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出院后支持婴儿俯卧时间的基于治疗的策略:一项范围综述方案

Therapy-based strategies to support tummy time in infants post-hospital discharge: A scoping review protocol.

作者信息

Inamdar Ketaki, Khurana Sonia

机构信息

Department of Human Performance, Physical Therapy, West Virginia University, Morgantown, West Virginia, United States of America.

Ellmer College of Health Sciences, Macon & Joan Brock Virginia Health Sciences at Old Dominion University, Norfolk, Virginia, United States of America.

出版信息

PLoS One. 2025 May 28;20(5):e0324435. doi: 10.1371/journal.pone.0324435. eCollection 2025.

DOI:10.1371/journal.pone.0324435
PMID:40435267
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12118841/
Abstract

Tummy time is essential for infant development, yet many caregivers face significant challenges with adherence due to behavioral and contextual barriers. While numerous tummy time interventions exist, a limited understanding of their behavioral components hinders effective replication and implementation. This scoping review aims to identify multidisciplinary interventions used to promote tummy time in infants aged 0-12 months, evaluate their impact on adherence, developmental and health outcomes, and examine the behavior change techniques employed using the Theoretical Domains Framework (TDF). Following the Joanna Briggs Institute (JBI) methodology, a comprehensive search will be conducted in MEDLINE (PubMed), Web of Science Core Collection, CINAHL (EBSCOhost), ClinicalTrials.gov, and gray literature sources for relevant studies published in English between January 1994 and January 2025. Eligible studies will include experimental research involving infants aged 0-12 months who received targeted tummy time interventions following hospital discharge across various early intervention settings. Data extraction will be performed by two independent reviewers using a customized tool, with results presented as a narrative summary, tabular form, or diagrams, as appropriate. Findings from this review will inform the development of behaviorally grounded, clinically feasible tummy time strategies that are better aligned with caregiver needs.

摘要

俯卧时间对婴儿发育至关重要,但由于行为和环境障碍,许多照顾者在坚持方面面临重大挑战。虽然存在多种俯卧时间干预措施,但对其行为组成部分的了解有限,阻碍了有效复制和实施。本范围综述旨在确定用于促进0至12个月婴儿俯卧时间的多学科干预措施,评估其对坚持、发育和健康结果的影响,并使用理论领域框架(TDF)检查所采用的行为改变技术。按照乔安娜·布里格斯研究所(JBI)的方法,将在MEDLINE(PubMed)、科学网核心合集、CINAHL(EBSCOhost)、ClinicalTrials.gov和灰色文献来源中进行全面检索,以查找1994年1月至2025年1月期间以英文发表的相关研究。符合条件的研究将包括涉及0至12个月婴儿的实验性研究,这些婴儿在出院后在各种早期干预环境中接受了针对性的俯卧时间干预。数据提取将由两名独立评审员使用定制工具进行,结果将根据情况以叙述性总结、表格形式或图表形式呈现。本综述的结果将为制定基于行为、临床可行的俯卧时间策略提供信息,这些策略将更好地满足照顾者的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/030a/12118841/e6b3fcc81a22/pone.0324435.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/030a/12118841/e6b3fcc81a22/pone.0324435.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/030a/12118841/e6b3fcc81a22/pone.0324435.g001.jpg

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Dev Psychobiol. 2024 Sep;66(6):e22525. doi: 10.1002/dev.22525.
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Barriers and facilitators to parent-delivered interventions for children with or infants at risk of cerebral palsy. An integrative review informed by behaviour change theory.针对患有脑瘫或有脑瘫风险的儿童或婴儿,由家长实施干预措施的障碍与促进因素。基于行为改变理论的综合综述。
Disabil Rehabil. 2025 Jan;47(2):287-301. doi: 10.1080/09638288.2024.2338193. Epub 2024 Apr 16.
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Understanding factors that influence goal setting in rehabilitation for paediatric acquired brain injury: a qualitative study using the Theoretical Domains Framework.
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Brain Impair. 2024 Apr;25. doi: 10.1071/IB23103.
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Barriers and facilitators influencing parental adherence to prevention strategies for deformational plagiocephaly: Results from a scoping review.影响父母遵循预防斜头畸形策略的障碍和促进因素:系统评价结果。
Child Care Health Dev. 2023 Sep;49(5):852-869. doi: 10.1111/cch.13095. Epub 2023 Jan 15.
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[WHO Guideline: Physical Activity, Sedentary Behavior and Sleep for Children under 5 Years of Age].[世界卫生组织指南:5岁以下儿童的身体活动、久坐行为和睡眠]
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