Resources for health literacy among caregivers of prematurely born children: a scoping review.
Ana Clara Gomes Andrade, Giovanna Barbosa Mendes, Mariana Fuentes Mendoza Rodrigues Soares and 3 others
PMID 38511786WHAT IT FOUND
Only three studies were found for caregiver health literacy after preterm birth.
Telephone-based teaching, Kangaroo Mother Care videos and pamphlets, and learning portfolios were the resources mapped. The review maps resources. It does not prove they work.
Key findings
01Only three studies met the review's inclusion criteria, showing a very limited evidence map for health literacy resources for caregivers of prematurely born children in outpatient follow-up.
02The included studies used an ezParent program with telephone contact, a Kangaroo Mother Care education protocol using videos and pamphlets, and learning portfolios.
03The included studies reported early initiation and increased duration of Kangaroo Mother Care, increased exclusive breastfeeding and family involvement, and improved caregiver knowledge, skills, and confidence.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only three studies were included, so the map is very narrow and cannot show what works across settings. The included studies had heterogeneous caregiver and child profiles, including different countries and designs, so results may not apply directly to all preterm families. None of the included publications defined health literacy; they applied health education actions, so the review cannot say which resources truly built health literacy. The included interventions were multi-component, so the review cannot tell which part produced any reported improvement. Several records were excluded for unavailable full text or not matching the population or context, which may limit completeness.
The easy way to misread this
Do not read the reported improvements as proof that these resources increase health literacy or that any single component works. The review included only three heterogeneous studies, and the programs combined several elements, including telephone contact, videos, pamphlets, counseling, group discussions, and learning portfolios. It mapped resources rather than testing their effects.