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Parent–Infant Interventions to Promote Parental Sensitivity During NICU Hospitalization: Systematic Review and Meta-Analysis
Journal of Early Intervention ( IF 1.5 ) Pub Date : 2021-02-19 , DOI: 10.1177/1053815121991928
Andréane Lavallée 1, 2 , Gwenaëlle De Clifford-Faugère 1, 2, 3 , Ariane Ballard 1, 2 , Marilyn Aita 1, 2, 4
Affiliation  

This systematic review and meta-analysis examined the effectiveness of parent–infant interventions for parents of preterm infants on parental sensitivity compared to standard care or active comparators. This review follows the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and was prospectively registered in the International Prospective Register of Systematic Reviews (PROSPERO; registration ID: CRD42016047083). Database searches were performed from inception to 2020 to identify eligible randomized controlled trials. Two review authors independently selected studies, extracted data, and assessed the risk of bias using the Cochrane risk of bias assessment tool and quality of evidence using the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) guidelines. A total of 19 studies (n = 2,111 participants) were included and 14 were suitable to be pooled in our primary outcome meta-analysis. Results show no significant effect of parent–infant interventions over standard care or basic educational programs, on parental sensitivity. Results may not necessarily be due to the ineffectiveness of the interventions but rather due to implementation failure or high risk of bias of included studies.



中文翻译:

在新生儿重症监护病房住院期间父母-婴儿干预以提高父母敏感性:系统评价和荟萃分析

这项系统的回顾和荟萃分析检查了与标准护理或积极比较者相比,父母-婴儿干预对早产儿父母的父母敏感性的有效性。该评价遵循PRISMA(系统评价和荟萃分析的首选报告项目)指南,并且已预先注册在国际系统评价预期登记册(PROSPERO;注册ID:CRD42016047083)中。从开始到2020年进行数据库搜索,以鉴定合格的随机对照试验。两名评价作者独立选择研究,提取数据,并使用Cochrane偏倚风险评估工具评估偏倚风险,并使用推荐,评估,发展和评估等级(GRADE)指南评估证据质量。共有19个研究(n = 2,111名参与者)被纳入研究,其中14名适合纳入我们的主要结局荟萃分析。结果表明,父母对标准的护理或基础教育计划的干预对父母的敏感性没有显着影响。结果不一定是由于干预措施的无效性,而是由于实施失败或纳入研究存在偏见的高风险。

更新日期:2021-02-19
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