Resources for health literacy among caregivers of prematurely born children: a scoping review

Andrade, Ana Clara Gomes; Mendes, Giovanna Barbosa; Soares, Mariana Fuentes Mendoza Rodrigues; Oliveira, Suelen Rosa de; Santos, Luciano Marques dos; Duarte, Elysângela Dittz

doi:10.1590/0034-7167-2023-0062

Ana Clara Gomes Andrade Corresponding author: Ana Clara Gomes Andrade, E-mail: anna.acl@hotmail.com

conception or design of the study/research

analysis and/or interpretation of data

final review with critical

intellectual participation in the manuscript

Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil

https://orcid.org/0000-0001-9991-4790

Giovanna Barbosa Mendes

conception or design of the study/research

analysis and/or interpretation of data

final review with critical

intellectual participation in the manuscript

Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil

https://orcid.org/0000-0002-3961-4670

Mariana Fuentes Mendoza Rodrigues Soares

analysis and/or interpretation of data

final review with critical

intellectual participation in the manuscript

Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil

https://orcid.org/0000-0003-3130-7964

Suelen Rosa de Oliveira

final review with critical

intellectual participation in the manuscript

Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil

https://orcid.org/0000-0002-7330-6102

Luciano Marques dos Santos

final review with critical

intellectual participation in the manuscript

Universidade Estadual de Feira de Santana. Feira de Santana, Bahia, Brazil

https://orcid.org/0000-0001-7866-6353

Elysângela Dittz Duarte

conception or design of the study/research

analysis and/or interpretation of data

final review with critical

intellectual participation in the manuscript

Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil

https://orcid.org/0000-0001-8170-7523

Corresponding author: Ana Clara Gomes Andrade, E-mail: anna.acl@hotmail.com

EDITOR IN CHIEF: Álvaro Sousa

ASSOCIATE EDITOR: Luís Carlos Lopes-Júnior

Population	Concept	Context
Sample size Health condition Socioeconomic characteristics (education, income) Demographic characteristics of caregivers and children Literacy definition	Resources used for literacy Approach to literacy Geographic origin of the study	Settings (outpatient clinics, hospitals) Data collection methods

Data Base	Search Strategies
Medline/PubMed	((((((“Health Literacy”[Mesh]) OR (“Health Literacy”[Title/Abstract])) OR (“Health Education”[Mesh])) OR (“Health Education”[Title/Abstract])) AND ((“Family”[Mesh]) OR (Family[Title/Abstract]))) AND (((“Ambulatory Care”[Mesh]) OR (“Ambulatory Care”[Title/Abstract])) OR (Follow up[Title/Abstract]))) AND ((“Infant, Premature”[Mesh]) OR (“Premature Infant”[Title/Abstract] OR “Premature Infants”[Title/Abstract] OR “Preterm Infant”[Title/Abstract] OR “Preterm Infants”[Title/Abstract]))
Embase	(‘health literacy’/exp OR ‘health literacy’ OR ‘health education’/exp OR ‘health education’) AND (‘family’/exp OR family) AND (‘ambulatory care’/exp OR ‘ambulatory care’ OR ‘follow up’/exp OR ‘follow up’) AND (‘prematurity’/exp OR prematurity)
Cochrane	(“Health Literacy” OR “Health Education”) AND (Family) AND (“Ambulatory Care” OR “Follow up”) AND (“Infant, Premature” OR “Premature Infant” OR “Premature Infants” OR “Preterm Infant” OR “Preterm Infants”)
Scopus	TITLE-ABS-KEY ((“Health Literacy” OR “Health Education”) AND (Family) AND (“Ambulatory Care” OR “follow cup”) AND (“Infant, Premature” OR “Premature Infant” OR “Premature Infants” OR “Preterm Infant” OR “Preterm Infants”))
Web of Science	(“Health Literacy” OR “Health Education”) AND (Family) AND (“Ambulatory Care” OR “Follow up”) AND (“Infant, Premature” OR “Premature Infant” OR “Premature Infants” OR “Preterm Infant” OR “Preterm Infants”)
LILACS/BVS	(TW: “Letramento em Saúde” OR “Health Literacy” OR “Alfabetización en Salud” OR “Compétence informationnelle en santé” OR “Educação em Saúde” OR “Health Education” OR “Educación en Salud” OR “Éducation pour la santé”) AND (TW: Família OR Family OR Familia OR Famille) AND (TW: “Assistência Ambulatorial” OR “Ambulatory Care” OR “Atención Ambulatoria” OR “Soins ambulatoires” OR “Follow up”) AND (TW: Criança OR Child OR Niño OR Enfant OR Children) AND (TW: “Recém-Nascido Prematuro” OR “Infant, Premature” OR “Recien Nacido Prematuro” OR Prématuré OR “Bebê Prematuro” OR “Bebês Prematuros” OR Prematuro OR “Premature Infant” OR “Premature Infants” OR “Preterm Infant” OR “Preterm Infants”)

