses and dissertations).
A total of 129 studies were included, mostly descriptive, published as scientific papers. The Northeast region, the population of caregivers of children and the Primary Care scenario were observed in most studies; 47% of the studies used the CH as a source of data, the majority on vaccination. Despite the different criteria to define adequacy of completing the CH, the studies identified weaknesses in filling out all of its items, except for immunization. The utilization and/or completion of the CH were linked to various factors, including the availability of the CH, characteristics of the children (such as sex, age, prematurity and well-child appointments), attributes of the family members and caregivers (such as age, education, income, parity, work status, prenatal care, reading, note-taking and bringing CH to appointments) and features of the professionals (such as workplace, medical specialty, communication style, knowledge about the CH, requesting, guiding and note-taking).
The results reinforce the need to better understand which factors affect the distribution of the CH in the population, as well as pointing to the need for understanding its use and completion by the different care points. The need for intervention studies to improve the implementation of this tool and to include training on the use of the CH in the context of continuing health education becomes evident.
系统识别和绘制巴西的 Caderneta da Criança（儿童手册-CH）相关研究。
采用 Joanna Briggs 研究所提出的方法进行范围综述。检索了 PubMed、Virtual Biblioteca em Saúde（BVS）、Biblioteca Digital Brasileira de Teses e Dissertações、Periódicos Capes 和 Google Scholar 数据库。纳入了提到使用 CH 的原始研究和综述，不限制设计、出版年份或人群，以葡萄牙语、英语或西班牙语和灰色文献（论文和学位论文）发表。
共纳入 129 项研究，主要为描述性研究，以科学论文形式发表。研究大多来自东北部地区，关注儿童照顾者人群和初级保健场景；47%的研究使用 CH 作为数据来源，主要用于疫苗接种。尽管在定义 CH 填写适当性方面存在不同的标准，但研究发现除了免疫接种外，填写 CH 所有项目的不足之处。CH 的利用和/或完成与各种因素相关，包括 CH 的可用性、儿童的特征（如性别、年龄、早产和儿童保健预约）、家庭成员和照顾者的特征（如年龄、教育、收入、产次、工作状况、产前护理、阅读、记录和带 CH 就诊）以及专业人员的特征（如工作场所、医学专业、沟通方式、对 CH 的了解、要求、指导和记录）。
研究结果强调了需要更好地了解哪些因素影响 CH 在人群中的分配，以及需要了解其在不同护理点的使用和完成情况。需要进行干预研究来改善该工具的实施，并将 CH 使用培训纳入继续卫生教育的范畴。
