Development of early detection of
low-birth-weight instrument based on
maternal risk factors: A mixed-methods
study

Development of early detection of
low-birth-weight instrument based on
maternal risk factors: A mixed-methods
study

early detection evaluation; low birth weight; instrument; mixed-
method study

Background: Babies born with low birth weight (LBW) are at a higher
risk of experiencing health problems. The absence of quick and reliable
instruments to detect LBW conditions can significantly impact the growth
and development of newborns.
Purpose: This study aims to develop an instrument to detect the incidence
of LBW based on mother’s risk factor.
Methods: In this study, mixed-methods research was conducted, consisting
of qualitative and quantitative stages. A total of 20 participants participated
in Focus Group Discussions (FGDs) during the qualitative stage, and 321
respondents took part in the quantitative stage. During the qualitative stage,
the process of labeling, synthesizing significant codes, and theoretical
integration was carried out. Furthermore, at the quantitative stage, the
calculation of the cut-off point using receiver operating characteristic (ROC)
analysis was performed.
Results: Four indicators were added in newly developed instrument; there
are currently ten indicators based on results of our FGD with the experts (OR/
score: 74.395/10, 15.557/2, 13.877/2, 9.952/2, 7.203/1, 2.756/1, 2.532/1,
1.280/1, 1.268/1, and 1.163/1). Instrument was tested on 321 samples; it
was able to detect 111 (88.1%) cases from a total 123 (38.3%) cases of
LBW (p=0.000). Cut-off point determination used Receiver Operating
Characteristic (ROC) curve; any score greater than 3 was predicted with
LBW incidence (AUC=0.952, 95% CI 0.923-0.973).
Conclusion: LBW could be predicted by our newly developed instrument.
These finding could help health workers or policy makers to reduce the LBW
incidence by early detection. Further study is needed to determine the ideal
screening time to maximize the usage of this instrument.

Sri Utami1 , Rekawati Susilaningrum1* , Nursalam Nursalam2 , Erna
Siti Zulaecha3

, Sri Rahayu3

http://jkp.fkep.unpad.ac.id/index.
php/jkp

August 09, 2023

PERI IRAWAN

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