Buccione Emanuele, Magi Camilla Elena, Rasero Laura, Bambi Stefano
Department of Biomedicine and Prevention, University of Rome Tor Vergata, Roma, Italy.
Pediatric Intensive Care Unit, Local Health Authority 3 Pescara, Pescara, Italy.
BMJ Open. 2025 Mar 7;15(3):e092282. doi: 10.1136/bmjopen-2024-092282.
The transition from the neonatal intensive care unit (NICU) to home is a critical period for families with preterm or medically complex infants and is often marked by stress, anxiety and the challenge of managing complex medical regimens. Virtual programmes such as mobile health applications and telehealth interventions have emerged as promising tools to support families during this transition. These programmes aim to provide continuous education and support after discharge. This scoping review will map the existing evidence on virtual interventions supporting families during the NICU-to-home transition and identify their delivery methods and reported outcomes.
This protocol outlines a scoping review methodology, as described by Arksey and O'Malley and further improved by Levac . The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Review will be used as a guiding framework for scoping reviews. A comprehensive search will be conducted in six databases: PubMed, Scopus, Web of Science, Embase, CINAHL and PsycINFO. Studies will be included if they (1) focus on virtual programmes supporting families of preterm or medically complex infants, (2) involve transitional care during discharge from the NICU to home and (3) are primary studies. Grey literature, as well as secondary and tertiary literature will be excluded. Data will be charted and analysed to summarise the delivery methods, target populations and outcomes reported.
No ethical approval is required for this study. The findings will be disseminated through publications in peer-reviewed journals and presentations to the relevant stakeholders.
This scoping review protocol is registered in the Open Science Framework (https://doi.org/10.17605/OSF.IO/HWVZJ).
对于有早产或患有复杂疾病婴儿的家庭来说,从新生儿重症监护病房(NICU)过渡到家庭是一个关键时期,通常伴随着压力、焦虑以及管理复杂医疗方案的挑战。诸如移动健康应用程序和远程医疗干预等虚拟项目已成为在这一过渡阶段支持家庭的有前景的工具。这些项目旨在在出院后提供持续的教育和支持。本范围综述将梳理关于支持家庭从NICU过渡到家庭的虚拟干预措施的现有证据,并确定其实施方式和报告的结果。
本方案概述了一种范围综述方法,如阿克西和奥马利所描述,并经莱瓦克进一步完善。系统评价和Meta分析扩展版的首选报告项目(PRISMA-ScR)将用作范围综述的指导框架。将在六个数据库中进行全面检索:PubMed、Scopus、科学网、Embase、护理学与健康领域数据库(CINAHL)和心理学文摘数据库(PsycINFO)。如果研究(1)关注支持早产或患有复杂疾病婴儿家庭的虚拟项目,(2)涉及从NICU出院到家庭期间的过渡性护理,以及(3)是原始研究,则将其纳入。灰色文献以及二次和三次文献将被排除。将对数据进行图表绘制和分析,以总结实施方式、目标人群和报告的结果。
本研究无需伦理批准。研究结果将通过在同行评审期刊上发表以及向相关利益相关者进行汇报的方式进行传播。
本范围综述方案已在开放科学框架(https://doi.org/10.17605/OSF.IO/HWVZJ)中注册。