Table 3

Quality levels of the programme theories

Programme theoryLevel of quality
PT 1: Family-centred care (FCC) and PT 4: Bliss CharityModerate to high level of quality (four studies have high quality and three have moderate).
PT 2: Baby Friendly Initiative (BFI)Moderate to high level of quality (two studies have moderate quality and one have high quality).
PT 3: Best Beginnings—Small Wonders Change Program (SWCP)Moderate level of quality (one study has low quality, one study has moderate, and one has high quality).
PT 5: NHS/NICE guidelinesN/A
PT 6: Knowledge and confidenceModerate to high level of quality (five studies have high level of quality and three moderate).
RPT 1: HCWs: lack of training, knowledge, and confidenceHigh level of quality (six studies have high level while one has moderate).
RPT 2: HCWs: lack of guidance/guidelinesModerate to high level of quality (four studies have high quality and two have moderate).
RPT 3: HCWs: lack of resourcesModerate to high level of quality (four studies have high level and two have moderate).
RPT 4: HCWs: cultural/social normsModerate level quality (two studies have high quality, two studies have moderate, and one has low level).
RPT 5: Caregivers: lack of knowledge/supportModerate to high level of quality (three studies have high level and one has moderate).
RPT 6: Caregivers: cultural normsModerate to high level of quality (three studies have high level, one has moderate, and one has low level).
RPT 7: Caregivers: poor infrastructureModerate to high level of quality (three studies have high level and one has moderate).
RPT 8: Healthcare facilitiesHigh level of quality (six studies have high level and one has moderate).
RPT 9: Elasticity in the deliveryN/A
  • Green, high level of quality; yellow, moderate to high level of quality, and red, moderate level of quality.

  • HCWs, healthcare workers; KC, Kangaroo Care; NHS, National Health Service; NICE, National Institute for Clinical Excellence; PT, programme theory; RPT, rival programme theory; SSC, skin-to-skin contact.