Research

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Brazil

Research studies with the NBO by

Lívia C.Magalhães, Profa. Titular, Depto. de Terapia Ocupacional, EEFFTO, UFMG

http://lattes.cnpq.br/1152950813115141

We presented our research on “The Newborn Behavioral Observation as relationships building tool In Brazil: the perspective of mothers and professionals” at the WAIMH conference in Prague and since then we have completed two more studies: The Cross-cultural adaptation of the Newborn Behavioral Observations (NBO): new resource for the observation of newborn behavior by Marina A. P. Guimarães, Claudia Regina L. Alves, Ana Amélia Cardoso, Lívia de C. Magalhães and the second was entitled the Contribution of the Newborn Behavioral Observations (NBO) for the maternal care of preterm babies by Erika da Silva Dittz, Claudia Regina L. Alves, Elysângela Dittz Duarte, Lívia de Castro Magalhães.

  1. The Cross-cultural adaptation of the Newborn Behavioral Observations (NBO): new resource for the observation of newborn behavior by Marina A. P. Guimarães, Claudia Regina L. Alves, Ana Amélia Cardoso, Lívia de C. Magalhães

Abstract

Objective: To conduct the cross-cultural adaptation for Brazilian Portuguese of the Newborn Behavioral Observations (NBO), a new resource to observe neonatal behavior and share information with parents.

Methods: Methodological study of translation and cultural adaptation of the NBO system, which includes the Recording Form with 18 items, Recording Guidelines with instructions to score each item, the Summary Form to record suggestions based on the observation, and a Parent Questionnaire, to record the parents´ experiences. The adaptation process followed international recommendations for cross-cultural adaptation of health care protocols, which included requesting permission from the authors, translation, and back translation, followed by external evaluators who scored the quality of the adaptation, which was analyzed quantitatively. The quality of the adaptation of the instruments’ items was evaluated by the index of agreement between evaluators for conceptual and cultural equivalence.

Results: Expert panel evaluation showed that the cross-cultural adaptation of the NBO protocols was both well understood conceptually and culturally appropriate, with 140 (77.77%) items presenting concordance index greater than 90% for conceptual and cultural equivalence. Items that did not reach adequate level of agreement were revised according to experts’ suggestions

Conclusions: The Brazilian version of the NBO system can be safely used since the methodology was rigorous enough to ensure equivalence between the original and translated versions. The NBO should be tried in clinical practice, as it could contribute to improve the quality of maternal and child care.

Keywords: Translation; Mother-Child Relations; Child Development, Infant Behavior

  1. Contribution of the Newborn Behavioral Observations (NBO) for the maternal care of preterm babies by Erika da Silva Dittz, Claudia Regina L. Alves, Elysângela Dittz Duarte, Lívia de Castro Magalhães

Abstract

Objective: To know the contributions of the use of the Newborn Behavioral Observations (NBO) for the maternal care of preterm neonatesMethod: Descriptive qualitative study with 14 mothers of preterm newborns admitted to a hospital unit. During the NBO, participant observation was followed by a semi-structured interview with the mothers. The data was submitted to thematic content analysis.Results: It was found that the mothers' prior perceptions of the baby's abilities or how they react to environmental stimuli do not differ from what they observed and reported after the NBO. However, it is verified that NBO confirms this perception and extends the mothers' understanding of the meaning of the baby's behavior. Participating in the NBO favored the mothers´ identification of strategies to meet the needs of the baby's care, qualifying the care already performed by them and opening new possibilities for maternal care.Conclusions: The NBO is an instrument that favors the mother's learning about the behavior of her baby and contributes to the construction of practices with potential to be used by them in the daily care. This allows us to consider it as a tool that favors the mother-baby relationship, contributes to the mother's participation in care, and supports the mother in the construction of her autonomy for the continuity of the baby's care after hospital discharge.Keywords: Preterm, Mother-Child Interaction; Mothers; Maternal Behavior; Baby Care

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