The development of a program for enhancing mother's knowledge of caring for newborns with jaundice undergoing phototherapy
Keywords:
perceived self-efficacy, maternal knowledge, maternal behavior, neonatal jaundice, TikTok social mediaAbstract
Neonatal jaundice is a significant health issue commonly noticed in infants. Effective treatment requires the cooperation of mothers. This study aimed to promote mothers in caring for infants with jaundice undergoing phototherapy, enhancing their knowledge and enabling proper care practices, according to Bandura's self-efficacy theory. There were three phases of the research tool process. Phase 1 program development, consisting of four steps. Step 1 Review issues from practice. Step 2: Search for empirical evidence, yielding 18 studies. Step 3: Evaluate the quality of the research. Step 4: Develop the program by using the results of analysis and synthesis of research to create educational content for providing knowledge on jaundice. Phase 2: Program creation included: 1) Developing a set of six educational video clips on jaundice knowledge, each clip approximately three minutes long. 2) Creating content for an infographic guide on jaundice knowledge 3) developing a program satisfaction questionnaire. Phase 3: Evaluate the feasibility of implementing the program.
The tool was quality assessed by five experts and tested on a specifically selected sample group of 10 mothers and their infants diagnosed with jaundice, receiving phototherapy at a tertiary hospital in the northeastern region. The research method involved having mothers watch a video clip providing knowledge on jaundice via TikTok about jaundice and studying five-images jaundice knowledge infographic guide for approximately 2 hours. Subsequently, mothers were inquired to complete a program satisfaction questionnaire and provide feedback on the video clips. Data were analyzed using descriptive statistics.
The study found that: 1) The program's quality assessment achieved an Item-Objective Congruence (IOC) of 0.98 and a Content Validity Index (CVI) of 0.97. 2) Overall satisfaction across four areas was at the highest level: Concise and comprehensive content (=4.9, SD=0.31), Language use and communication (
=4.7, SD=0.48), Narration and soundtrack (ðĨĖ
=4.8, SD=0.42), and Duration (
=5.00, SD=0.00). The program's outcomes initiated a research process to evaluate the effectiveness of the program to promote mothers' knowledge in caring for infants with jaundice who received phototherapy.
References
Hegde D, Rath C, Amarasekara S, Saraswati C, Patole S, Rao S. Performance of smartphone application to accurately quantify hyperbilirubinemia in neonates: a systematic review with meta-analysis. European Journal of Pediatrics 2023;182(9):3957â71.
Kemper AR, Newman TB, Slaughter JL, Maisels MJ, Watchko JF, Downs SM, et al. Clinical practice guideline revision: management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics 2022;150(3):e2022058859.
Diala UM, Usman F, Appiah D, Hassan L, Ogundele T, Abdullahi F, et al. Global prevalence of severe neonatal jaundice among hospital admissions: a systematic review and meta-analysis. Journal of Clinical Medicine 2023;12(11):3738.
Puangkaew N, Hongto Y, Ngernjum S. Neonatal jaundice pathway for pediatric outpatient. In: Laoprasitphon D, editor. Outstanding innovation: star-rated project 2016. Bangkok: P. A. Living; 2016:p. 499â503. (in Thai)
Huang Y, Chen L, Wang X, Zhao C, Guo Z, Li J, et al. Maternal knowledge, attitudes and practices related to neonatal jaundice and associated factors in Shenzhen, China: a facility-based cross-sectional study. BMJ Open 2022;12(8):e057981.
Bora GÞneÅ N, BakÄąr E, İĖÅ M, Uzunkaya Ãztoprak P. Impact of mobile technology-enhanced follow-up program for mothers with new-born babies on mothersâ anxiety, self-efficacy, and infant health. Journal of Community Health Nursing 2023;40(2):106-18.
Olusanya BO, Kaplan M, Hansen TW. Neonatal hyperbilirubinaemia: a global perspective. Lancet Child & Adolescent Health 2018;2(8):610â20.
Chiwanon N. Nursing care of low birth weight infants. Chiang Mai: Wanida Printing;2022. (in Thai)
Alfouwais NM, Seada LS, Alahmadi RY, Alassiri AA, Alenazi AA, Aljuaeed MS. Assessment of knowledge, attitude and practice of Saudi parents towards neonatal jaundice (NNJ): a cross-sectional study. The Egyptian Journal of Hospital Medicine 2018;70(9):1686â94.
Khurshid F, Rao SP, Sauve C, Gupta S. Universal screening for hyperbilirubinemia in term healthy newborns at discharge: a systematic review and meta-analysis. Journal of Global Health 2022;12:12007.
