BMJ Open (Oct 2021)

Is premature birth an environmental sensitivity factor? A scoping review protocol

  • Michael Pluess,
  • Francesca Lionetti,
  • Antonio Dellagiulia,
  • Giulia Prudentino,
  • Maria Spinelli,
  • Mirco Fasolo

DOI
https://doi.org/10.1136/bmjopen-2020-047015
Journal volume & issue
Vol. 11, no. 10

Abstract

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Introduction Globally, around 10% of children are born preterm and are more at risk of negative developmental outcomes. However, empirical evidences and theoretical reasoning also suggest that premature birth can be a susceptibility factor, increasing sensitivity to the environment for better and for worse. Because available findings are controversial, with the current scoping review we will explore if, based on the available literature, preterm birth can be seen as an environmental sensitivity (ES) factor. In doing so, we will consider a series of moderating variables, including the level of prematurity, the type of environment and the outcome investigated. Methodological aspects, as the type of measures used and study design, will be considered.Methods and analysis The scoping review will be conducted following the Joanna Briggs Institute Methodology guidelines. The report will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist. We will perform the search between 15 January 2022 and 1 February 2022. Data will be chartered by independent reviewers.Ethics and dissemination Ethical approval is not required, as primary data will not be collected. This scoping review will be the first to explore whether prematurity is associated with an increased ES. This review can have important implications for tailoring prevention and intervention programmes. Results will be published in a peer-reviewed journal.