Code	Year	Country	Design	Participant Characteristics
A1(²²22 Greene MM, Patra K, Czyzewski P, Gonring K, Breitenstein S. Adaptation and acceptability of a digitally delivered intervention for parents of very low birth weight infants. Nurs Res. 2020;6(5):S47-S56. https://doi.org/10.1097/NNR.0000000000000445 https://doi.org/10.1097/NNR.000000000000... )	2020	United States of America	Descriptive study of a single-cohort design in a mixed methods approach.	10 countries with infants weighing less than 1500g at birth (<1500g) and who were 20-24 months corrected age.
A2(²³23 Kapoor R, Verma A, Dala P, Gathwala G, Dalal J. Enhancing Kangaroo Mother Care Uptake Through Implementation of an Education Protocol. Indian J Pediatr. 2021;88(6):544-9. https://doi.org/10.1007/s12098-020-03537-z https://doi.org/10.1007/s12098-020-03537... )	2021	India	Prospective cohort study.	Caregivers of preterm newborns; 88 in the control group and 92 in the study group.
A3(²⁴24 Cheng YC, Chen LL, Chang YS, Li TS, Chen CJ, Huang LC. The effectiveness of learning portfolios in learning participation and learners’ perceptions of skills and confidence in the mother of preterm infant. Midwifery. 2018;62:86-91. https://doi.org/10.1016/j.midw.2018.03.010 https://doi.org/10.1016/j.midw.2018.03.0... )	2018	China	Quasi-experimental design	52 mothers with preterm infants; 26 in the control group and 26 in the experimental group.

Code	Approach to Health Literacy	Resources Used	Desfechos
A1(²²22 Greene MM, Patra K, Czyzewski P, Gonring K, Breitenstein S. Adaptation and acceptability of a digitally delivered intervention for parents of very low birth weight infants. Nurs Res. 2020;6(5):S47-S56. https://doi.org/10.1097/NNR.0000000000000445 https://doi.org/10.1097/NNR.000000000000... )	Investigation of parents’ learning regarding care strategies and practical application in their lives after intervention through telephone contact.	ezParent Program: Teaching caregivers’ behavioral strategies to be used with the child. It includes videos, knowledge questions, reflections on the topic, session activities, and practical exercises. Telephone contact is made to monitor the needs and skills acquired.	Potential for the Use of the Program with Phone Calls to be Implemented in the Clinical Setting. Teaching Program via Phone Calls has the Potential for Incorporation into Clinical Practice: A teaching program conducted through phone calls has the potential to be incorporated into clinical practice.
A2(²³23 Kapoor R, Verma A, Dala P, Gathwala G, Dalal J. Enhancing Kangaroo Mother Care Uptake Through Implementation of an Education Protocol. Indian J Pediatr. 2021;88(6):544-9. https://doi.org/10.1007/s12098-020-03537-z https://doi.org/10.1007/s12098-020-03537... )	Evaluation of how the education of mothers and family members about the Kangaroo Mother Care Method (KMC) influenced its usage in the Neonatal Intensive Care Unit (NICU) and at home.	Kangaroo Mother Care (MC) Education Protocol: Implemented during outpatient follow-up after discharge. It involves individual counseling, videos, distribution of brochures about the benefits and procedures of MC, and group discussions.	Implementation of the Protocol Resulted in: Early initiation and increased duration of Kangaroo Mother Care (MC); Increased exclusive breastfeeding rates and involvement of other family members.
A3(²⁴24 Cheng YC, Chen LL, Chang YS, Li TS, Chen CJ, Huang LC. The effectiveness of learning portfolios in learning participation and learners’ perceptions of skills and confidence in the mother of preterm infant. Midwifery. 2018;62:86-91. https://doi.org/10.1016/j.midw.2018.03.010 https://doi.org/10.1016/j.midw.2018.03.0... )	Method to enhance the knowledge and skills (health literacy) necessary for caring for preterm infants, as well as promoting caregivers’ self-confidence.	Preterm Baby Care Learning Portfolio (PICLP): Includes a list of learning tasks and self-assessment methods. Follow-up sessions are conducted after each learning task.	Knowledge and skills in caring for preterm babies improved for mothers: Both knowledge and skills, along with confidence, improved in both groups after the intervention. The experimental group showed greater improvement than the control group by the post-test.

[1] Corresponding author: Ana Clara Gomes Andrade, E-mail: anna.acl@hotmail.com

Brasil

Brasil

Resources for health literacy among caregivers of prematurely born children: a scoping review

Recursos para el alfabetismo en salud de cuidadores de niños nacidos prematuramente: revisión de alcance

ABSTRACT

Objectives:

Methods:

Results:

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