M Fahmi Zakariyah, Ela Nur Fadilah
This letter responds to Jabraeili et al.’s randomised controlled trial examining the effect of a structured educational programme for mothers on preventing diaper dermatitis in NICU-admitted newborns. While the study demonstrates that nurse-facilitated education can significantly reduce diaper dermatitis presence, severity, and extent, three dimensions of the educational context remain underexplored. This letter argues that future iterations of such programmes must adopt a family-centred design by including fathers and other primary caregivers, incorporate health literacy screening to ensure equitable effectiveness across diverse educational backgrounds, and embed post-discharge follow-up to sustain clinical gains beyond the inpatient period. These adaptations are achievable within existing educational infrastructure and are essential to ensure that improvements in caregiver practice are inclusive in reach, equitable in impact, and durable in time. © 2026 Neonatal Nurses Association.
Nonformal Education, Faculty of Education, Universitas Negeri Surabaya, Indonesia; Guidance and Counseling, Faculty of Education, Universitas Negeri Surabaya, Indonesia
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