Vanichayasetthakul W. Prevalence and factors related to term neonatal hyperbilirubinemiain Pathum Thani Hospital. The Medical Journal of Regions 4-5 2022;41(1):633â44. (in Thai)
van der Geest BA, de Mol MJ, Barendse IS, de Graaf JP, Bertens LC, Poley MJ, et al. Assessment, management, and incidence of neonatal jaundice in healthy neonates cared for in primary care: a prospective cohort study. Scientific reports 2022;12(1):14385.
Nizam MA, Alvi AS, Hamdani MM, Lalani AS, Sibtain SA, Bhangar NA. Efficacy of double versus single phototherapy in treatment of neonatal jaundice: a meta-analysis. European journal of pediatrics 2020;179:865â74.
Obeagu EI, Katya MC. A systematic review on physiological jaundice: diagnosis and management of the affected neonates. Madonna University Journal of Medicine and Health Science 2022;2(3):25â41.
Kuitunen I, Kiviranta P, Sankilampi U, Renko M. Ursodeoxycholic acid as adjuvant treatment to phototherapy for neonatal hyperbilirubinemia: a systematic review and meta-analysis. World Journal of Pediatrics 2022;18(9):589â97.
Phongphatthaphon R. The effect of the nursing program for phototherapy-treated jaundiced infants on the phototherapy treatment duration and the events of disagreeing to be treated with phototherapy treatment, postpartum ward at Phra Nakhon Si Ayutthaya hospital. Journal of preventive medicine association of Thailand 2018;8(1):62â71. (in Thai)
Afifi Mohamed H, Ibrahim Khalifa M, Rabie Abdel-Sadik B, Nabawy El-aasar H. Maternal coping with hospitalization of neonates at intensive care unit. Journal of Nursing Science Benha University 2022;3(1):374â83.
Li X, Zhang Y, Ye Z, Huang L, Zheng X. Development of a mobile application of internet-based support program on parenting outcomes for primiparous women. International Journal of Environmental Research and Public Health 2021;18(14):7354.
Asefa GG, Gebrewahid TG, Nuguse H, Gebremichael MW, Birhane M, Zereabruk K, et al. Determinants of neonatal jaundice among neonates admitted to neonatal intensive care unit in public general hospitals of central zone, Tigray, Northern Ethiopia, 2019: a case-control study. BioMed Research International 2020;2020(1):4743974.
Kalasin J, Siripul P, Khunlan TS. Effect of a maternal perceived self-efficacy enhancement program on perceived self-efficacy, caring behavior for preterm infants with hyperbilirubinemia, receiving phototherapy and infantsâ serum bilirubin levels. Journal of Nursing and Health Care 2020;38(3):129â38. (in Thai)
Zhu C, Xu X, Zhang W, Chen J, Evans R. How health communication via TikTok makes a difference: a content analysis of Tik Tok accounts run by Chinese provincial health committees. International Journal of Environmental Research and Public Health 2020;17(1):192.
Liu R, Yang T, Deng W, Liu X, Deng J. What drives the influence of health science communication accounts on tiktok? a fuzzy-set qualitative comparative analysis. International Journal of Environmental Research and Public Health 2022;19(21):13815.
McCashin D, Murphy CM. Using TikTok for public and youth mental health - a systematic review and content analysis. Clinical Child Psychology and Psychiatry 2023;28(1):279â306.
Xiuwen Z, Razali AB. An overview of the utilization of TikTok to improve oral english communication competence among EFL undergraduate students. Universal Journal of Educational Research 2021;9(7):1439â51.
Carter PN, Hall EE, Ketcham CJ, Ahmed OH. Not just for dancing? A content analysis of concussion and head injury videos on TikTok. Frontiers in Sports and Active Living 2021;3:692613.
Basch CH, Donelle L, Fera J, Jaime C. Deconstructing TikTok videos on mental health: cross-sectional, descriptive content analysis. JMIR Formative Research 2022;6(5):e38340.
Bandura A. Self-efficacy in changing societies. UK: Cambridge University Press;1997.
Seesanae P, Punthmatharith B. Effects of perceived self-efficacy enhancement program via line official account on perceived self-efficacy, caring behaviors of mothers, and serum bilirubin of newborns with jaundice. The Journal of Thailand Nursing and Midwifery Council 2023;38(1):143â56. (in Thai)
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Journal of Nursing Science and Health

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Journal of Nursing Science and Health is copyright holder of published articles. Distributions of articles published in Journal of Nursing Science and Health including online, photocopying which is not for teaching-learning purpose, publication submission elsewhere are prohibited except obtaining permission from the Journal of Nursing Science and Health.