Cochrane · systematic review · CD011754
The Neonatal Behavioral Assessment Scale (NBAS) and Newborn Behavioral Observations (NBO) system for supporting caregivers and improving outcomes in caregivers and their infants
Barlow, J, Herath, NINS, Bartram Torrance, C, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
Developmental, Psychosocial and Learning ProblemsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 33.3%Low 4 · 66.7%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Summary of findings: NBAS or NBO versus control for caregiver‐infant interaction, caregiver mental health, and caregiver functioning
Population: caregiver‐infant dyads
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Quality of caregiver‐infant interaction (parental sensitivity, attunement, etc.); continuous data Assessed at postintervention using validated assessment scales for caregiver‐infant interaction: higher scores indicate better outcome Summary of findings: NBAS or NBO vs control | no estimate extracted | 7 studies · 304 participants | Very low Downgraded: risk of bias, inconsistency, indirectness |
Caregiver mental health (depression), dichotomous data Assessed at postintervention using the EPDS; lower scores indicate less depression Summary of findings: NBAS or NBO vs control | RR 0.23 [0.05, 1.04] | 1 study · 106 participants | Low Downgraded: risk of bias, inconsistency, indirectness |
Infant social, emotional, cognitive and motor development Assessed when infant aged 4 months, using the BSID; higher scores indicate better development Summary of findings: NBAS or NBO vs control | no estimate extracted | 1 study · 125 participants | Low Downgraded: risk of bias, inconsistency, indirectness |
Caregiver perception of infant (parents' perception of the degree of difficult temperament of the infant) Assessed at postintervention, 8 weeks after delivery; higher score indicates better outcome Summary of findings: NBAS or NBO vs control | no estimate extracted | 1 study · 44 participants | Low Downgraded: risk of bias, inconsistency, indirectness |
Caregiver stress (maternal perceptions of her adjustment to the parenting role) Assessed when infant aged 4 months, using the PSI Summary of findings: NBAS or NBO vs control | no estimate extracted | 1 study · 125 participants | Low Downgraded: risk of bias, inconsistency, indirectness |
Caregiver knowledge (related to infants' physical capacities, including reflexes and senses) Assessed at postintervention, using multiple choice factual questions; higher scores indicate better outcome Summary of findings: NBAS or NBO vs control | no estimate extracted | 1 study · 26 participants | Very low Downgraded: risk of bias, inconsistency, indirectness |