Using the Delphi Method to Develop Breastfeeding Quality Indicators for Very Preterm Infants.

IF 1.8 4区医学 Q2 NURSING

Journal of Human Lactation Pub Date : 2025-09-28 DOI:10.1177/08903344251365634

Anfeng Lu, Li Zhu, Peilu Huang, Lei Bi, Jinjie Huang, Zhangbin Yu, Benqing Wu, Guosheng Huang, Lu Ding, Ruirui Xing

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引用次数: 0

Abstract

Background: Human milk protects very preterm infants from many complications. While quality indicators are crucial for evaluating and improving breastfeeding practices, those specifically tailored for very preterm infants are lacking.

Research aim: To develop a set of practical and reliable indicators for evaluating and improving the quality of breastfeeding for very preterm infants.

Methods: This study employed a longitudinal, prospective survey design utilizing a two-round Delphi method employing the RAND Corporation/University of California Los Angeles Appropriateness Method. A systematic search of the literature was performed across multiple databases, including PubMed, Cochrane, Embase, and Wanfang, to identify potential quality indicators for breastfeeding in very preterm infants. A multidisciplinary expert panel then evaluated these through two Delphi rounds to establish relevance and feasibility.

Results: Twenty-two candidate quality indicators of breastfeeding were extracted for the Delphi process. The experts' authority coefficients for the two rounds were 0.84 and 0.83, respectively. Eleven indicators, encompassing breastfeeding outcome indicators (n = 1), mother's lactation status indicators (n = 3), the breastfeeding process indicators (n = 3), and balancing indicators (n = 4), were considered relevant and feasible and were incorporated into the set of quality indicators for breastfeeding.

Conclusions: This study developed a set of practical and reliable indicators for evaluating and improving the quality of breastfeeding for very preterm infants, based on the collective opinion of content experts. These quality indicators may facilitate an objective and quantitative assessment of breastfeeding quality for this vulnerable population.

查看原文本刊更多论文

采用德尔菲法制定极早产儿母乳喂养质量指标。

背景：母乳可以保护早产儿免受许多并发症的侵害。虽然质量指标对于评估和改进母乳喂养做法至关重要，但目前缺乏专门为极早产儿量身定制的指标。研究目的：为评价和提高极早产儿母乳喂养质量建立一套实用可靠的指标体系。方法：本研究采用纵向前瞻性调查设计，采用兰德公司/加州大学洛杉矶分校适当性方法，采用两轮德尔菲法。我们对多个数据库进行了系统的文献检索，包括PubMed、Cochrane、Embase和万方数据库，以确定极早产儿母乳喂养的潜在质量指标。然后，一个多学科专家小组通过两轮德尔菲来评估这些建议，以确定相关性和可行性。结果：抽取了22个母乳喂养备选质量指标进行德尔菲法评价。两轮专家的权威系数分别为0.84和0.83。11个指标，包括母乳喂养结果指标（n = 1）、母亲哺乳状态指标（n = 3）、母乳喂养过程指标（n = 3）和平衡指标（n = 4），被认为是相关和可行的，并被纳入母乳喂养质量指标集。结论：本研究根据内容专家的集体意见，制定了一套实用可靠的指标来评估和提高极早产儿母乳喂养的质量。这些质量指标有助于对这一弱势群体的母乳喂养质量进行客观和定量的评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Human Lactation 医学-妇产科学

CiteScore

5.00

自引率

11.50%

发文量

100

审稿时长

6-12 weeks

期刊介绍： Committed to the promotion of diversity and equity in all our policies and practices, our aims are: To provide our readers and the international communities of clinicians, educators and scholars working in the field of lactation with current and quality-based evidence, from a broad array of disciplines, including the medical sciences, basic sciences, social sciences and the humanities. To provide student and novice researchers, as well as, researchers whose native language is not English, with expert editorial guidance while preparing their work for publication in JHL. In each issue, the Journal of Human Lactation publishes original research, original theoretical and conceptual articles, discussions of policy and practice issues, and the following special features: Advocacy: A column that discusses a ‘hot’ topic in lactation advocacy About Research: A column focused on an in-depth discussion of a different research topic each issue Lactation Newsmakers: An interview with a widely-recognized outstanding expert in the field from around the globe Research Commentary: A brief discussion of the issues raised in a specific research article published in the current issue Book review(s): Reviews written by content experts about relevant new publications International News Briefs: From major international lactation organizations.