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Table 3 WHO-KMC assessment tool scores: protocol adherence and maternal competency over time

From: Transforming neonatal nursing: a randomized controlled trial comparing kangaroo care and standard protocols for survival in preterm infants with respiratory distress syndrome

Component and time point

KMC group (n = 120)

Standard care group (n = 120)

Mean difference (95% CI)

Effect size (Cohen’s d)

p-value¹

KMC practice score²

- Baseline (Day 1)

6.2 (2.1) [2]

6.1 (2.0) [1]

0.1 (−0.4, 0.6)

0.05

0.724

- Day 3

10.8 (1.8) [1]

7.2 (1.9) [2]

3.6 (3.1, 4.1)**

1.94

<0.001

- Day 7

13.2 (1.4) [2]

8.1 (1.8) [1]

5.1 (4.6, 5.6)**

3.15

<0.001

- Pre-discharge

14.1 (1.2) [1]

8.9 (1.7) [2]

5.2 (4.8, 5.6)**

3.57

<0.001

Maternal competency⁴

- Baseline (Day 1)

4.8 (1.9) [1]

4.7 (1.8) [2]

0.1 (−0.4, 0.6)

0.05

0.698

- Day 3

7.9 (1.6) [2]

5.3 (1.7) [1]

2.6 (2.2, 3.0)**

1.56

<0.001

- Day 7

8.8 (1.3) [1]

5.9 (1.6) [2]

2.9 (2.5, 3.3)**

2.01

<0.001

- Pre-discharge

9.4 (0.9) [2]

6.2 (1.5) [1]

3.2 (2.9, 3.5)**

2.59

<0.001

Implementation checklist⁵

- Baseline (Day 1)

12.4 (3.2) [1]

12.3 (3.1) [2]

0.1 (−0.7, 0.9)

0.03

0.812

- Day 3

16.8 (2.4) [2]

13.1 (2.8) [1]

3.7 (3.0, 4.4)**

1.43

<0.001

- Day 7

18.4 (1.8) [1]

13.8 (2.6) [2]

4.6 (4.0, 5.2)**

2.08

<0.001

- Pre-discharge

19.2 (1.4) [2]

14.2 (2.4) [1]

5.0 (4.5, 5.5)**

2.54

<0.001

Time effect analysis

Time effect

F-statistic

p-value

Partial η²

Time

342.65

<0.001

0.59

Group

156.28

<0.001

0.40

Time × group

89.43

<0.001

0.28

  1. KMC Kangaroo Mother Care; CI confidence interval; SD standard deviation; η² partial eta squared
  2. 1Statistical significance determined using independent t-tests with Bonferroni correction for multiple comparisons
  3. 2KMC Practice Score range: 0–15; higher scores indicate better adherence to KMC protocols
  4. 3Values presented as mean (SD); numbers in square brackets [n] indicate missing data
  5. 4Maternal Competency Scale range: 0–10; higher scores indicate greater competency in KMC delivery
  6. 5Implementation Checklist range: 0–20; higher scores indicate better protocol implementation
  7. **Statistically significant at p < 0.001
  8. Abbreviations: KMC = Kangaroo Mother Care; CI = Confidence Interval; SD = Standard Deviation; %2 = Partial eta squared