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Background <p>Preterm neonatal morbidity and mortality remain major global health challenges, particularly in low-resource settings. Family-centered communication (FCC) has shown promise in strengthening caregiver competencies and improving neonatal outcomes. However, evidence on the effectiveness of FCC across diverse healthcare and community contexts, intervention modalities, and outcome measures remains fragmented.</p> Methods <p>This systematic review protocol will adhere to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) guidelines. The review will include studies evaluating FCC interventions directed at parents or primary caregivers of preterm infants, excluding those with medical comorbidities. Eligible interventions will be delivered by healthcare professionals and include structured health education, counseling, communication training, multidisciplinary collaboration, and caregiver involvement in decision-making. Eligible study designs include randomized controlled trials, quasi-experimental, and analytical observational studies. The search strategy will be guided by the Population, Intervention, Comparator, Outcome (PICO) framework and conducted in PubMed, EMBASE, CINAHL, PsycINFO and Scopus, supplemented by manual screening of reference lists and key journals. Two reviewers will independently conduct study selection, critical appraisal, and data extraction. The findings will be synthesized narratively following the Synthesis Without Meta-analysis (SWiM) guidelines, and where appropriate, meta-analysis will be performed. Certainty of evidence will be appraised using the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach, and results summarized in a Summary of Findings table.</p> Discussion <p>This review aims to provide a comprehensive synthesis of evidence on the effectiveness of FCC strategies compared with standard care in improving caregivers’ ability and the health outcomes of preterm infants. The findings are expected to inform evidence-based practices and guide healthcare professionals, policymakers, and program developers in implementing effective FCC approaches across diverse settings.</p> Systematic review registration <p>PROSPERO CRD420250645221</p>

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Effectiveness of family-centered communication on caregiving ability and health outcomes in premature infants: a systematic review protocol

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月15日

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  • Mira Miraturrofi’ah,
  • Qorinah Estiningtyas Sakilah Adnani,
  • Dwi Agustian,
  • Dany Hilmanto

摘要

Background

Preterm neonatal morbidity and mortality remain major global health challenges, particularly in low-resource settings. Family-centered communication (FCC) has shown promise in strengthening caregiver competencies and improving neonatal outcomes. However, evidence on the effectiveness of FCC across diverse healthcare and community contexts, intervention modalities, and outcome measures remains fragmented.

Methods

This systematic review protocol will adhere to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) guidelines. The review will include studies evaluating FCC interventions directed at parents or primary caregivers of preterm infants, excluding those with medical comorbidities. Eligible interventions will be delivered by healthcare professionals and include structured health education, counseling, communication training, multidisciplinary collaboration, and caregiver involvement in decision-making. Eligible study designs include randomized controlled trials, quasi-experimental, and analytical observational studies. The search strategy will be guided by the Population, Intervention, Comparator, Outcome (PICO) framework and conducted in PubMed, EMBASE, CINAHL, PsycINFO and Scopus, supplemented by manual screening of reference lists and key journals. Two reviewers will independently conduct study selection, critical appraisal, and data extraction. The findings will be synthesized narratively following the Synthesis Without Meta-analysis (SWiM) guidelines, and where appropriate, meta-analysis will be performed. Certainty of evidence will be appraised using the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach, and results summarized in a Summary of Findings table.

Discussion

This review aims to provide a comprehensive synthesis of evidence on the effectiveness of FCC strategies compared with standard care in improving caregivers’ ability and the health outcomes of preterm infants. The findings are expected to inform evidence-based practices and guide healthcare professionals, policymakers, and program developers in implementing effective FCC approaches across diverse settings.

Systematic review registration

PROSPERO CRD420250645221